Beyond Weird: Associations Between Socioeconomic Status, Gender, Lifetime Stress Exposure, And Depression In Madagascar

JOURNAL OF CLINICAL PSYCHOLOGY(2021)

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摘要
Objective Although research has examined associations between socioeconomic status (SES), gender, and acute and chronic life stressors in depression, most studies have been conducted in Western, educated, industrialized, rich, democratic (WEIRD) populations.Method We addressed this issue by interviewing 65 adults (55 women, M-age = 37) living in Madagascar, a typical low- and middle-income country.Results As hypothesized, women experienced more life stressors and depressive symptoms, on average, than men, as did those from lower (vs. higher) SES backgrounds. Additionally, lifetime stress exposure was associated with greater symptoms of depression, accounting for 19% of the variability in depressive symptom levels. These effects differed for acute versus chronic and distal versus recent stressors. Finally, stress exposure significantly mediated the relation between SES and gender on depressive symptoms, accounting for 24.0%-70.8% of the SES/gender-depression association depending on stressor type.Conclusion These data extend prior research by describing how social stratification and gender relate to lifetime stress exposure and depressive symptoms in a non-WEIRD population.
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关键词
culture, depression, early adversity, gender, health disparities, life stress, risk, SES, social stratification, STRAIN
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