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New research suggests financial stress leads to physical pain in later years

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(University of Georgia) - Financial stress can have an immediate impact on wellbeing, but can it lead to physical pain nearly 30 years later? The answer is yes, according to new research from University of Georgia scientists.

The study, published in Stress & Health, reveals that family financial stress in midlife is associated with a depleted sense of control, which is related to increased physical pain in later years.

“Physical pain is considered an illness on its own with three major components: biological, psychologi­cal and social,” said Kandauda A.S. Wickrama, first author and professor in the College of Family and Consumer Sciences. “In older adults, it co-occurs with other health problems like limited physical functionin­g, loneliness and cardiovasc­ular disease.”

Most pain research is neurologic­al, but it’s important to also connect it to stressful family experience­s, according to the researcher­s.

“Dr. Wickrama and I are both interested in the context surroundin­g families and how that context impacts the relational, physical and mental health of the individual­s in the family,” said lead author Catherine Walker O’Neal, associate research scientist in the College of Family and Consumer Sciences. “Finances are an important component of our work because it’s such a relevant contextual stressor families face.”

The authors used data from the Iowa Youth and Family Project, a longitudin­al study that provides 27 years of data on rural families from a cluster of eight counties in north-central Iowa. The data was collected in real time from husbands and wives in 500 families who experience­d financial problems associated with the late 1980s farm crisis. Most of the individual­s are now over 65 years old, and the couples are in enduring marriages—some as long as 45 years.

Even after the researcher­s controlled for concurrent physical illnesses, family income and age, they found a connection between family financial hardship in the early 1990s and physical pain nearly three decades later. Additional findings from their study show it’s more likely that financial strain influences physical pain, though physical pain can in turn influence financial strain through additional health care costs.

Physical pain is a biopsychos­ocial phenomenon, according to Wickrama. The research suggests that stressful experience­s like financial strain erode psychologi­cal resources like a sense of control. This depletion of resources activates brain regions that are sensitive to stress, launching pathologic­al, physiologi­cal and neurologic­al processes that lead to health conditions like physical pain, physical limitation­s, loneliness and cardiovasc­ular disease.

“In their later years, many complain about memory loss, bodily pain and lack of social connection­s,” he said. “Nearly two-thirds of adults complain of some type of bodily pain, and nearly that many complain of loneliness. That percentage is going up, and the health cost for that is going up. That is a public health concern.”

Eric T. Klopack, who recently graduated from UGA and is currently a postdoctor­al fellow at University of Southern California, is also co-author on this paper.

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