An exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer.

Relationships between distress and perceived availability of social support were examined in 51 Hispanic women being treated for early stage breast cancer. Distress and different types (emotional, instrumental) and sources (spouse, women family members, other family members, friends) of support were measured at presurgery, postsurgery, and at 3-, 6-, and 12-month follow-ups. Emotional support from friends and instrumental support from spouse at presurgery predicted lower distress postsurgery. No other prospective benefits of perceived support emerged. Distress at several time points predicted erosion of subsequent support, particularly instrumental support from women in the family. In contrast to the adverse effects of distress (and independent of them), illness-related disruption of recreational and social activities at 6 months elicited greater support at 12 months.     

Impact of social support on health status and life satisfaction in people with a spinal cord injury

Abstract

Purpose: Assessment of the impact of received social support on functional health status and life satisfaction in people with spinal cord injury (SCI). Design: Respondents were 176 people with SCI between 18 and 65 years of age and living in the community. Mean time after injury was 3.6 years. Problem-oriented and emotion-oriented support, received from family members, friends and relatives, and professionals were assessed with the Sources of Social Support Inventory. Health status was assessed with the Sickness Impact Profile 68 and life satisfaction with the Life Satisfaction Questionnaire. Structural equation modelling with LISREL V8 was used to study relationships of different types and sources of social support with health status and life satisfaction.Results: Emotion-oriented support led to better psychological functioning and to greater life satisfaction. In addition, emotion-oriented support from the family led to greater satisfaction with relationships and emotion-oriented support from friends and acquaintances led to less satisfaction with social life. Problem-oriented support was not clearly related to health status and life satisfaction; there was only a negative relation between problem-oriented support and satisfaction with social life. Support, problem-oriented or emotion-oriented, from health-care professionals showed no relationships with health status or life satisfaction.Conclusions: Emotion-oriented support from family members and friends was most important for people with SCI. Greater problem-oriented support appears to be related to poorer life satisfaction.     

Social control,social support,and companionship in older adults' family relationships and friendships

Social control, social support, and companionship represent basic elements of many close relationships, yet we know relatively little about how these distinctive elements separately and jointly influence relationship quality. Control and support may have incompatible effects, with efforts by a family member or friend to influence a focal person's behavior undermining the sense of support in the relationship. We examined the implications of control, support, and companionship for the perceived quality of older adults’family relationships and friendships in a sample of 180 older adults. Analyses indicated that the participants’family members and friends were differentially involved in performing control, support, and companionship functions. In addition, perceived relationship quality appeared to be anchored in somewhat different functions for family members versus friends. The perceived quality of family ties was related to emotional support, companionship, and social control, whereas the perceived quality of ties with friends was related to emotional support, instrumental support, and companionship. Contrary to expectation, we found no evidence that social control detracted from perceived relationship quality or that social control interacted with social support in predicting relationship quality. The results help to extend existing knowledge of relationship specialization in later adulthood, and they underscore the usefulness of distinguishing social control, social support, and companionship.     

Social support after the loss of an infant child: A long-term perspective

The article presents findings from a survey among 251 parents whose infant child had died. For most of the parents, the loss occurred several years ago. The survey assessed the amounts of instrumental, emotional and informational support received by these parents from various sources in connection with the death. The findings revealed that different sources provided different kinds of support. There was only one significant difference between bereaved males and females with regard to amount of support: females received more emotional support from their friends than males did. Furthermore, large amounts of support received by one spouse was associated with a similar level of support received by the other spouse. Social support in connection with the death was to some extent related to long-term psychological adaptation. Particularly support from neighbours and professionals was consistently associated with psychological adaptation. In general, however, the findings with regard to long-term effects of social support were ambiguous.     

Quality of relationships and structural properties of social support networks of female survivors of abuse

The purposes of this study were to examine the structural properties of the social support networks of female survivors of violence and abuse and to investigate the quality of the relationship, and specific level of satisfaction, survivors have with their social support networks. Participants averaged 5.8 persons in their social support networks. Their levels of satisfaction with the emotional, practical, financial, guidance, and socializing support they received from members of their social support networks were higher with respect to close friends and coworkers than with respect to family members and professionals (e.g., attorneys and social workers). The most common type of support provided by close friends who were themselves victims of abuse was emotional, guidance, and socializing support, and the most satisfying support was the financial and practical help that came from parents or family. An interesting finding was the significant presence of men in the survivors' social support networks. Overall satisfaction with the quality of support from the social support networks was high, and satisfaction with support from men was comparable, if not higher, than support from women. Multiple regression models revealed that satisfaction with support networks was a potent predictor of self-esteem, emotional health, and loneliness. Intimacy, especially in terms of exclusiveness and trust or loyalty, with at least a few members of the support network contributed significantly to the variance in self-esteem, emotional health, and loneliness among the abused women. The size of the support network also emerged as a limited contributor to well-being. Implications and applications are discussed for professionals working with female survivors of abuse.     

Social support,strain, and glycemic control: A path analysis

Social support and strain have been linked with many health outcomes. However, less is known about whether these psychosocial factors are associated with Type 2 diabetes risk. This study uses the Midlife in the United States (MIDUS) dataset to examine the relationship between social support and strain from friends, family members, and spouse/partners and blood hemoglobin A1c levels in married/cohabiting adults who have not been diagnosed with diabetes. In addition, health locus of control is examined as a possible mediator. The study's findings suggest that support from friends is negatively associated with HbA1c levels, indicating a relationship between better glycemic control and social support from friends, and an indirect association for spouse/partner support. A direct effect for internal health locus of control was also found.     

Social support and happiness in immigrant women in Spain

The association between perceived social support and happiness was investigated in women who are members of various associations in Malaga (Spain) that work with immigrant women. Based on the Social Convoy model, the association between sources of support, frequency of support, satisfaction with support, and happiness reported by women were examined. The main social support predictor of happiness was satisfaction with the support received. Thus, the best predictors of happiness were emotional support from the family and instrumental support from the indigenous population and associations. The best predictor of frequency of support was the frequency of informational support received from social services. These results may prove useful for developing lines of action or interventions centred on the social network and the functions that social support can fulfil among immigrant women.     

Quality of life and mental health among women with ovarian cancer: examining the role of emotional and instrumental social support seeking

The purpose of the present study was to examine the role of emotional and instrumental social support seeking in the quality of life (QOL) and mental health of women with ovarian cancer. Participants were recruited through the Pennsylvania Cancer Registry, and one hundred women took part in a mail questionnaire that collected information on their demographics, medical status, social support seeking, QOL and mental health including anxiety, depression and stress. Hierarchical linear regression analyses were conducted to assess the influence of emotional and instrumental social support seeking on QOL and mental health. After controlling for remission status, greater emotional social support seeking was predictive of higher overall QOL, social/family QOL, functional QOL and lower depression scores. Instrumental social support seeking was not significant in the models. The results illustrate that social support seeking as a coping mechanism is an important consideration in the QOL and mental health of women with ovarian cancer. Future studies should examine the psychological and behavioral mediators of the relationship to further understand the QOL and mental health of women with ovarian cancer.     

Facets of support related to well-being: quantitative social isolation and perceived family support in a sample of elderly women

The purpose of this study was to examine the independent and interactive relationships of measures of network embeddedness and perceived social support with mental and physical health measures from responses of a sample of 271 community-dwelling elderly women. Quantitative social isolation was measured as the co-occurrence of low network embeddedness with family and with friends. There was a threshold effect such that quantitatively isolated participants had poorer psychological well-being and functional health than did nonisolated participants. This effect was independent of perceived support levels. The pattern was different for perceived social support. Elderly women with low perceived family support had poorer psychological well-being regardless of perceived support from friends or network embeddedness. Implications are discussed for several unanswered questions in the social support literature, including possible interventions for the quantitatively isolated and for those with low levels of perceived support.     

Main and interactive effects of social support in predicting mental health symptoms in men and women following military stressor exposure

Abstract

Evidence across a multitude of contexts indicates that social support is associated with reduced risk for mental health symptoms. More information is needed on the effectiveness of different sources of support, as well as sex differences in support. Associations between social support from two sources – the military unit and friends and family – and mental health symptoms were examined in a study of 1571 Marine recruits assessed at the beginning and end of a highly stressful 13-week training program. Military social support buffered the stressor exposure–posttraumatic stress symptomatology (PTSS) relationship, whereas the relationship between stressor exposure and PTSS was highest when civilian social support was high. Further inspection of the interactions revealed that military support was most important at high levels of stressor exposure. Sex differences in the relationship between social support and symptoms were found, such that support from military peers was associated with lower levels of PTSS for men, whereas civilian support was associated with lower PTSS for women. While civilian social support was associated with lower levels of depression symptom severity in both women and men, the relationship was stronger for women. Reviewed implications focus on the importance of considering the recipient, source, and context of social support.     

Understanding associations among family support,friend support,and psychological distress

Emotional support from family and friends is associated with lower psychological distress. This study examined whether genetic and environmental influences explain associations among family support, friend support, and psychological distress. Data were drawn from the Midlife Development in the United States (MIDUS) study and included 947 pairs of monozygotic (MZ), same‐sex dizygotic (DZ), and opposite‐sex DZ twins. Results showed that a genetic factor explains the relation between friend support and psychological distress, independent of family support. Alternatively, a nonshared environmental factor accounts for an association between family support, friend support, and psychological distress. Thus, heritable factors shape a distinct relation between friend support and psychological distress, but unique experiences contribute to a link between family support, friend support, and psychological distress.     

Reducing work–family conflict through different sources of social support

The present study examines the relationship between four sources of social support (i.e., spouse, relatives and friends, supervisor, and colleagues) and time and strain-based work-to-family and family-to-work conflict among 444 dual-earners. Gender differences with respect to the relationship between social support and work–family conflict were examined as well. The relationship between the sources of support and work–family conflict was tested using multiple regression analyses. Results showed that women reported more strain-based work-to-family conflict than men. Social support from spouse and from colleagues were related to family-to-work conflict, while none of the sources of social support were related to work-to-family conflict. Social support from supervisor and from colleagues were related differently to work-to-family conflict (time-based) and family-to-work conflict (strain-based) for men than for women. We conclude that social support is especially important in reducing family-to-work conflict.     

Social support and subjective well-being among Hong Kong Chinese young adults.

The associations between social support and 3 measures of subjective well-being--depressive symptomatology, negative affect, and positive affect--were studied among Hong Kong Chinese young adults (N = 475) between 16 and 19 years old. Significant bivariate relationships were found between positive affect and all dimensions of social support (including social network size, social contact frequency, satisfaction with social support, instrumental support, and helping others) except composition of social network. Helping others variables and relationship satisfaction variables were negatively related to both depressive symptoms and negative affect. Multiple regression models revealed that satisfaction with relationships with family members and friends was consistently associated with all measures of subjective well-being, and number of friends felt close to was positively related to positive affect.     

Relationships between perceived close social support and health practices within community samples of American women and men

In this cross-sectional study the author examined the impact of perceived social support from close interpersonal relationships (e.g., significant other, family, and friends) on health practices in community samples of women and men. Research volunteers (N=373; 189 women, 184 men) from the Northern Wisconsin region completed self-report measures of social support, depression, hassles, health practices (i.e., diet, exercise, relations with health professionals, substance abuse, sleep), and demographic information. After controlling statistically for sociodemographic factors, the authors found that depressive symptoms, hassles, and perceived social support contributed significantly to the prediction of healthy diet and adherence to routine medical attention for women, but not for men. The author also observed for relations between perceived close support and (a) exercise and (b) substance abuse among women. Findings suggest that high levels of social support from one's close social network contribute independently to specific health practices for women, but not for men, and point to the importance of both between- and within-gender assessment of health behavior.     

Assessment of coping strategies, social support, and general health status in individuals with diabetes mellitus

This study examined 51 individuals (30 men, 21 women) who participated in an outpatient diabetes education program. Participants with higher perceived support by friends and problem-solving coping strategies were healthier, while those exhibiting a wish-fulfillment coping style were less healthy. Perceived family social support was much greater for Type II (noninsulin-dependent) individuals than for Type I (insulin-dependent) individuals. Men perceived greater family support, were more likely to use problem-solving coping, and were healthier than women; however, both wish fulfillment and detachment coping were more prevalent in women. Perceived support from family and friends increased with education. Implications for diabetes education programs are also introduced.     

Perceived social support, self-efficacy, and adjustment to abortion

Prior to their having a 1st trimester abortion, women's perceptions of social support from their partner, family, and friends and self-efficacy for coping were assessed. Depression, mood, physical complaints, and anticipation of negative consequences were measured after the 30-min recovery period. As predicted, perceived social support enhanced adjustment indirectly through its effects on self-efficacy. Women who perceived high support from their family, friends, and partners had higher self-efficacy for coping. Higher self-efficacy, in turn, predicted better adjustment on the psychological measures but not on the physical complaint measure. No direct path between social support and adjustment was observed. In addition, women who told close others of their abortion but perceived them as less than completely supportive had poorer postabortion psychological adjustment than either women who did not tell or women who told and perceived complete support.     

Adolescents who need help the most are the least likely to seek it: the relationship between low emotional competence and low intention to seek help

It has been found that university students who were the least skilled at managing their emotions also had the lowest intention of seeking help from a variety of nonprofessional sources (e.g. family and friends). The present study sought to extend these findings by focusing on adolescents, examining a larger number of emotional competencies, and exploring the possibility that social support explains the relationship between emotional competence and help-seeking. A total of 137 adolescents (aged 16-18) completed an anonymous survey that assessed social support, emotional competencies, and intention to seek help from a variety of professional and nonprofessional sources. As expected, adolescents who were low in emotional awareness, and who were poor at identifying, describing, and managing their emotions, were the least likely to seek help from nonprofessional sources and had the highest intention of refusing help from everyone. However, low emotional competence was not related to intention to seek help from professional sources (e.g. mental health professionals). The significant results involving nonprofessional sources were only partially explained by social support, suggesting that even adolescents who had high quality support were less likely to make use of that support if they were low in emotional competence.     

Providing social support may be more beneficial than receiving it: results from a prospective study of mortality

This study examines the relative contributions of giving versus receiving support to longevity in a sample of older married adults. Baseline indicators of giving and receiving support were used to predict mortality status over a 5-year period in the Changing Lives of Older Couples sample. Results from logistic regression analyses indicated that mortality was significantly reduced for individuals who reported providing instrumental support to friends, relatives, and neighbors, and individuals who reported providing emotional support to their spouse. Receiving support had no effect on mortality once giving support was taken into consideration. This pattern of findings was obtained after controlling for demographic, personality, health, mental health, and marital-relationship variables. These results have implications for understanding how social contact influences health and longevity.     

The support gap for dual clergy couples

Within this study six levels of support for dual clergy couples with and without children were investigated. Seven dual clergy couples of several synods of the Lutheran Church in two western Canadian provinces were asked open-ended questions about the support they had received in several employment and family related areas. While findings in each of the areas varied, overall, most individuals received the most support from their spouse and little from close friends and relatives often due to physical distance. Support provided by other clergy and church administrators was mixed. Only one major difference was found between couples with and without children. The group without children were more optimistic about the support that would be provided by family and friends in the area of child care while couples with children failed to mention support from friends and family.     

Aspects of Social Support Associated with Adaptation in Middle-Class,Single-Mother Families

Abstract

This study’s research question is: What aspects of social support are associated with adaptation in single-mother families? In a mixed-methods design, 47 participants were recruited through snowball sampling in Cape Town, South Africa. Semi-structured interviews were conducted and questionnaires were completed. Qualitative analysis indicated two main sources, paid and unpaid support. The quantitative analysis confirmed the following adaptation resources: harnessing family and friend support; having friends as a support; socializing with friends; receiving emotional support, practical help, and advice from friends. Significant differences were found between the family and friends groups for socializing and obtaining financial aid as a support.