Group support interventions for women with breast cancer: who benefits from what?

Research on the benefits of social support groups has been inconclusive. One reason is that individual differences in intervention responses have rarely been examined. The authors determined the extent to which individual difference variables moderated the effects of an information-based educational group and an emotion-focused peer discussion group on the mental and physical functioning of women with breast cancer (n = 230). The authors administered the SF-36 (S.E. Ware, K.K. Snow, M. Kosinski, & B. Gandek, 1993), a multidimensional quality of life instrument, pre- and postintervention. Educational groups showed greater benefits on the physical functioning of women who started the study with more difficulties compared with less difficulties (e.g., lacked support or fewer personal resources). Peer discussion groups were helpful for women who lacked support from their partners or physicians but harmful for women who had high levels of support. Implications of these results for clinical interventions are discussed.     

气质和儿童同伴交往类型关系的研究

该文采用问卷法和社会测量法相结合的方法,以班级为单位对484名3~9岁儿童的气质和同伴关系类型的关系进行研究。结果表明:3~9岁儿童同伴关系类型已形成分化,其中被忽视儿童和被拒绝儿童所占总体样本的比例分别为16.9%和9.6%,比例较高值得重视。儿童气质对同伴交往类型的形成影响很大,四种同伴关系交往类型在气质各维度上方差检验都达到了差异显著,有着明显不同的气质特点。     

青少年同伴依恋对抑郁的影响:朋友社会支持和自尊的中介作用

为探讨青少年同伴依恋与抑郁的关系,以及社会支持和自尊在二者关系中的作用机制,采用父母和同伴依恋问卷(IPPA)中的同伴依恋分量表、领悟社会支持量表(PSSS)、自尊量表(SES)和流调中心用抑郁量表(CES-D)对668名中学生进行调查,结果发现:(1)青少年同伴依恋、朋友社会支持和自尊两两之间呈显著正相关,且三者与抑郁均呈显著负相关。(2)青少年同伴依恋不仅能直接负向预测抑郁,而且还能通过自尊的单独中介作用对抑郁产生影响;朋友社会支持的单独中介作用以及社会支持→自尊的链式中介作用在初、高中生群体中存在差异,即在初中生群体中,同伴依恋能够通过社会支持的单独中介作用以及社会支持→自尊的链式中介作用对抑郁产生影响,而在高中生群体中,这两种间接作用均不显著。研究结果揭示了青少年同伴依恋对抑郁产生影响的心理机制,为引导青少年建立良好的同伴依恋,促进自尊及心理健康发展提供了有益建议。     

Political ideology,helping mechanisms and empowerment of mental health self‐help/mutual aid groups

Self‐help/mutual aid groups share common attributes such as they are peer‐led, address a common problem or condition, have a voluntary character and little or no connection with professionals. However, these groups may vary according to their political ideology and focus on personal or/and societal change. This study examines the role of political ideology of self‐help/mutual aid groups and differences in psychosocial characteristics of group members. Fourteen mental health self‐help/mutual aid groups in England were studied. On the basis of stated aims and principles and following semi‐structured interviews with group leaders (facilitators/chairpersons), these were classified according to Emerick's typology as conservative (eight groups), combined (three groups), and radical (three groups). Group members (n = 67) completed questionnaires to assess personal empowerment, mental wellbeing, social networks and support, group identification and helping processes in the groups. Findings suggested that all self‐help group members experienced a large number of naturally occurring helping process and felt empowered whilst they shared limited social networks and support and marginal mental wellbeing. Different ideological types of self‐help groups may be related to specific helping processes and particular aspects of personal empowerment. Specifically, members of conservative and combined groups reported more expressive group processes like sharing of feelings and self‐disclosure, while radical group members reported more optimism/control over their lives. Furthermore, group identification was associated with specific helping processes and aspects of personal empowerment in the three group categories. Copyright © 2002 John Wiley & Sons, Ltd.     

Social preference,social prominence,and group membership in late elementary school: homophilic concentration and peer affiliation configurations

This study investigated the social preference and social prominence of 622 5th graders (290 boys, 332 girls) in relation to peer group membership. The sample was recruited from 11 elementary schools in a southeastern state. The ethnicity of participants was 55% European American, 41% African American, and 4% other. Peer groups were classified on each of three domains (academic, aggression, popular) by the proportion of group members who were high on the characteristic of interest. Participants’ peer affiliations were also classified with cluster analytic techniques that yielded distinct configurations of aggression, popularity, and academic competence. Social preference and social prominence were each related to popular peer group type for both boys and girls and differentially related to aggressive and academic group types. Social prominence, but not social preference, was related to peer group configurations for both girls and boys. Implications for the development of social contextual interventions to support students’ adjustment and academic engagement during late elementary school are discussed.     

The impact of a peer counselling scheme to address bullying in an all‐girl London secondary school: A short‐term longitudinal study

Background A variety of peer support schemes are now widely used in schools, notably to reduce bullying. However, there has been little systematic investigation of the impact and effectiveness of these approaches. Aims To assess the impact of a peer counselling scheme on peer counsellors and the school community. Sample The research was conducted in a North London all‐girls state secondary school. Data were collected from all lower school classes (years 7, 8, and 9) and some staff members, in addition to year 10 peer counsellors and an age equivalent comparison group. Method A detailed 1‐year longitudinal study combined qualitative and quantitative methods of assessment. Results Peer counsellors benefited from their involvement through an acquisition of transferable communication and interpersonal skills, and, compared to age‐matched control pupils, had increased social self‐esteem. There were no reductions in self‐reported bullying and victimization, but in general pupils believed that there was less bullying in school and that the school was doing more about bullying, with year 7 students showing the most positive changes. Conclusions Peer‐counselling schemes can improve self‐esteem of peer supporters, and also impact positively on perceptions of bullying in the school; but impact on actual experiences of bullying is less clear, and there may be problems with the acceptance and use of such programmes by older students.     

Peer counseling in an online chat service: a content analysis of social support

In a recently launched one-on-one chat service for young people with psychosocial problems, young peer volunteers (ages 16-23) have a leading role in the conversations, comparable to the role of counselors in web-based and telephone-based child help-line services. A content analysis of the chat conversations showed that the contribution of the peer counselors in the confidential chat sessions satisfied the various quality criteria of the service. Moreover, the peer counselors offered the young people who visited the site varied types of social support. The variety of types of social support appeared a stronger predictor of the quality ratings than the length of the conversation or the quantity (instead of variety) of social support, which emphasizes the importance of multidimensional social support in online conversations.     

Young adult learners with dyslexia: their socio-emotional support needs during adolescence

This study retrospectively explored social-emotional support needs that young adult learners with dyslexia perceived to have experienced as adolescents attending an inclusion school setting. Six young adults with dyslexia were participants (females = 3; age range 18–21 years). They responded to a qualitative interview on their socio-emotional experiences as learners with dyslexia. The data were thematically analysed. Recollections of lived experiences by the young adults highlight the important role social support systems and own coping strategies play in influencing their socio-emotional outcomes. Participants reported positive regard about their condition, with social support, acceptance and own personal assets important for success with dyslexia. A multi-dimensional socio and emotional support program could assist learners with dyslexia to function optimally.     

Addressing the Challenges Faced by Early Adolescents: A Mixed-Method Evaluation of the Benefits of Peer Support

In this article, we describe a mixed-methods study used to examine the effectiveness of a widely-used peer support program designed to facilitate the transition to adolescence and high school by enhancing self-concept and other desirable outcomes. For the quantitative component, a longitudinal design was employed (930 Grade 7 students, 3 schools, 2 years), with control group and baseline (i.e., pre-program) data against which to compare the effects. Using a multilevel approach, the results provide evidence to suggest that the program was largely successful in achieving its aims of enhancing students’ school self-concept, school citizenship, sense of self and possibility, connectedness, and resourcefulness. A sub-sample of students from the experimental group participated in the qualitative component, which included open-ended survey results (n = 408 Grade 7 students, n = 75 peer support leaders) and focus groups (n = 119 Grade 7 students, n = 44 peer support leaders) to identify students’ personal perspectives of the program. The qualitative results confirmed the quantitative findings that the program has important benefits for Grade 7 students and provided rich and valuable insights into students’ views of the intervention. The findings of this research have important implications and suggest that the provision of peer support has the potential to a make significant contribution to schools’ efforts to orchestrate positive outcomes for adolescents.     

Mediating effects of an indicated prevention program for reducing youth depression and suicide risk behaviors

This study explored the intervention processes of an indicated prevention program for high-risk youth. It was hypothesized that intervention effects would be influenced by the direct and mediating effects of teacher social support on both peer group support and perceived personal control. In turn, personal control was hypothesized to mediate between teacher and peer group support, contributing to reductions in depression and suicide risk behaviors. The hypotheses were tested using a three-wave, longitudinal design incorporating data from preintervention, 5-month follow-up, and 10-month follow-up assessments of 106 high-risk youth divided into three comparison groups: two experimental, one control. For the two intervention groups, there were direct and/or indirect effects of teacher and peer group support on personal control, depression, and suicide risk behaviors. The general hypothesis that personal control mediates between support resources and reductions in depression and suicide risk behaviors received partial support across the study groups.     

Groups of individuals who are moderately mentally retarded sharing their activities with passive low-functioning companions

This study involves a program in which two groups of individuals with moderate mental retardation served as peer caregivers with two passive companions (trainees). The main question was whether each group would learn to plan and share daily activities with one trainee, increasing the trainee's activity level. Other questions were: (1) whether peer caregivers would enjoy working with the trainees; (2) whether the job of peer caregiver would occasion social/adaptive behaviors not usually observed in the peer caregivers' repertoire; and (3) whether staff would perceive program effects on peer caregivers' and trainees' behavior. Results showed that the groups of peer caregivers learned to perform independently and accurately, increasing and maintaining the activity of the trainees. Peer caregivers seemed to like (or at least not to mind) working with the trainees, and their job brought about social/adaptive behaviors not commonly seen in their repertoire. Staff ratings confirmed that the program had positive effects on trainees and peer caregivers. General implications of the findings are discussed.     

Impact of Peer Support on PTSD,Hope, and Functional Impairment: A Mixed-Methods Study of Child Soldiers in Nepal

The experience of child soldiers during postwar civilian reintegration is recognized as a major contributor to mental health. For some children, postwar social relations may be more important than war trauma in determining psychosocial well-being. Mixed methods incorporating epidemiology and qualitative case studies were employed to evaluate the effects of family, peer, and community relations after reintegration on psychosocial outcomes: hope, functional impairment, and post-traumatic stress disorder (PTSD). Participants were 142 child soldiers, including 9 qualitative case studies. Peer support predicted increased hope, decreased functional impairment, and decreased PTSD symptoms. Conversely, problems with peer relations predicted less hope and more PTSD symptoms. Maximizing peer support and minimizing stigma from peers should be prioritized within psychosocial reintegration programs, especially among former child soldiers with PTSD.     

Social support and adjustment in chronically ill and handicapped children

The relationship between social support and adjustment was investigated in children with a chronic physical illness or handicap. Mothers of 153 children with juvenile diabetes, juvenile rheumatoid arthritis, chronic obesity, spina bifida, or cerebral palsy reported on these children's family support, peer support, externalizing behavior problems, and internalizing behavior problems. Children reported as having high social support from both family and peers showed a significantly better adjustment than those with high social support from only one of these sources. Chronically ill or physically handicapped children without high support from both family and peers were reported to have significantly more behavior problems than children in general. Both family and peer support contributed negatively and independently to the variance in externalizing behavior problems, whereas only peer support did so for internalizing behavior problems. There were no interactions between type of support and either sex or age in predicting adjustment.     

Midlife Transition and Women's Spirituality Groups: A Preliminary Investigation

The purpose of this preliminary study was to describe midlife transition, spirituality, and healing of relationships for members of women's spirituality groups. Ten women completed the Spiritual Well‐Being Scale (R. Paloutzian & C. Ellison, 1982) and a 45‐minute interview about spirituality, religion, life transitions, relationships, and beneficial aspects of women's spirituality groups. Qualitative analysis found themes to describe spirituality: connection with a Higher Power, personal choice, connectedness with nature and people, healing, and support. The women viewed spirituality and religion as separate, yet connected, entities. Benefits of women's spirituality groups included the groups' being therapeutic, providing valued relationships, and providing social support.     

Modeling social rejection,physiological arousal,and peer influence on risky driving among adolescents and young adults

Peer passengers are a significant risk factor for young drivers to experience adverse driving outcomes. However, few studies have manipulated social evaluation contexts and individual susceptibilities to peer influence, such as physiological arousal, to measure effects on driving. The current study explored whether social evaluation affects driving outcomes and if the type of evaluation affects perception of peer norms. Young drivers (N = 75) were randomized to control, social acceptance, or social rejection conditions and observed risky or risk-averse driving norms. Results indicated that peer passengers and peer driving norms, regardless of the social-evaluative context, affected variability in driving outcomes, particularly in intersections. Physiological arousal and perceptions of social acceptance also predicted more variability in driving outcomes. These findings suggest that passengers increase irregular driving patterns, perhaps due to passengers distracting young drivers from road conditions. Further, social acceptance increases the strength of the relationship between the presence of peer passengers and inconsistent driving patterns, indicating that social rewards may precede risky behavior more often than social threats do.     

Integrated learning communities as a peer support initiative for first year university students

Peer Mentoring schemes tend to be developed as retention strategies, however, they can also serve other purposes (psychosocial or career-related). However, evidence of the effectiveness of these presents mixed results and less is known about the horizontal peer support schemes which may help students capitalize on existing peer relationships. We developed an integrated learning communities (ILC) peer support scheme, building on the theoretical principles of social identity theory, which we embedded within our existing teaching framework and designed functional activities. Collective activities were undertaken to promote the processes of social identity with the intention that these may foster social and academic integration experiences. This intervention was undertaken with an entire cohort of first year undergraduate psychology students. We conducted semi-structured interviews with a self-selected sample of these students (N = 17). Thematic analysis revealed two main themes, each with two sub-themes. These were: “Divergent Experiences” with the sub-themes of “dependent on people” and “types of support”, and “Good idea in principle” with the sub-themes of “Theory ≠ Practice” and “Dependent on student engagement”. Although identifying with a peer group was not transparent in the interviews, the existence of a peer support scheme was perceived positively by students which might explain the success of the newly developed student-led Psychology Society. Indeed, this Psychology Society can provide a lasting framework for further amplification of the student voice. We conclude that our embedded ILC was both feasible and potentially valuable, but it is crucial for the peer support approach to have transactional significance.     

The relative effects of classwide peer tutoring and peer coaching on the positive social behaviors of children with ADHD

This study investigates the effects of Classwide Peer Tutoring (CWPT) and peer coaching on the peer social behaviors of children with ADHD. A single-subject, multiple-baseline design is used with three elementary-school students in Grades 3 and 4. Following a baseline period, CWPT is implemented in each student's classroom. During the second intervention phase, CWPT is continued and peer coaching is added. Peer social behaviors are observed in both academic and social settings, with a primary focus on intervention effects on the latter setting. Results suggest that students participating in CWPT are actively and positively engaged with their peers while carrying out the CWPT program in the academic setting. However, when only CWPT is implemented, increases in positive peer social behaviors are not observed in social settings. The addition of peer coaching results in enhanced social behaviors during recess and lunch.     

Reactivity to Exclusion Prospectively Predicts Social Anxiety Symptoms in Young Adults

Peer victimization leads to negative outcomes such as increased anxiety and depression. The prospective relationship between peer victimization and social anxiety in children and adolescents is well established, and adults with social anxiety disorder (SAD) are more likely than individuals with other anxiety disorders to report a history of teasing. However, a crucial bridge between these findings (peer victimization in young adults) is missing. We manipulated perceptions of peer exclusion in a young adult sample (N = 108) using the Cyberball Ostracism Task. Reactivity to exclusion prospectively predicted social anxiety symptoms at a 2-month follow-up, whereas self-reported teasing during high school and current relational victimization did not. This research suggests that reactions to peer victimization may be a worthwhile target for clinical interventions in young adults. Targeting how young adults react to stressful social interactions such as exclusion may help prevent the development of SAD. Future research should test if reactivity to exclusion plays a role in the relationship between other disorders (e.g., depression) and peer victimization.     

Designing road safety interventions for young drivers – The power of peer influence

Peer passengers are associated with risky driving behaviour and increased collision rate in young drivers, but the mechanism by which young drivers are influenced by their peers is not well understood. Here we report two studies that explore the effect of peer influence on young drivers. The first explored the relationship between susceptibility to peer influence and young drivers’ engagement in risky driving behaviour. 163 young drivers completed self-report measures of risky driving behaviour and susceptibility to different forms of peer influence. Results showed that young drivers who were influenced by their peers to attain social prestige and through peers intervening in their decisions committed more driving violations. The second study sought to utilise the susceptibility of young drivers to peer influence by using peers to design and deliver a safety intervention, following the ‘U in the Driver Seat’ model from the US. When compared to a traditional fear appeal and a control, the peer intervention group reported safer attitudes and intentions to drive safely at follow-up. Together these studies provide insight into how peers influence young drivers’ risky behaviour, and support the notion of using peer education tools in young driver safety interventions.     

Peer support critical elements and experiences in supporting the homeless: A qualitative study

Peer supporters are individuals with lived experience and are an integral part of health care systems, providing support to those affected by various phenomena such as homelessness and addictions. However, little is known about the critical elements that underpin peer support interventions. This qualitative study sought to understand the critical elements of intentional peer support with a homeless population, voiced by those who provide and/or receive this support. Twenty‐nine participants from 4 different homeless charities in England were interviewed about their experiences of providing/receiving peer support and what they felt were critical factors to its success. Participants defined peer support as an experience‐based relationship, built upon mutual understanding, empathy, and support. Thematic analysis was utilised to in developing 6 themes. Results identified peers' persistence in developing unique experience‐based relationships, providing social support, role modelling recovery, and peers' motivations were perceived as important factors involved in peer support. It was also found that peers described benefitting from helping, such as, undergoing transformative identity developments that helped them to escape homelessness. Through the retelling of their stories, they create meaning and restructure their autobiography, attributing experiences of homelessness as a catalyst for positive changes in their lives. Limitations and future research are discussed.