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Issue 896 coverSOCIOECONOMIC STATUS AND HEALTH IN INDUSTRIAL NATIONS: SOCIAL, PSYCHOLOGICAL, AND BIOLOGICAL PATHWAYS Copyright © 1999 by the New York Academy of Sciences
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Articles by GALLO, L. C.
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Articles by GALLO, L. C.
Articles by MATTHEWS, K. A.
Annals of the New York Academy of Sciences 896:226-245 (1999)
© 1999 New York Academy of Sciences

Do Negative Emotions Mediate the Association between Socioeconomic Status and Health?

LINDA C. GALLO AND KAREN A. MATTHEWSa

Cardiovascular Behavioral Medicine, The University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA

aAddress for correspondence: Karen A. Matthews, Ph.D., Cardiovascular Behavioral Medicine, University of Pittsburgh School of Medicine, 3811 O'Hara St., Pittsburgh, PA 15213, USA. 412-624-2041 (voice); 412-624-0967 (fax).
e-mail: matthewska{at}msx.upmc.edu

In this chapter, we examine the possibility that negative emotions contribute to the relationship between socioeconomic status (SES) and health. A model of the associations among SES, emotion, and health is presented first. We then review the evidence for this model, showing associations of SES with depression, hopelessness, anxiety, and hostile affect and cognition, and of these negative emotions with disease. Notably, most of the data supporting the model provide only indirect evidence that negative emotions serve as a key contributor to the proposed associations. We, therefore, conclude with recommendations for longitudinal research, especially in children, that will more directly and comprehensively examine negative emotions as possible mediators of the SES and health relationship.




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