Published: 2021-11-24

Systematic review on economic hardship, debt and psychological well-being in western countries

Paul Wesley Thompson


Financial hardship is a phenomenon which mediates many other factors in life regardless of age group one of many is well-being. Well-being is a multi-disciplinary term. This paper will investigate existing literature on the effect of financial hardship on well-being using systematic review to minimize the biases. The data will be systematically searched with following databases: Wiley-online library, Google scholar, JSTOR, Tandfonline and Emerald. The present study is a systematic review of English language research of 2010 to 2020 research papers on financial hardship and well-being. The databases used in the research are Wiley Online Library, Google Scholar with keywords financial hardship, financial pressure, financial challenges, stress, wellbeing, anxiety, psychological well-being. 81 studies were excluded and 12 studies were selected after reviewing the title and abstract of 93 studies based on the PRISMA. The inclusion and exclusion criteria allow studies of 2010 to 2021 to be considered. Fewer data was present in the subject of wellbeing and financial stress. However, the results show impact of both variables. Financial pressure leads to poor wellbeing and other factors such as lack of social support, unhealthy family environment and dept can robust the impact. The research makes a unique new contribution in research, lending support for policy, academic theory, new contributions to current literature not found elsewhere, especially mental health management policy.


Financial stability, Wellbeing, Department, Financial stress, Psychological wellbeing

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Fitch C, Hamilton S, Bassett P, Davey R. The relationship between personal debt and mental health: a systematic review. Mental Health Review Journal. 2011.

Green F, Burke R, Cooper CL. Work effort and worker well-being in the age of affluence. The Long Work Hours Culture: Causes, Consequences and Choices. Bingley, UK: Emerald Publishing. 2008;115-36.

Cross MP, Hofschneider L, Grimm M, Pressman SD. Subjective well-being and physical health. Handbook of Well-being. Salt Lake City, UT: DEF Publishers. 2018.

NHS. (2015). Stress, anxiety and depression. Available at: Accessed on 10 May 2021.

Diener E, Oishi S, Tay L. Advances in subjective well-being research. Nature Human Behaviour. 2018;2(4):253-60.

Ward SJ, King LA. Exploring the place of financial status in the good life: Income and meaning in life. The Journal of Positive Psychology. 2019;14(3):312-23.

Jebb AT, Tay L, Diener E, Oishi S. Happiness, income satiation and turning points around the world. Nature Human Behaviour. 2018;2(1):33-8.

Boyce CJ, Wood AM, Banks J, Clark AE, Brown GD. Money, well-being, and loss aversion: Does an income loss have a greater effect on well-being than an equivalent income gain?. Psychological science. 2013;24(12):2557-62.

Boyce CJ, Wood AM, Ferguson E. Individual differences in loss aversion: Conscientiousness predicts how life satisfaction responds to losses versus gains in income. Personality and Social Psychology Bulletin. 2016;42(4):471-84.

Boyce CJ, Delaney L, Wood AM. The Great Recession and subjective well-being: How did the life satisfaction of people living in the United Kingdom change following the financial crisis?. Plos One. 2018;13(8):e0201215.

McManus S, Bebbington PE, Jenkins R, Brugha T. Mental health and wellbeing in england: The adult psychiatric morbidity survey 2014. NHS digital. 2016.

Netemeyer RG, Warmath D, Fernandes D, Lynch Jr JG. How am I doing? Perceived financial well-being, its potential antecedents, and its relation to overall well-being. Journal of Consumer Research. 2018;45(1):68-89.

Diener E, Seligman ME. Beyond money: Toward an economy of well-being. Psychological science in the public interest. 2004;5(1):1-31.

Kenexa High Performance Institute. (2013). Workforce quality of life index: Measuring well-being from the employees’ perspective. Available at: Accessed on 10 May 2021.

Wahlbeck K, McDaid D. Actions to alleviate the mental health impact of the economic crisis. World psychiatry. 2012;11(3):139.

Annink A, Gorgievski M, Den Dulk L. Financial hardship and well-being: a cross-national comparison among the European self-employed. European Journal of Work and Organizational Psychology. 2016;25(5):645-57.

Anand P, Esposito L, Villaseñor A. Depression and economic status: Evidence for non-linear patterns in women from Mexico. Journal of Mental Health. 2018;27(6):529-51.

Vuori A, Åstedt‐Kurki P. Experiences of health and well‐being among Finnish low‐income fathers. Nursing inquiry. 2013;20(2):165-75.

Dackehag M, Ellegård LM, Gerdtham UG, Nilsson T. Debt and mental health: new insights about the relationship and the importance of the measure of mental health. European journal of public health. 2019;29(3):488-93.

Iannello P, Sorgente A, Lanz M, Antonietti A. Financial well-being and its relationship with subjective and psychological well-being among emerging adults: testing the moderating effect of individual differences. Journal of Happiness Studies. 2021;22:1385-411.

Marshall GL, Kahana E, Gallo WT, Stansbury KL, Thielke S. The price of mental well-being in later life: the role of financial hardship and debt. Aging & Mental Health. 2021;25(7):1338-44.

Murray J. Debt and reducing stress associated with the economic downturn. Journal of Public Mental Health. 2010.

Roberts R, Golding J, Towell T, Reid S, Woodford S, Vetere A et al. Mental and physical health in students: the role of economic circumstances. British Journal of Health Psychology. 2000;5(3):289-97.

Richardson T, Elliott P, Roberts R, Jansen M. A longitudinal study of financial difficulties and mental health in a national sample of British undergraduate students. Community mental health journal. 2017;53(3):344-52.

Kealy D, Spidel A, Sandhu S, Kim D, Izbicki A. Financial concerns and symptom distress among psychiatric outpatients. Journal of Public Mental Health. 2018.

Baron RA, Franklin RJ, Hmieleski KM. Why entrepreneurs often experience low, not high, levels of stress: The joint effects of selection and psychological capital. Journal of management. 2016;42(3):742-68.

Çera G, Khan KA, Mlouk A, Brabenec T. Improving financial capability: the mediating role of financial behaviour. Economic Research-Ekonomska Istraživanja. 2021;34(1):1265-82.

Taylor M, Jenkins S, Sacker A. Financial capability, income and psychological wellbeing. ISER Working paper series. 2011.