ArticleSocial psychiatry and psychiatric epidemiology2022
Understanding the association between material hardship and posttraumatic stress disorder: a test of the social selection and social causation hypotheses and an exploration of gender differences.
Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Economic hardship and mental health following a national trauma and amid ongoing conflict: a longitudinal cohort study.Social psychiatry and psychiatric epidemiology · 2026Article
- An alternative to causal mediation for inequality research: which questions can be answered?Social psychiatry and psychiatric epidemiology · 2026Article
- A cross-national study of demographic variation and childhood predictors of traumatic distress.Communications medicine · 2026Article
- Are we gatekeeping trauma? A conceptual model to expand criterion A for invisible, identity-based, and systemic traumas.Social science & medicine (1982) · 2025Review
- The effect of complex posttraumatic stress and poverty on quality of life among adult survivors of childhood institutional maltreatment: evidence from survivors of the 'Hyeongje Welfare Institution' in South Korea.European journal of psychotraumatology · 2024Article
- Social causation, social selection, and economic selection in the health outcomes of Chinese older adults and their gender disparities.SSM - population health · 2023Article
- Development of the oppression-based traumatic stress inventory: a novel and intersectional approach to measuring traumatic stress.Frontiers in psychology · 2023Article
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Authors and funding
3 authors.
Funding
Abstract
purposeThere is a well-established association between poverty and posttraumatic stress disorder (PTSD); however, little research has tested the temporality of the association.
methodsUsing data from Waves IV (2008; N = 14,800) and V (2016-2018; N = 10,685) of the National Longitudinal Study of Adolescent to Adult Health, we examined temporal associations between material hardship (a specific operationalization of poverty) and PTSD, as well as assessed for potential gender differences in associations. We conducted logistic regression and generalized structural equation modeling to examine associations between material hardship and PTSD and assess for mediation and moderation by gender.
resultsPrior PTSD diagnoses were associated with an increased likelihood of material hardship (OR = 1.64; 95% CI 1.21, 2.21). The indirect effect of gender on material hardship through PTSD diagnoses was significant. Prior material hardship was associated with an increased likelihood of PTSD diagnoses (OR = 1.81; 95% CI 1.35, 2.42). The indirect effect of gender on PTSD diagnoses through material hardship was significant. There was no evidence of moderation by gender for either association.
conclusionResults suggest reciprocal associations between material hardship and PTSD. Economic policies, as well as improved access to evidence-based PTSD treatments, may reduce the burden of both material hardships and PTSD.
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