Life events,social support and depression in haemodialysis patients

This study examined the effects of life events and social support on depression in 200 dialysis patients. The instruments used included the Beck Depression Inventory, a modified version of Sarason's Life Experiences Survey and a Social Support Inventory (SSI) constructed by the authors. The SSI consisted of five quantitative measures and three measures of perceived social support. These measures were found to be internally consistent and stable over time. Results showed that clinically depressed dialysis patients reported fewer positive life events and appraised life events more negatively than non‐depressed patients. The total number of life events and the number of negative life events were not found to differentiate between depressed and non‐depressed patients. With regard to social support variables, results showed that depressed patients reported less frequent actual contact and telephone contact with others and perceived a smaller amount and less availability of social support and less satisfaction with perceived social support along the functional dimensions of emotional, informational, appraisal and instrumental support and social companionship. The results were found to provide support for a main effect model of social support and not for a buffering model. Copyright © 1999 John Wiley & Sons, Ltd.     

The effects of perceived social support on quality of life in patients awaiting coronary artery bypass grafting and their partners: testing dyadic dynamics using the Actor-Partner Interdependence Model

Patients awaiting coronary artery bypass grafting (CABG) need support from their partners or family caregivers to manage their self care successfully and to maximise quality of life. Partners need social support to help overcome the stressful tasks of an unexpected caregiving role. It is not known whether the individual's perceived social support contributes to their own, as well as their partner's quality of life. The aims of this study were to assess differences in social support and quality of life in patients and partners awaiting CABG, and to examine whether patients' and partners' perceived social support predicted their own, as well as their partner's quality of life before CABG. This cross-sectional study recruited 84 dyads (patients 84% males, aged 64.5 years and partners 94% females, aged 61.05 years). Perceived social support was assessed using the Medical Outcomes Study Social Support survey, with sub-scales for informational/emotional support, affectionate support, tangible support and positive social interaction. Quality of life was assessed using the Short-Form 12 Health Survey. Dyadic data were analysed using the Actor-Partner Interdependence Model, with distinguishable dyad regression. Results revealed the patients' informational/emotional support exhibited an actor effect on their own mental health (? = 0.19, p = 0.001); indicating those with low informational/emotional support had poorer mental health. There was a partner effect of the patients' informational/emotional support on their partner's mental health (? = 0.14, p = 0.024), indicating the patients' informational/emotional support was associated with the partner's mental health. None of the other types of social support exhibited an actor effect or a partner effect on the patient's or the partner's mental or physical health. More research into the relationship between social support and mental health is needed to help inform the design of interventions that target the dyad.     

Response to an abnormal ovarian cancer-screening test result: Test of the social cognitive processing and cognitive social health information processing models

All cancer screening tests produce a proportion of abnormal results requiring follow up. Consequently, the cancer-screening setting is a natural laboratory for examining psychological and behavioural response to a threatening health-related event. This study tested hypotheses derived from the social cognitive processing and cognitive–social health information processing models in trying to understand response to an abnormal ovarian cancer (OC) screening test result. Women (n = 278) receiving an abnormal screening test result a mean of 7 weeks earlier were assessed prior to a repeat screening test intended to clarify their previous abnormal result. Measures of disposition (optimism, informational coping style), social environment (social support and constraint), emotional processing, distress, and benefit finding were obtained. Regression analyses indicated greater distress was associated with greater social constraint and emotional processing and a monitoring coping style in women with a family history of OC. Distress was unrelated to social support. Greater benefit finding was associated with both greater social constraint and support and greater distress. The primacy of social constraint in accounting for both benefit finding and distress was noteworthy and warrants further research on the role of social constraint in adaptation to stressful events.     

Affiliative Need,Different Types of Social Support,and Physical Symptoms1

Less tangible types of social support (emotional, informational, and companionship) were shown to predict reports of physical symptoms as a joint function of both affiliative need and negative life events, while the effects of tangible support depended only upon the occurrence of negative life events (the prototypical buffering effect). Low affiliative need individuals tended to benefit from both types of support, while high affiliative need individuals benefited primarily from more tangible support. The results were discussed in terms of the proposal that low affiliative need individuals hold a more problem-focused view of social support, while high affiliative need individuals tend to take a less personally instrumental stance toward interpersonal interaction.     

Social Distribution of Social Support: The Mediating Role of Life Events

Although the relation of socioeconomic status (SES) to social support has been discussed for some time, researchers have rarely systematically examined the social patterning of this resource. In addition, potential explanatory mechanisms have not been investigated. This study examined both the social distribution of social support and the role of life events in the association between SES and social support in a nationally representative probability sample of adults from the National Cormorbidity Survey. Higher education and income were related to more emotional support and fewer negative interactions. Individuals with higher incomes were also less likely to report acute and chronic life events. Finally, acute (but not chronic) life events mediated the relation between SES and social support (both emotional support and negative interactions). These results suggest the inability of lower SES individuals to mobilize social support in times of need may be explained by their more frequent experience of acute life events.     

Behavioral manifestations of social support: a microanalytic investigation

This study was designed to examine the specific interpersonal behaviors that convey support from one person to another. Subjects were 41 undergraduate students who completed a general measure of perceived social support and, subsequently, kept daily records of their social interactions and stressful experiences for 14 days. In addition, they completed a brief depressive mood measure (DACL; Lubin, 1981) each day. Results showed that behaviors reflecting emotional support and informational support occurred as a specific response to stressful life events. Although esteem support was expressed with equal frequency in the presence and absence of stress, it was especially effective in preventing depressive reactions to stressful events. Subjects who perceived themselves as having high levels of perceived social support were more frequently the recipients of helping behaviors following stressful events than those low in perceived support. Perceived social support was only predictive of helping behaviors on days on which at least one stressful event occurred. The total number of helping behaviors received following stressful events was a significant negative predictor of level of depressive mood, although one helping behavior was associated with higher levels of depression. Results are interpreted within the framework of the buffering model of social support.     

Perceived partner support and psychosexual adjustment to breast cancer

Support from a partner can play a key role in a woman's emotional adjustment to breast cancer. However, little is known about the influence of partner behaviours on a woman's sexual adjustment. This study examined the prospective relationship between baseline levels of several types of perceived partner support (instrumental, informational, emotional and negative) and psychosexual adjustment (sexual functioning and relationship satisfaction) over the course of 12 months post-surgery in a sample of 130 women with breast cancer. Results indicated that perceptions of greater emotional and informational support from the partner at baseline were associated with less sexual difficulties among breast cancer patients concurrently and 6 months post-surgery. Baseline perceptions of greater emotional and instrumental support from a partner were associated with greater relationship satisfaction at all time points. Perceptions of informational support at baseline were related to greater concurrent relationship satisfaction. Baseline perceptions of negative partner support were related to less relationship satisfaction, but only concurrently. These findings suggest that the perception of a partner's provision of emotional, instrumental and informational support may each play a role in facilitating sexual adjustment and relationship satisfaction.     

Perceived partner support and psychosexual adjustment to breast cancer

Support from a partner can play a key role in a woman's emotional adjustment to breast cancer. However, little is known about the influence of partner behaviours on a woman's sexual adjustment. This study examined the prospective relationship between baseline levels of several types of perceived partner support (instrumental, informational, emotional and negative) and psychosexual adjustment (sexual functioning and relationship satisfaction) over the course of 12 months post-surgery in a sample of 130 women with breast cancer. Results indicated that perceptions of greater emotional and informational support from the partner at baseline were associated with less sexual difficulties among breast cancer patients concurrently and 6 months post-surgery. Baseline perceptions of greater emotional and instrumental support from a partner were associated with greater relationship satisfaction at all time points. Perceptions of informational support at baseline were related to greater concurrent relationship satisfaction. Baseline perceptions of negative partner support were related to less relationship satisfaction, but only concurrently. These findings suggest that the perception of a partner's provision of emotional, instrumental and informational support may each play a role in facilitating sexual adjustment and relationship satisfaction.     

The role of social and dispositional variables associated with emotional processing in adjustment to breast cancer: an internet-based study.

Cognitive and emotional processing is seen as critical to successful adjustment to traumatic experiences, such as breast cancer. Cognitive and emotional processing can be facilitated by dispositional and social environmental factors. Emotional intelligence is a dispositional characteristic defined as the ability to understand, accurately perceive, express, and regulate emotions (J. D. Mayer & P. Salovey. 1997). This study investigated psychological adjustment as a function of emotional intelligence, social support, and social constraints in 210 patients recruited via postings to Internet-based breast cancer support groups. Regression analyses indicated high social constraints and low emotional intelligence were associated with greater distress. Evidence suggested high emotional intelligence could buffer against the negative impact of a toxic social environment. Results support a social-cognitive processing model of adaptation to traumatic events and suggest consideration of emotional intelligence may broaden this model.     

情绪调节策略对日常生活事件与情绪体验关系影响的多层分析

运用经验抽样法对154名大学生的日常情绪体验、生活事件进行为期14天的追踪调查,通过多层线性模型（HLM）探讨日常生活事件与情绪体验的关系及情绪调节策略对二者关系的影响。结果表明：大学生积极情绪体验多于消极情绪体验。在个体内和个体间水平,消极事件都对积极情绪有显著的负向预测作用,对消极情绪有显著的正向预测作用;积极事件对积极情绪有显著的正向预测作用。积极事件对消极情绪的负向预测作用只在个体间水平显著。表达抑制这种情绪调节策略能够增强消极生活事件与消极情绪体验的关系。     

Traumatic stress, life events, and emotional support in women with metastatic breast cancer: cancer-related traumatic stress symptoms associated with past and current stressors.

This study examined levels of intrusion and avoidance symptoms and their relationships to past life stress, current emotional support, disease-related variables, and age in 125 women with metastatic breast cancer. The results indicate that a sizable proportion of these women experienced clinically significant levels of intrusion and avoidance symptoms related to their cancer, particularly those with both more stressful past life events and higher current levels of aversive emotional support. Additionally, both types of symptoms were associated with shorter time since recurrence, and avoidance symptoms were associated with smaller emotional support networks. These results indicate that metastatic breast cancer is an emotionally traumatic event for a significant proportion of women, particularly those with past life stressors and unsupportive social environments.     

Social Support and Help-Seeking in Daily Hassles Versus Major Life Events Stress1

The present study evaluated the hypothesis that major life events differ from daily life hassles in the extent to which a person receives social support and seeks social support. Specifically, it was expected that the experience of major life events would be associated with the greatest social support. The subjects were 320 students (160 men, 160 women). Each subject read a scenario describing a male or female target person who had experienced either major life events or daily hassles. Subjects then rated the amount of emotional support and the amount of practical support that the target person would receive and would seek from significant others. The analyses confirmed that targets who had suffered severe events in the form of major life events were rated higher in both seeking and receiving social support from significant others. These differences were present for the ratings of emotional support and practical support. Overall, the findings suggest that the greater negative influence of daily hassles on psychological adjustment may be due, in part, to the reduced social support associated with the experience of daily life hassles. The implications of the findings are discussed with particular reference to help seeking in therapeutic contexts.     

Health Beliefs and Illness Perceptions as Related to Mammography Uptake in Randomly Selected Women in Greece

Previous research has shown that, although routine mammography screening can reduce mortality from breast cancer, the use of annual mammography screening remains well under 65%. In an effort to determine the factors that are associated with women’s mammography behaviors, this study used the health belief model and the common-sense model of self-regulation as the theoretical frameworks to explore health beliefs, illness representations, and women’s mammography practice. Data were obtained from a nationally representative sample of 408 Greek women, 40 years of age or older, with no personal history of cancer. Three dependent variables were considered: recent mammography, repeat mammography, and no mammogram during lifetime. Predictors included socio-demographic and medical variables, perceived benefits of mammography screening, perceived barriers to mammography screening, self-efficacy, as well as illness perceptions. Multivariate analyzes indicated that never having had a mammogram was more likely for women who perceived fewer benefits and more barriers to mammography screening, had more negative emotional representations of breast cancer, and had no private health insurance coverage. Factors associated with recent mammography were younger age, a good knowledge of the recommended mammography screening interval, a family history of breast cancer, and use of patient reminders for next mammogram. Adequate knowledge about the recommended mammography screening interval and higher values for breast cancer worry were associated with an increased number of repeat lifetime mammograms. Implications of the results and suggestions for future research are outlined.     

Health of women: associations among life events, social support, and personality for selected patient groups

This study examined the effects of life events, social support, personality traits, and siblings' birth-order on the health of women. 199 middle-class participants were included. 95 women, randomly assigned from four different patient groups, were compared with a control group of 96 randomly selected women without any special health problems. They completed a questionnaire which included questions regarding family background, health, different life events, social support, and signs of disease and a projective test, the Sivik Psychosomatism Test. Analysis indicated that report of negative life events was associated with more physical symptoms than positive life events and that the patient groups reported more negative life events and less social support than the control group.     

Life satisfaction in old age: linking social psychology and history

A life course perspective on aging assumes that adaptation is governed by factors beyond the immediate situation. Using longitudinal data on 79 women from the 1900 generation of the Berkeley Guidance Study, we examined how social and psychological factors interact over time in the course of successful aging, as expressed by life satisfaction. The consequences of adaptive resources in early adulthood vary in relation to social class. Intellectual skills in 1930 indirectly predict life satisfaction in old age for women from the working class, whereas emotional health is more influential in the life satisfaction of women with higher class origins. Social activity in old age makes a difference only in the lives of women from the working class. Finally, adaptation to old age is related to women's experiences with past stressful events. Middle-class women in 1930 showed gains attributable to Depression hardship (1930s), whereas the life satisfaction of women from the working class was diminished by such hardships. Several mechanisms are discussed that may link widely separated problem situations and life events across the life course. The analysis provides empirical support for the proposition that the influence of social change on life trajectories is contingent on what individuals bring to change situations.     

Chronic financial strain, social support, and depressive symptoms among older adults

The purpose of this study is twofold: one, to determine whether chronic financial strain is related to depressive symptoms among a random community sample of older adults, and two, to assess whether social support counterbalances or buffers the deleterious effects of financial strain. The findings suggest that elderly people suffering from financial strain are more likely to be depressed than are older adults with fewer financial problems. In addition, the data support the stress-buffering hypothesis, that is, that older people who have more informational support and who provide support to others, more often report fewer symptoms of depression as a result of financial strain than do elderly respondents who have less informational support and who do not provide support to others. Tangible and emotional support are found to be less effective coping resources when financial strain is present.     

4-8年级学生社交淡漠与同伴接纳的交叉滞后回归分析

摘要：用同伴提名和班级戏剧对小学4年级至初中二年级787名儿童进行一年的追踪研究,采用交叉滞后设计,考察了社交淡漠与同伴接纳的相互预测关系。结果发现：（1）同伴接纳与社交淡漠呈显著负相关;（2）社交淡漠在一年时间内呈现出高度的稳定性。测试时间与性别、年级的交互作用显著,在一年时间里,小学男生社交淡漠水平有所减少、女生社交淡漠水平有所增加,而初中男生社交淡漠水平有所增加、女生社交淡漠水平有所减少;（3）二元交叉滞后回归分析结果表明,社交淡漠与同伴接纳的关系模式存在显著的性别差异。对于男生,前测的社交淡漠可以显著预测后测的同伴接纳,而前测的同伴接纳不能显著预测后测的社交淡漠。女生则呈现完全相反的模式。     

Gender differences in social support among older adults

The purpose of this study was to determine whether exposure to life stress can help explain gender differences in the use of social support. Findings from a longitudinal study suggest that as the number of stressful life events increase, elderly men and women are equally likely to become more involved in their social network, while gender differences emerge only in response to chronic financial strain. Further analysis indicates that elderly women are more likely than elderly men to report that the support they received increased their feelings of personal control.     

Exploring age differences in the stress-buffering function of social support

The purpose of this study is to see if there are age differences in the relationship between chronic financial strain, emotional support, and life satisfaction among people aged 65 and older. Data from a nationwide survey of older people (N = 1,518) indicate that emotional support tends to reduce the noxious effects of economic problems on life satisfaction for the sample as a whole. However, the findings further reveal that the potential benefits of emotional support arise primarily among the oldest-old. In contrast, emotional support does not offset the negative effects of financial strain on life satisfaction among the young-old.     

Relations between social and emotional competence and mental health: a construct validation study

Researchers working fairly independently of each other have created numerous measures of social and emotional competence (SEC). These measures tend to correlate (sometimes highly) with each other and with measures of stressful events, suggesting potential redundancy. We evaluated which, if any, SEC variables predicted unique variance in social and mental health after controlling for other SEC variables in the study and the impact of stressful events. Three-hundred and thirty-one university students participated in an anonymous, cross-sectional study. We measured stressful events, and a wide variety of SECs, including: social problem solving skill (effective problem orientation, automatic processing, and problem solving), alexithymia (difficulty identifying and describing emotions; minimising emotions), effective emotional control (low rumination, high impulse control, high aggression control, low defensive inhibiting of emotions), and level of emotional awareness. We also assessed a variety of aspects of social and mental health (e.g. depression, anxiety, hopelessness, suicidal ideation, life satisfaction, social support). Covariance analyses revealed that all SEC measures except minimising emotions had significant incremental value over the other measures and over stressful events in predicting social and mental health. The optimal set of predictors differed depending upon the type of health predicted. These findings have important implications for the design of social and emotional intervention programs.