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Personal relative deprivation associated with functional disorders via stress: An examination of fibromyalgia and gastrointestinal symptoms

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  • Shadi Beshai
  • Sanju Mishra
  • Sandeep Mishra
  • R Nicholas Carleton

Abstract

Background: Personal relative deprivation is a negative social comparison process typified by self-comparison, negative appraisal, and resultant negative emotionality. Personal relative deprivation has been associated with poorer physical and mental health in several domains. It has been hypothesized that the deprivation-health link operates through a stress pathway. Stress has been specifically implicated in the onset and maintenance of functional disorders, including fibromyalgia and functional gastrointestinal disorders. Despite the theoretical links between personal deprivation, stress, and functional disorders, researchers have not assessed relationships between these variables. Methods: We recruited community participants (n = 517; 54.9% female) to examine whether personal relative deprivation can account for variance in fibromyalgia and functional gastrointestinal symptoms beyond known demographic correlates of physical health. We also examined whether the relationships between personal relative deprivation and functional disorder symptoms are mediated by stress. Results: Consistent with our hypotheses, personal relative deprivation accounted for symptom variance in fibromyalgia and functional gastrointestinal disorders beyond that accounted for by demographic variables alone. Further, self-reported stress was found to mediate relationships between personal relative deprivation and fibromyalgia and gastrointestinal symptoms. Conclusions: The current results support biopsychosocial models of physical health and suggest that, for patients presenting with functional disorders symptoms, a combination of biological and psychosocial interventions may be warranted.

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  • Shadi Beshai & Sanju Mishra & Sandeep Mishra & R Nicholas Carleton, 2017. "Personal relative deprivation associated with functional disorders via stress: An examination of fibromyalgia and gastrointestinal symptoms," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-14, December.
    • Handle: RePEc:plo:pone00:0189666
    DOI: 10.1371/journal.pone.0189666
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    References listed on IDEAS

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    1. Christine Eibner & William N. Evans, 2005. "Relative Deprivation, Poor Health Habits, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 40(3).
    2. Beshai, Shadi & Mishra, Sandeep & Meadows, Tyler J.S. & Parmar, Priya & Huang, Vivian, 2017. "Minding the gap: Subjective relative deprivation and depressive symptoms," Social Science & Medicine, Elsevier, vol. 173(C), pages 18-25.
    3. Jesse Chandler & Danielle Shapiro, "undated". "Conducting Clinical Research Using Crowdsourced Convenience Samples," Mathematica Policy Research Reports c0fd2ad7be9c4bdb8b396aa7e, Mathematica Policy Research.
    4. Jones, Andrew M. & Wildman, John, 2008. "Health, income and relative deprivation: Evidence from the BHPS," Journal of Health Economics, Elsevier, vol. 27(2), pages 308-324, March.
    5. Mishra, Sandeep & Carleton, R. Nicholas, 2015. "Subjective relative deprivation is associated with poorer physical and mental health," Social Science & Medicine, Elsevier, vol. 147(C), pages 144-149.
    6. Pickett, Kate E. & Wilkinson, Richard G., 2015. "Income inequality and health: A causal review," Social Science & Medicine, Elsevier, vol. 128(C), pages 316-326.
    7. Jesse Chandler & Danielle Shapiro, "undated". "Conducting Clinical Research Using Crowdsourced Convenience Samples," Mathematica Policy Research Reports c9ae2ea1c9b249deadb0c7c0d, Mathematica Policy Research.
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    1. Stark, Oded, 2023. "On a tendency in health economics to dwell on income inequality and underestimate social stress," Economics & Human Biology, Elsevier, vol. 49(C).

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