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.     

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.     

The role of social support in the acculturation and mental health of unaccompanied minor asylum seekers

There is a lack of knowledge about psychosocial resources that may sustain post‐resettlement psychological adjustment among unaccompanied minor asylum‐seekers. The aim of this study is to investigate the impact of social support from family abroad and friends on acculturation, discrimination, and mental health among these vulnerable children and youth. Questionnaire data were collected from a population‐based multi‐ethnic sample involving 895 unaccompanied minors resettled in municipalities in all regions of the country. They met in groups in their local communities. The informants were on average 18.6 years, and had an average length of stay in Norway of 3.5 years. The findings showed that the participants suffered from high levels of ongoing war related intrusive symptoms and depression. Still, at the same time they engaged in adaptation processes that are normative to youth with immigrant backgrounds, in terms of constructing supportive networks and developing culture competence. In accordance with the main effect hypothesis, social support had direct effects on depression and indirect effects by increasing culture competence that may aid the young refugees in dealing with discrimination. However, there were no effects of social support on symptoms of PTSD. The findings give direction to areas of interventions, beyond dealing with the sequel of the traumas the unaccompanied minors have been exposed to, not only for clinicians, but also social workers and school personnel.     

Bidirectional associations between hope,optimism and social support,and trauma-related symptoms among survivors of terrorism and their spouses

The study examined bidirectional relationships between three key resources of resilience: hope, optimism, and social support, and a range of trauma-related symptoms (posttraumatic stress disorder, depression, and anxiety) among injured survivors of terror attacks and their spouses (N = 210). A series of actor-partner interdependence models were used to test the bidirectional dyadic associations. The results demonstrate negative associations between resilience resources of the survivors and their spouses and their trauma-related symptoms. Further, the levels of hope and social support reported by the survivors were negatively associated with the trauma-related symptoms experienced by their spouses, whereas the level of optimism reported by the spouses was negatively associated with the trauma-related symptoms experienced by the survivors. Theoretical and clinical implications are discussed.     

The psychosocial impact of Hurricane Katrina: contextual differences in psychological symptoms, social support, and discrimination

This study tested a contextual model of disaster reaction by examining regional differences in the psychosocial impact of Hurricane Katrina. A total of 386 individuals participated in this study. All were recruited in the primary areas affected by Hurricane Katrina and included residents of metropolitan New Orleans (Orleans Parish, Louisiana), Greater New Orleans (i.e., Metairie, Kenner, Gretna), and the Mississippi Gulf Coast (i.e., cities along the coast from Waveland to Ocean Springs, Mississippi). Participants were assessed for posttraumatic stress disorder (PTSD) symptoms, other psychological symptoms, perceptions of discrimination, perceptions of social support, evacuation distance, and the extent to which they experienced hurricane-related stressful events. Results were consistent with previous research on the impact of disasters on mental health symptoms. Findings extended research on individual differences in the response to trauma and indicated that regional context predicted unique variance in the experience of discrimination, social support, and emotional symptoms consistent with the theoretical model presented.     

Social relationships and social support among post‐war youth in Northern Uganda

Although social relationships and social support are salient factors for post‐war adolescents' psychosocial coping and adjustment, there is only limited information regarding war‐affected adolescents' views on social support and the relationships within which social support is provided. This study therefore explored both elements among a clinical sample of 20 adolescents living in post‐war Northern Uganda. Following Braun and Clarke's thematic analysis, we found a prominent role of the biological mother and other primary biological family members in the upbringing of our participants. Spiritual and material support were perceived to be the most important type of support, respectively, while the adolescents were growing up and in their current lives. These findings provide support for the perception that caregiving systems are adaptable to particular sociocultural contexts. Further, the importance of particular functions of social support could signify a potentially selective buffering effect of these functions in adverse contexts. Because of the importance of the primary biological family and the salient role of parent–child relationships in the face of adversity, future research needs to focus on this particular kind of social relationship in contexts of prolonged collective violence.     

Stigma modifies the association between social support and mental health among sexual violence survivors in the Democratic Republic of Congo: implications for practice

Background and Objectives: The aim of this study was to further understanding of the relationship between social support, internalized and perceived stigma, and mental health among women who experienced sexual violence in the eastern Democratic Republic of Congo (DRC).

Methods: Drawing from baseline survey data collected in eastern DRC, researchers conducted a secondary cross-sectional analysis using data from 744 participants. Regression and moderation analyses were conducted to examine associations between social support variables, felt stigma, and depression, anxiety and posttraumatic stress disorder (PTSD).

Results: Emotional support seeking and felt stigma were positively associated with increased symptom severity across all three mental health variables. Stigma modified associations between emotional support seeking and depression (t?=??2.49, p?=?.013), anxiety (t?=??3.08, p?=?.002), and PTSD (t?=??2.94, p?=?.003). Increased frequency of emotional support seeking was associated with higher mental health symptoms of anxiety and PTSD among women experiencing all levels of stigma.

Conclusions: Enhancing understanding of social support and stigma may inform research and intervention among Congolese forced migrant populations across circumstances and geographic locations. Implications for practice and research are discussed.     

Social desirability,adequacy of social support and mental health

The extent to which the association between satisfaction with social support and mental health was due to social desirability was determined. Whether this association differed between those high and low on social desirability was also examined. Measures consisted of the Crowne – Marlowe Scale, the Adequacy of Social Integration and Attachment Indices, the General Health Questionnaire, the Zung Self‐Rating Depression Scale and four scales from the Delusions‐Symptoms‐States Inventory. The sample comprised 132 women and 93 men randomly drawn from a larger sample of 756 selected at random from the Canberra electoral roll. Although social desirability was positively associated with satisfaction with social support and mental health, the association between mental health and satisfaction with social support was little reduced when social desirability was controlled, indicating that social desirability did not account for the association between social support and mental health. The association between satisfaction with social support and mental health did not differ between those high and low in social desirability, suggesting that this association was not moderated by social desirability. Copyright © 2000 John Wiley & Sons, Ltd.     

Religiousness on mental health in older adults: the mediating role of social support and healthy behaviours

The positive association between religiousness and mental health among the faithful is well-established; here, social support (SS) and healthy behaviours (HB) are investigated as mechanisms underlying the benefits of faith on depression and anxiety in a survey sample of 97 religious older adults aged 62–96 (M_age?=?79). Initial regression models revealed a significant direct effect (higher religiousness?=?less depression and less anxiety). For depressive symptoms, both individual mediators rendered the effect of religiousness non-significant, with HB explaining more variance (36% vs. 27%); in the combined model, both demonstrated independent, additive effects (SS?=??.18, p?=?.006; HB?=??.34, p?p?=?.005). The results help inform those working with religious older adults facing depression and anxiety by highlighting key aspect(s) of the person’s faith experience that will be most effective in helping to improve his or her mental health.     

The role of social support and self-esteem in the relationship between shyness and loneliness

This study aimed at examining the role of social support and self-esteem in the relationship between shyness and loneliness. The sample consisted of 399 college students, ranging in age from 18 to 30. Cheek and Buss shyness scale, multi-dimensional scale of perceived social support, Rosenberg self-esteem scale and emotional and social loneliness scale were used for data collection. Structural equation modeling showed partial mediation effects of social support and self-esteem between shyness and loneliness. Furthermore, a multi-group analysis found that shy male college students tend to have a more negative self-evaluation compared to their female counterparts. The results are discussed in terms of the conceptional context.     

With a little help from my friends: A computational model for the role of social support in mood regulation

The growing interest in the role of social support in mental and physical health has led to the development of several intelligent systems that aim to use social mechanisms to simulate healthy behaviour. In this paper a computational model of a human agent is presented which describes the effect of social support on mood. According to the literature, social support can either refer to the social resources that individuals perceive to be available or to the support that is actually provided in problematic situations. The proposed model distinguishes between both roles of social support. The role of social network characteristics has been taken into account, as an individual can perceive or receive social support through his/her social network. In addition, the number of connections (friends), strength of ties (relationships), social isolation and social integration have been studied. Simulation experiments have been done to analyze the effect of the different types of support in different scenarios and also to analyze the role of various social network characteristics on the mood level. It is shown that support can help to reduce the induced stress and thus can contribute to healthy mood regulation and prevention of depression. The presented model provides a basis for an intelligent support system for people with mood regulation problems that take the social network of people into account.     

Relation of depression to perceived social support: results from a randomized adolescent depression prevention trial

Theorists posit that certain behaviors exhibited by depressed individuals (e.g., negative self-statements, dependency, reassurance seeking, inappropriate or premature disclosures, passivity, social withdrawal) reduce social support, yet there have been few experimental tests of this hypothesis. Using data from a randomized depression prevention trial (N = 253) involving adolescents (M age = 15.5, SD = 1.2), we tested whether a cognitive behavioral group intervention that significantly reduced depressive symptoms relative to bibliotherapy and educational brochure control conditions through 2-year follow-up produced improvements in perceived parental and friend social support and whether change in depressive symptoms mediated the effect on change in social support. Cognitive behavioral group participants showed significantly greater increases in perceived friend social support through 1-year follow-up relative to bibliotherapy and brochure controls, but there were no significant effects for perceived parental support. Further, change in depressive symptoms appeared to mediate the effects of the intervention on change in perceived friend support. Results provide experimental support for the theory that depressive symptoms are inversely related to perceived social support, but imply that this effect may be specific to friend vs. parental support for adolescents.     

Self-images play a causal role in social phobia

Patients with social phobia often experience negative self-images in social situations. The current study investigated whether negative self-images have a causal role in maintaining social phobia. Patients with social phobia participated twice in a conversation with a stranger, once whilst holding their usual negative self-image in mind and once whilst holding a less negative (control) self-image in mind, with order counterbalanced across participants. Compared to the control image condition, when participants held the negative image in mind they experienced greater anxiety, rated their anxiety symptoms as being more visible, and rated their performance as poorer. An assessor who did not know which image was being held also rated participants' anxiety as more evident and their behaviour as less positive when the negative image was being held in mind. Finally, when participant and assessor ratings were compared, participants underestimated their performance and overestimated the visibility of their anxiety to a significantly greater extent in the negative imagery condition. Taken together, these results support the hypothesis that negative self-imagery has a causal role in maintaining social phobia.     

The buffering role of social support on the associations among discrimination,mental health,and suicidality in a transgender sample

Introduction: Per the minority stress framework, trans individuals often experience psychological distress given the unique stress engendered by gender identity–related discrimination. Prior research has identified social support as particularly important for psychological distress and has suggested that social support may moderate this relationship. The purpose of the current study was to explore the patterns of connections among discrimination, mental health, and suicidal ideation in trans individuals and whether social support moderates these relationships. Methods: Participants (N = 78) completed measures of these constructs as part of a national online survey. Results: A series of simultaneous multiple regressions found that harassment/rejection discrimination was a unique positive predictor of mental health symptoms and suicidal ideation, with depression positively predicting suicidal ideation. A mediational model indicated that the association between harassment/rejection discrimination and suicidal ideation was fully mediated by depression. Three moderated meditational models were run, and one yielded a significant interaction, such that discrimination predicted suicidal ideation most strongly when participants had low social support from a significant other in comparison to participants who had moderate or high support. Further, conditional direct effects identified that discrimination led to ideation only for individuals with low support from friends or a significant other but not for those with moderate or high support. Conclusions: Helping trans individuals cope with harassment and rejection, particularly by drawing on social support, may promote better mental health, which could help reduce suicidality in this population.     

Structural gender differences in perceived social support

Gender is an important influence on support-relevant social interactions, however findings of studies on gender differences in social support are not definitive. Although differences between men and women in the various social support measures have been found in numerous studies, neither the cause nor the explanatory process is known. This study examines gender differences in the dimensionality of social support. A large sample (N=3210) from the general population of women (60%) and men aged between 18 and 65 years old (Mean AGE=34.1) responded to a brief scale with items assessing the distinct functions of the perceived availability of social support. Confirmatory factor analyses yielded one factor in the women's sample that measures global social support perceived, and two in the men's. The first factor in the men's sample measures emotional support (providing empathy, caring, validation of self-worth), and the second measures instrumental support (e.g. practical assistance or financial aid). We concluded that there are gender differences in the structure of perceived social support and that these differences can be explained by socialization experiences and social roles associated with gender.     

Giving and receiving social support at work: The roles of personality and reciprocity

Social support is an important variable in occupational stress research and theory, yet little is know about the factors that influence the amount of social support one gives, and receives at work. We examined personality (extraversion, neuroticism, and agreeableness) and reciprocity as potential antecedents to giving and receiving support from co-workers. Data collected from 108 participants employed in a number of organizations indicated that giving social support was positively associated with the receipt of social support. Both extraversion and agreeableness predicted giving and receiving non-job support and positive work-related support. The relationship between personality and social support received was, in many cases, mediated by social support given.     

Direct and indirect relationship between social stressors and job performance in Greater China: The role of strain and social support

This study examined the direct relationship between two social stressors (interpersonal conflict and organizational politics) and supervisor-rated job performance among employees in three Chinese societies in Greater China. The potential moderating effects of social support on the relation between social stressors and job performance were also investigated. Further, the potential mediating role of strain between stressors and job performance was tested. Data were collected from 1032 employees in Beijing, Hong Kong, and Taipei. The results showed that both types of social stressors were positively correlated with strain, and negatively related with job performance. There was evidence supporting that social support was a significant moderator of the social stressor–performance relationship. Further, results were consistent with the hypothesis that strain could be a mediator between social stressors and job performance.     

Negative affect in east german migrants: Longitudinal effects of unemployment and social support

Migrants have to deal with a number of stressors, among them tenacious job search and the constitution of a new social network. Prolonged unemployment and lack of social support can result in enduring negative affect. A sample of 235 East Germans was investigated three times during two years following their transition to West Berlin in 1989, after the breakdown of the communist system. Their anxiety and depression levels were initially high but declined over time. The majority found a job during this time span and succeeded to adapt psychosocially. Those, however, who remained unemployed were worse off in terms of well-being. The stress-affect relationship was moderated, however, by social support. Within the group of migrants who suffered from long-term joblessness, social support exerted a longitudinal buffer effect. At Wave 3, most anxiety and depression was reported by migrants who neither held a job nor received support. In a longitudinal causal model, the employment status affected mainly negative affect complaints, but also social support. The relationship between negative affect and support turned out to be reciprocal over time.     

Examining the relation between borderline personality features and social support: The mediating role of rejection sensitivity

Potential mechanisms underlying the pathway between borderline personality features and indices of social support have yet to be elaborated, despite that social difficulties are a hallmark feature of borderline personality disorder (BPD). We hypothesized that rejection sensitivity, or the tendency to anxiously anticipate and readily perceive social rejection, might be one mechanism leading to the negative social impact associated with BPD symptoms. To test this hypothesis, a sample of college students (N = 165) completed self-report measures in the laboratory. With rejection sensitivity in the model, borderline features did not directly predict number of social supports. However, borderline features indirectly predicted decreased number of social supports via increased rejection sensitivity. Conversely, borderline features directly predicted social support satisfaction but did not evidence an indirect effect through rejection sensitivity. The results of this research suggest that rejection sensitivity is an important individual difference by which borderline features leads to the lower levels of social support demonstrated in past research. Future directions, such as examining potential mediators of social support perception, are discussed.     

Distinguishing types of social withdrawal in children: Internalizing and externalizing outcomes of conflicted shyness versus social disinterest across childhood

Little research has examined the effect of subtypes of social withdrawal on the development of psychopathology across childhood.Parents of 493 children (220 females) completed a measure of their child’s conflicted shyness and social disinterest as well as the Child Behavior Checklist (CBCL) when their child was age 3, and again at age 6. When children were age 9, parents completed the CBCL.From 3 to 6, conflicted shyness predicted increases in anxiety symptoms in boys and girls, and predicted depressive symptoms in boys. From 6 to 9, social disinterest predicted increases in anxiety symptoms in girls and boys, and predicted increases in depressive symptoms in boys. In addition, in boys, conflicted shyness at age 6 predicted increases in externalizing symptoms at age 9.Conflicted shyness appears to be particularly problematic in early to middle childhood, while social disinterest appears to be more maladaptive in later childhood, with some differences by gender.