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Original Articles and Reviews

The Association of Interpersonal Stress with Psychological Distress in Romania

Published Online:September 01, 2006https://doi.org/10.1027/1016-9040.11.1.39

Abstract

Data from a community sample in Romania are presented on how social support and stress in interpersonal relationships are related to psychological distress (depressive symptoms, anxiety, and loneliness). Other predictor variables in the study were stress from daily living, self-efficacy, age, and gender. An important feature was the inclusion of measures of positive and negative aspects of interpersonal relationships. Many studies emphasize either social support, or interpersonal stress, but rarely both. A random population-based sample of 1000 was drawn from age groups 25-29, 40-44 and 75-79. A study questionnaire was mailed to the sample. The analysis sample size was 581 (63 percent of the 922 persons located). The hypothesized relationships between the stressors, the resources, and psychological distress were examined using structural equation models. All the fit statistics indicated a good fit of the data to the model. The variance in psychological distress explained by the predictor variables was 0.83. There were no statistically significant age differences in the relationship between the predictors and psychological distress. Results confirm the study's basic premise, that social support influences psychological distress levels in a protective way, as does self-efficacy, while interpersonal stress and worries about daily living are significant predictors for elevated psychological distress. The study confirms the importance of including measures of positive and of negative social ties in studies of psychological distress in community samples.

References

  • Almeida, D.M. , Kessler, R C. (1998). Everyday stressors and gender differences in daily distress. Journal of Personality and Social Psychology, 75, 670– 680 First citation in articleCrossref, Google Scholar

  • Anderson, J.C. , Gerbing, D.W. (1988). Structural equation modeling in practice. A review and recommended two-step approach. Psychological Bulletin, 103, 411– 423 First citation in articleCrossref, Google Scholar

  • Arbuckle, J.L. , Wothke, W. (1999). Amos 4.0 user's guide . Chicago: SmallWaters Corporation First citation in articleGoogle Scholar

  • Bandura, A. (1997). Exercise of control and collective efficacy in changing societies. In Self-efficacy: The exercise of control. New York: Freeman First citation in articleGoogle Scholar

  • Bjelland, I. , Dahl, A. , Haug, T. , D, N. (2000). The validity of the Hospital Anxiety and Depression Scale . Unpublished manuscript, Bergen First citation in articleGoogle Scholar

  • Bolger, N. , Foster, M. , Vinokur, A.D. (1996). Close relationships and adjustment to a life crisis. The case of breast cancer. Journal of Personality and Social Psychology, 70, 283– 294 First citation in articleCrossref, Google Scholar

  • Byrne, B.M. (2001). Structural equation modeling with AMOS . Mahwah, NJ: Erlbaum First citation in articleGoogle Scholar

  • Charoendee, S. , Bancila, D. , Konstantinova, S. , Mittelmark, M.B. (2004, April). Positive mental health - A cross-cultural comparison . 18th World Conference on Health Promotion and Health Education, Melbourne, Australia First citation in articleGoogle Scholar

  • Dormann, C. , Zapf, D. (1999). Social support, social stressors at work, and depressive symptoms: Testing for main and moderating effects with structural equations in a three-wave longitudinal study. Journal of Applied Psychology, 84, 874– 884 First citation in articleCrossref, Google Scholar

  • Drageset, J. (2004). The importance of activities of daily living and social contact for loneliness: A survey among residents in nursing homes. Scandinavian Journal of Caring Sciences, 18, 65– 71 First citation in articleCrossref, Google Scholar

  • Dunkley, D.M. , Blankstein, K.R. , Halsall, J. , Williams, M. , Winkorth, G. (2000). The relation between perfectionism and distress. Hassles, coping, and perceived social support as mediators and moderators. Journal of Counseling Psychology, 47, 437– 453 First citation in articleCrossref, Google Scholar

  • Ehde, D.M. , Petterson, D.R. , Wiechman, S.A. , Wilson, L.G. (2000). Post-traumatic stress symptoms and distress 1 year after burn injury. Journal of Burn Care & Rehabilitation, March/April(21), 105– 111 First citation in articleCrossref, Google Scholar

  • Erkut, S. , Alarcon, O. , Coll, C.G. , Tropp, L.R. , Garcia, H.A.V. (1999). The dual-focus approach to creating bilingual measures. Journal of Cross-Cultural Psychology, 30, 206– 218 First citation in articleCrossref, Google Scholar

  • Ewart, C.K. , Suchday, S. (2002). Discovering how urban poverty and violence affect health: Development and validation of a neighborhood stress index. Health Psychology, 21, 254– 262 First citation in articleCrossref, Google Scholar

  • Festinger, L. (1957). A theory of cognitive dissonance . Stanford: Stanford University Press First citation in articleGoogle Scholar

  • Gallo, L.C. , Matthews, K.A. (2003). Understanding the association between socioeconomic status and physical health. Do negative emotions play a role?. Psychological Bulletin, 129, 10– 51 First citation in articleCrossref, Google Scholar

  • Gore, S. (1992). Social psychological foundation of stress and coping research. In D.N. Ruble, P R. Costanzo, & M E. Olivery (Eds.), The social psychology of mental health. New York: Guilford First citation in articleGoogle Scholar

  • Hayes, J.A. , Mahalik, J.R. (2000). Gender role conflict and psychological distress in male counseling center clients. Psychology of Men & Masculinity, 1, 116– 125 First citation in articleCrossref, Google Scholar

  • Herrmann, C. (1997). International experiences with the Hospital Anxiety and Depression Scale - A review of validation data and clinical results. Journal of Psychosomatic Research, 42, 17– 41 First citation in articleCrossref, Google Scholar

  • Holahan, C.J. , Moos, R.H. (1991). Life stressors, personal and social resources, and depression. A 4-year structural model. Journal of Abnormal Psychology, 100, 31– 38 First citation in articleCrossref, Google Scholar

  • Homans, G.C. (1961). Social behavior: P.c. elementary forms . New York: Harcourt, Brace & World First citation in articleGoogle Scholar

  • Hu, L. , Bentler, P.M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1– 55 First citation in articleCrossref, Google Scholar

  • Iecovich, E. , Barasch, M. , Mirsky, J. , Kaufman, R. , Avgar, A. , Kol-Fogelson, A. (2004). Social support networks and loneliness among elderly Jews in Russia and Ukraine. Journal of Marriage and the Family, 66, 306– 317 First citation in articleCrossref, Google Scholar

  • Jerusalem, M. , Mittag, W. (1995). Self-efficacy in stressful life transitions. In A. Bandura (Ed.), Self-efficacy in changing societies (pp. 177-201). New York: Cambridge University Press First citation in articleGoogle Scholar

  • Jerusalem, M. , Schwarzer, R. (1992). Self-efficacy as a resource factor in stress appraisal processes. In R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 195-211). Washington, DC: Hemisphere Publishing Corporation First citation in articleGoogle Scholar

  • Kaplan, H.B. (1996). Perspectives on psychosocial stress. In H.B. Kaplan (Ed.), Psychosocial stress. London: Academic Press First citation in articleGoogle Scholar

  • Kazak, A.E. , Barakat, L.P. , Meeske, K. , Cristakis, D. , Meadows, A.T. , Casey, R. , Penati, B. , Stuber, M.L. (1997). Posttraumatic stress, family functioning, and social support in survivors of childhood leukemia and their mothers and fathers. Journal of Consulting and Clinical Psychology, 65, 120– 129 First citation in articleCrossref, Google Scholar

  • Kraft, P. , Loeb, M. (1997). Sogn og Fjordane Prosjektet . [The Sogn and Fjorde Project]. Oslo: Statens institutt for folkehelse First citation in articleGoogle Scholar

  • Lang, F.R. , Featherman, D.L. , Nesselroade, J.R. (1997). Social self-efficacy and short-term variability in social relationships. The MacArthur successful aging studies. Psychology and Aging, 12, 657– 666 First citation in articleCrossref, Google Scholar

  • Lazarus, S.R. , Folkman, S. (1984). The stress concept in the life science. In S.R. Lazarus & S. Folkman (Eds.), Stress, appraisal, and coping. New York: Springer First citation in articleGoogle Scholar

  • Lepore, S.J. (1997). Social - Environment influences on the chronic stress process. In B.H. Gottlieb (Ed.), Coping with chronic stress (pp. 133-160). New York: Plenum First citation in articleGoogle Scholar

  • Lepore, S.J. , Miles, H.J. , Levy, J.S. (1997). Relation of chronic and episodic stressors to psychological distress, reactivity, and health problems. International Journal of Behavioral Medicine, 4, 39– 59 First citation in articleCrossref, Google Scholar

  • Little, T.D. , Cunningham, W.A. , Shahar, G. , Widaman, K.F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9, 151– 173 First citation in articleCrossref, Google Scholar

  • MacCallum, R.C. , Browne, M.W. , Sugawara, H.M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1, 130– 149 First citation in articleCrossref, Google Scholar

  • Magnus, P. , Arnesen, E. , Holmen, J. , Stoltenberg, C. , Søgaard, A.J. , Tell, G.S. (2003). CONOR - COhort NORway: historie, formål og potensiale [CONOR - COhort NORway: History, objectives, and potential]. Norsk Epidemiologi, 13, 79– 82 First citation in articleGoogle Scholar

  • Mittelmark, M.B. (1999). Social ties and health promotion: Suggestions for population-based research. Health Education Research, 14, 447– 451 First citation in articleCrossref, Google Scholar

  • Mittelmark, M.B. , Aaro, L.E. , Henriksen, S.G. , Siqveland, J. , Torsheim, T. (2004). Chronic social stress in the community and associations with psychological distress: A social psychological perspective. International Journal of Mental Health Promotion, 6(1), 4– 16 First citation in articleGoogle Scholar

  • Molm, L.D. , Cook, K.S. (1995). Social exchange and exchange networks. In K.S. Cook, G.A. Fine, & J.S. House (Eds.), Sociological perspectives on social psychology (pp. 209-235). Boston: Allyn and Bacon First citation in articleGoogle Scholar

  • Nolen-Hoeksema, S. , Larson, J. , Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of Personality and Social Psychology, 77, 1061– 1072 First citation in articleCrossref, Google Scholar

  • Okun, M.A. , Melichar, J.F. , Hill, M.D. (1990). Negative daily events, positive and negative social ties, and psychological distress among older adults. The Gerontologist, 30, 1993– 1999 First citation in articleCrossref, Google Scholar

  • Penninx, B.W.J.H. , Tilburg, v., T. , Boeke, A.J.P. , Deeg, D.J.H. , Kriegsman, D.M.W. , Eijk v., J.Th.M. (1998). Effects of social support and personal coping resources on depressive symptoms. Different for various chronic diseases?. Health Psychology, 17, 551– 558 First citation in articleCrossref, Google Scholar

  • Russel, M. , Davey, C.L.G. (1993). The relationship between life event measures and anxiety and its cognitive correlates. Personality and Individual Differences, 14, 317– 322 First citation in articleCrossref, Google Scholar

  • Scholz, U. , Dona, B.G. , Sud, S. , Schwarzer, R. (2002). Is general self-efficacy a universal construct? Psychometric findings from 25 countries. European Journal of Psychological Assessment, 18, 242– 251 First citation in articleLink, Google Scholar

  • Schroder, K.E.E. , Schwarzer, R. (1998). Coping as a mediator in recovery from cardiac surgery. Psychology and Health, 13, 83– 97 First citation in articleGoogle Scholar

  • Sherer, M. , Madux, J.E. , Mercandante, B. , Prentince-Dunn, S. , Jacobs, B. , Rogers, R.W. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51, 663– 671 First citation in articleCrossref, Google Scholar

  • Thibaut, W. , Kelley, H.H. (1959). The social psychology of groups . New York: Wiley First citation in articleGoogle Scholar

  • Uchino, B.N. , Caciopo, J.T. , Kiecolt-Glaser, J.K. (1996). The relationship between social support and psychological processes: A review with emphasis on underlying mechanisms and implication for health. Psychological Bulletin, 119, 488– 531 First citation in articleCrossref, Google Scholar

  • Vandervoort, D. (1999). Quality of social support in mental and physical health. Current Psychology: Developmental, Learning, Personality, Social, 18, 205– 222 First citation in articleCrossref, Google Scholar

  • Vinokur, A.D. , van Ryn, M. (1993). Social support and undermining in close relationships. Their independent effects on the mental health of unemployed persons. Journal of Personality and Social Psychology, 65, 350– 359 First citation in articleCrossref, Google Scholar

  • Wade, T.J. , Cairney, J. (2000). The effect of sociodemographics, social stressors, health status, and psychosocial resources on the age-depression relationship. Canadian Journal of Public Health, J91, 307– 312 First citation in articleGoogle Scholar

  • Walen, H.R. , Lachman, M.E. (2000). Social support and strain from partner, family, and friends: Costs and benefits for men and women in adulthood. Journal of Social and Personal Relationships, 17, 5– 30 First citation in articleCrossref, Google Scholar

  • Wheaton, B. (1996). The domains and boundaries of stress concepts. In H.B. Kaplan (Ed.), Psychosocial stress - Perspectives on structure, theory, life-course, and methods (pp. 29-71). New York: Academic Press First citation in articleGoogle Scholar

  • Whisman, M.A. , Bruce, M.L. (1999). Marital dissatisfaction and incidence of major depressive episode in a community sample. Journal of Abnormal Psychology, 108, 674– 678 First citation in articleCrossref, Google Scholar

  • Williamson, G.M. (1998). The central role of restricted normal activities in adjustment to illness and disability. A model of depressed affect. Rehabilitation Psychology, 43, 327– 347 First citation in articleCrossref, Google Scholar