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.     

Sex Differences in Social Support and Self-Efficacy Within a Recovery Community

This study examined similarities and differences in social support and self-efficacy for abstinence between women and men recovering from substance addiction. The sample consisted of 87 residents of Oxford House (OH) self-run, community-based recovery homes. Analyses revealed similarities between women and men in terms of the composition and utilization of support networks and abstinence self-efficacy. Also, for both sexes, length of residency in OH was significantly related to decreased social support for alcohol and drug use and increased self-efficacy for abstinence. However, multiple-group SEM analyses demonstrated that social support for alcohol/drug use fully mediated the link between length of residency and abstinence self-efficacy for women, but not for men. Findings suggest that the process of gaining self-efficacy to remain abstinent is distinct for women and men, and that social support plays a different role in women's recovery than it does in men's.     

Does differential social support cause sex differences in bereavement outcome?

A study of a sample of bereaved and married individuals tested the prediction from stress theory that sex differences in bereavement outcome are due to differences in social support extended to the bereaved. Previous research had established that compared to same‐sex married controls, widowers suffer greater health deterioration following the death of a spouse than widows. Although there is some evidence that widows receive more social support than widowers, it has never been tested empirically whether differential social support is responsible for the sex difference in bereavement outcome. Two sets of tests were conducted to examine these hypotheses: first, sex differences in bereavement outcome and in the social support perceived by the bereaved were assessed by means of sex×marital status ANOVAs on depressive symptomatology, loneliness and social support; second, an ANCOVA was used to assess whether the marital status×sex interaction on distress was substantially reduced or eliminated when social support was used as a covariate. Although there was evidence of the expected sex differences in bereavement outcome and social support, there was no evidence that social support mediates the sex differences in bereavement outcome. Copyright © 1999 John Wiley & Sons, Ltd.     

Race,psychosocial vulnerability and social support differences in inner-city women's symptoms of posttraumatic stress disorder

Background/Objectives: Inner-city Black women may be more susceptible to posttraumatic stress disorder (PTSD) than White women, although mechanisms underlying this association are unclear. Living in urban neighborhoods distinguished by higher chronic stress may contribute to racial differences in women's cognitive, affective, and social vulnerabilities, leading to greater trauma-related distress including PTSD. Yet social support could buffer the negative effects of psychosocial vulnerabilities on women's health. Methods/Design: Mediation and moderated mediation models were tested with 371 inner-city women, including psychosocial vulnerability (i.e., catastrophizing, anger, social undermining) mediating the pathway between race and PTSD, and social support moderating psychosocial vulnerability and PTSD. Results: Despite comparable rates of trauma, Black women reported higher vulnerability and PTSD symptoms, and lower support compared to White Hispanic and non-Hispanic women. Psychosocial vulnerability mediated the pathway between race and PTSD, and social support moderated vulnerability, reducing negative effects on PTSD. When examining associations by race, the moderation effect remained significant for Black women only. Conclusions: Altogether these psychosocial vulnerabilities represent one potential mechanism explaining Black women's greater risk of PTSD, although cumulative psychosocial vulnerability may be buffered by social support. Despite higher support, inner-city White women's psychosocial vulnerability may actually outweigh support's benefits for reducing trauma-related distress.     

The effect of the amount of blood in a violent video game on aggression, hostility, and arousal

The current study utilized the General Aggression Model, with an emphasis on aggression-related priming, to explore the different effects on hostility, physiological arousal, and state aggression in those who played a violent video game (Mortal Kombat: Deadly Alliance) with differing levels of blood (maximum, medium, low, and off). Simple effects analyses showed that those in the maximum blood and medium blood conditions had a significant increase in hostility and physiological arousal, while those in the low blood and no blood conditions did not have such an increase in arousal and hostility. Further analyses indicated that those in the maximum and medium blood conditions used the character’s weapon significantly more often than those in the low and blood absent conditions. Implications and future research are discussed.     

The role of psychosocial processes in explaining the gradient between socioeconomic status and health

The gradient between socioeconomic status (SES) and health is well established: Many measures of health show that health increases as SES increases. However, the mechanisms underlying this association are not well understood. Behavioral, cognitive, and affective tendencies that develop in response to the greater psychosocial stress encountered in low-SES environments may partially mediate the impact of SES on health. Although these tendencies might be helpful for coping in the short term, over time they may contribute to the development of allostatic load, which increases vulnerability to disease. Debate remains regarding the direction of causation between SES and health, the impact of income inequality, the interaction of SES with race-ethnicity and gender, and the effects of SES over the life course.     

Creating hostility and conflict: Effects of entitlement and self-image goals

People who feel entitled to admiration and respect from others do not make good companions. This research shows one reason why. Entitled people adopt self-image goals (goals that aim to construct and defend a positive self-image), which then lead to interpersonal conflict and hostility. Studies 1A and 1B documented a unique relation between entitlement and self-image goals. Study 2 extended these results by showing, via a longitudinal design, that entitlement prospectively predicts chronic self-image goals. These chronic self-image goals then predict chronic relationship conflict and hostility, all averaged over 10 weeks. Further, Study 2 revealed that self-image goals mediate the effect of pretest entitlement on both weekly hostility and conflict. These results suggest that by pursuing self-image goals, entitled people create conflict and hostility in their relationships.     

Social support as a mediator of religious involvement and physical and emotional functioning in a national sample of African-Americans

Researchers propose social support as one of the factors that may explain the positive relationship often observed between religious involvement and health outcomes. African-Americans are a population that tends to have higher than average levels of religious involvement and are also disproportionately impacted by most health conditions. The present study sought to determine whether social support mediates the role of religious involvement in physical and emotional functioning and depressive symptoms, among a national probability sample of African-Americans (N = 803). Study participants completed telephone interviews. We used structural equation modelling to test hypotheses based on the theoretical model. Findings suggest evidence for a mediating role of belonging and tangible support in the association between religious behaviours and physical functioning as well as depression. There was no mediational role played by appraisal support, or for emotional functioning. Implications for faith-based health promotion interventions are discussed.     

Socially Desirable Responding and Impression Management in the Endorsement of Love Styles

In 2 experiments, the researcher investigated the social desirability of different love styles (Eros, Ludus, Storge, Pragma, Mania, and Agape). In Experiment 1, the Marlowe-Crowne measure of social desirability (D. P. Crowne & D. Marlowe, 1960) was correlated negatively with possessive, dependent (Mania) love styles in both men and women. In men, social desirability was correlated positively with romantic, passionate love (Eros) and game-playing love (Ludus), but negatively with all-giving, selfless love (Agape). In women, social desirability was correlated positively with Agape, but negatively with Ludus. In Experiment 2, the researcher replicated these findings using an impression management manipulation (good, bad, and honest responding). The gender differences in social desirability of different love styles are explained in terms of traditional and nontraditional gender role socialization.     

Help-Seeking Comfort and Receiving Social Support: The Role of Ethnicity and Context of Need

Examined help-seeking comfort and receiving social support among Latinos, African Americans, and European Americans across two contexts: in a communitywide emergency (Hurricane Andrew) and 2 years later in a nonemergency situation. In general, help-seeking comfort was a strong predictor of received support. Notwithstanding many similarities between the groups, the effects of ethnicity differed according to the context. In emergency, all groups reported similarly high levels of help-seeking comfort and received support. In nonemergency, help-seeking comfort declined for blacks and whites but not for Latinos. Although all ethnic groups reported receiving less social support in nonemergency, the decline in received support across contexts was most dramatic for Latinos. Situational, cultural, and differential resource loss explanations are offered to account for the findings.     

Mental health, life stress and social support among young Norwegian adolescents with immigrant and host national background

The first aim of the study was to investigate differences in level of mental health, life stress and social support among adolescents with immigrant and domestic background. A second aim was to identify culture group and gender specific sources of risk and protective factors and their relation to mental health. Questionnaire data were collected from 633 students, aged 13, in Oslo, Norway. Immigrant adolescents reported higher level of psychological distress and lower social support than host students. Of the four gender-culture groups, immigrant boys reported the highest level of problems, with a 28% prevalence of anxiety/depression. There were no significant differences in prevalence among the girls. Specific patterns of relationships between life stress, support, and mental health were found across gender and culture. The results were discussed within a framework of culture differences in values and gender role expectancies, underscoring the importance of studying each gender/culture group separately.     

Optimism and coping as determinants of psychosocial adjustment to rheumatoid arthritis

Psychosocial adjustment in 66 patients with chronic rheumatoid arthritis, with a mean duration of 12 years with the disease, were evaluated in a prospective design, with 62% of the sample followed up 16 months later. It was predicted that dispositional optimism would predict adjustment over time and that perceived support and perceived control would be related to psychosocial adjustment at the time of concurrent measurement. At Time 1, psychosocial adjustment was associated with greater optimism and perceived support and less disability. Optimism at Time 1 was the only significant predictor of changes in adjustment at Time 2 controlling for Time 1 adjustment and Time 2 disability. It was found that optimism temporally precedes increases in psychosocial adjustment. In terms of coping strategies, wishful thinking was related to poorer social adjustment, whereas problem-focused coping was marginally related to positive adjustment. Neither coping strategy predicted adjustment across time. Optimism at Time 1 did predict problem-focused coping at Time 2. Perceived social support regarding a specific circumstance at a given point in time enables one to persist in solving a task. Interventions to enhance the quality of life of individuals coping with progressive deteriorative disease must look at the influence of their behavior and attitude on those who provide care for them.     

Examining the association between MAOA genotype and incarceration, anger and hostility: The moderating influences of risk and protective factors

Findings from molecular genetic research have indicated that a polymorphism in the promoter region of the MAOA gene interacts with environmental liabilities to predict antisocial phenotypes. We use these findings as a springboard to examine whether a global protective-risk factor index moderates the effect of MAOA genotype on the probability of being incarcerated and on a measure of anger and hostility. Analysis of data from the National Longitudinal Study of Adolescent Health (Add Health) indicates that exposure to risk and protective factors in adolescence are able to moderate the effect of MAOA genotype on anger and hostility in adulthood for males. The results in relation to the probability of being incarcerated were consistently null.     

Gender differences in type a behavior and hostility within an organizational setting

Abstract

Recent investigations suggest that the hostility component of the Type A behavior patter (TABP) is a greater detriment to health than the overall pattern. Some researchers suggest that certain Type A characteristics (e.g., job-involvement) are actually adaptive. This study compared the relative relationship of the TABP and hostility to career-related achievement and psychosocial adjustment among 223 service-delivery employees. Male and female participants completed the Jenkins Activity Survey and the MMPI Hostility Scale as part of a cardiovascular disease risk factor screening. The TABP was positively associated with managerial status for both men and women. However, the TABP was positively related to psychosocial adjustment variables among men only. Hostility was significantly related to undesirable outcomes including lower job status, life dissatisfaction, and unfavorable perceptions of the workplace for both men and women. Discussion addresses organizational factors which might perpetuate hostility and the TABP, as well as gender differences in the experience of these constructs.     

Sex differences of parental phubbing on online hostility among adolescents: A moderated mediation model

To explore the relationship between parental phubbing (PP) and adolescent online hostility and its' psychological mechanism, 689 Chinese adolescents were recruited to complete a paper-and-pencil questionnaire. We took cyber flaming (CF) as an overall category for hostile online communication to investigate the relationship between PP and CF and the mediating role of perspective-taking (PT) in this relationship and examined whether there is a sex difference in this process. After controlling the average daily online time, the results showed that PP predicted adolescent CF positively. The relationship between PP and CF was partially mediated by PT. The effect of PP on PT was moderated by sex, with the result being significant only for boys. Related findings and future directions were discussed.     

Forgiveness as a mediator of the relationship between PTSD and hostility in survivors of childhood abuse

This paper argues that emotional inferences about characters in a text are not as specific as previously assumed (DeVega, Diaz, & Leon, 1997; DeVega, Leon, & Diaz 1996; Gernsbacher, Goldsmith, & Robertson, 1992; Gernsbacher, Hollada, & Robertson, 1998; Gernsbacher & Robertson, 1992). The emotional information inferred by readers does not differentiate between emotions that are similar, though not identical. In both Experiments 1 and 2, participants read the stories used by Gernsbacher et al. (1992). Results from Experiment 1 (off-line) show that participants judged several emotions consistent with the same story. In Experiment 2 (on-line), participants took longer to read target sentences containing emotions mismatching the stories, but there was no difference between target sentences containing different matching emotions as determined by Experiment 1. Results from Experiments 1 and 2 suggest that the emotional information readers infer from the stories is too broad to determine a specific emotion. The results are consistent with the idea that a general emotional response is evoked, which is compatible with one or more specific emotions.     

Standing out and not fitting in: The Dark Triad traits and social values

ABSTRACT

We replicated and extended (N = 207) work on the social values (i.e., obedience, tradition, security, benevolence, universalism, self-direction, stimulation, hedonism, achievement, and power) linked to the Dark Triad traits (i.e., narcissism, psychopathy, and Machiavellianism). Each of the traits was positively associated with values of achievement and power. Psychopathy and narcissism were both negatively correlated with benevolence, and psychopathy and Machiavellianism were negatively correlated with obedience. Psychopathy was also negatively correlated with tradition. Sex differences in the values of tradition, benevolence, and power were mediated by psychopathy. We suggest that high rates of the Dark Triad traits facilitate, for men, holding social values that emphasize standing out whereas low rates facilitate, for women, fitting in.     

Forgiveness as a mediator of the relationship between PTSD and hostility in survivors of childhood abuse

It was hypothesised that forgiveness mediates the relationship between PTSD and hostility within a population of adult childhood abuse survivors. Of the three components of forgiveness-self, other, and situation-self and situation forgiveness were posited as potent mediators of the PTSD and hostility relationship. No differences in the mediational role of forgiveness in sexual versus physical abuse and female versus male abuse survivors were hypothesised. As posited, overall forgiveness mediated the PTSD-hostility relationship and the forgiveness of self and situation were strong mediators. The theoretical and applied implications of these findings are discussed.     

社会支持与身心健康关系研究述评

该研究从社会支持的概念入手．探讨了社会支持的结构与测量．社会支持对身心健康影响的作用模型,影响社会支持的因素,并对研究中存在的问题及研究方向进行了探讨。     

Towards a cognitive-behavioral model of PTSD in children and adolescents

Posttraumatic stress disorder in children and adolescents has been studied only for the past 15–20 years and is the subject of a burgeoning corpus of research. Much research has focused on examining whether children and adolescents have the same responses to trauma as those experienced by adults. Many of the research tools used to investigate children's responses are taken from measures designed for use with adults, and these measures have proven to be useful. However, it has not been established that children's responses to traumatic events are related to the same underlying processes as are adults' responses. The possible application of 2 recent cognitive models of PTSD in adults to understanding PTSD in children and adolescents is discussed in this paper, within the context of what is already known about children's reaction to trauma and existing theoretical accounts of childhood PTSD. Particular attention is paid toward the nature of children's memories of traumatic events and how these memories relate to the reexperiencing symptoms of PTSD, and cognitive processes that may play a role in the maintenance of PTSD. It is proposed that the adoption of a more specific cognitive–behavioral framework in the study of this disorder may be beneficial and lead to better treatment outcomes.