The influence of breast cancer survivors' Perceived partner social support and need satisfaction on depressive symptoms: A longitudinal analysis

The present study examines the ways in which breast cancer survivors’ perceptions of emotional and instrumental social support from an intimate partner and need satisfaction in their partner role influence depression during and after breast cancer treatment. Our sample was comprised of 163 women who were an average of 57 years old, mostly White/Caucasian, and diagnosed primarily with early-stage breast cancer. Longitudinal data were analysed using both multilevel and structural equation modelling. Results reveal that (a) greater perceived partner emotional support is associated with lowered levels of depression at each wave, (b) partner-role need satisfaction mediates the relationship between perceived partner emotional support and depression at each wave, (c) perceived partner emotional support predicts subsequent changes in depression by way of need satisfaction and (d) depression prospectively predicts lowered perceptions of partner emotional and instrumental support. The findings confirm that basic need satisfaction, within intimate relationships, is an important predictor of lowered depression among breast cancer survivors.     

Marital satisfaction of Chinese under stress: Moderating effects of personal control and social support

Stressful life events, personal control, and social support were examined relative to marital satisfaction among 1749 participants in seven Chinese cities. Stressful life events were categorized as life crises and life transitions. Life crises, rather than transitions, negatively predicted the marital satisfaction of Chinese. The moderating effects of personal control were found among women, but not men, and occurred only in the relationship between marital satisfaction and life crises, not life transitions. Social support buffers the negative effects of life crises on marital satisfaction. The results extend family stress‐coping theory in specifying two coping resources for Chinese marriages under stress.     

Assessment of the life stress-depression relationship: The use of social support as a moderator variable

Two hundred and fifty-two undergraduates completed a modified version of the Life Experience Survey (LES), the Beck Depression Inventory (Revised), and a measure of social support. Correlations between negative and total life changes on the LES and the Beck were significant for individuals with high social support (r=.36 and .29), but these correlations were significantly higher for individuals with low social support (r=.67 and .66). In addition, positive LES scores were significantly correlated with the Beck for individuals with low social support (r=.37), and individuals with low social support had higher mean scores on the Beck,F(1,250)=20.72,p<.0001. These findings were interpreted as supporting the theory of Holmes and Rahe and Sarason and Johnson that aversive life changes are related to depression, and provide evidence for the view the positive life changes can also be stressful. These data also support the concept of individual differences in vulnerability to stress and the role of social support in this vulnerability. The use of social support as a moderator variable appears to enhance correlations between the LES and depression to the level of clinical utility.     

The relationship of social support to physical and psychological aspects of AIDS

Abstract

This study explored the social support networks of 50 homosexual males with Acquired Immune Deficiency Syndrome (AIDS). Data gathered by self report questionnaires and medical records included diagnosis, number of medical symptoms, sociodemographics, extensive information about social support networks, mood state and physical health status. Variables associated with good psychological and physical adaptation included satisfaction with support, instrumental support and emotional support. Results of this study conflict with previous studies in that worse physical condition was not positively associated with satisfaction with support, was related to less instrumental support and was not associated with increased quantitative support. The measures of satisfaction with support, instrumental support and emotional support were all quite high, even though network size was small.     

The quantity and quality of marital interaction related to marital satisfaction: A behavioral analysis

An assessment instrument is presented for the evaluation of the quantity and quality of dyadic interaction, as well as for the daily recording of behaviors presented and omitted which influence marital satisfaction. Comparison of data from ten happy couples and from ten couples entering therapy indicated two distinct dysfunctional patterns among distressed couples, with significantly different patterns of time-together and positive/negative ratios differentiating the happy versus therapy groups. Independent behavioral recording for 14 consecutive days significantly increased husband-wife agreement on a traditional adjustment questionnaire without significantly increasing or decreasing the level of satisfaction being assessed. There was no difference between groups as to interspousal agreement on amount of time together. However, the happy couples agreed on daily quality ratings of the 72 15-minute segments significantly more often than did the distressed couples. Couples at the extremes of the happy-distressed continuum reported rewarding and punishing, respectively, in response to the partners presence, regardless of behaviors emitted. Midrange happy couples defined "pleasant" as positive behaviors presented; midrange distressed couples defined "pleasant" as negative behaviors omitted. Theoretical and clinical implications of behavioral analysis of sequential patterns are discussed.     

Depression,anxiety and social support in rheumatoid arthritic women without and with a spouse

Abstract

A comparison was made of income and physical, social and psychological aspects of health between 22 female patients who had never married, 127 patients living with a spouse and 53 patients who were widowed or divorced. No significant differences were found between never married patients and patients living with a spouse. The widowed or divorced patients however had a lower income, reported less potential support, more depression and anxiety than the patients who were never married and those living with a spouse. The relationship of social support to depression and anxiety was investigated in spouseless patients (n=75) and in those living with a spouse (n=127). In both groups of patients, less potential support was found to be related to more anxiety. In addition, pain was found to contribute significantly to depression and to anxiety only in the patients living with a spouse. With regard to the latter, it is suggested that the debilitating influence of pain on the relationship with the partner might have been the mediating factor.     

The relation of self-supporting personality, enacted social support, and perceived social support

This study examines the relational model of self-supporting personality, enacted social support, and perceived social support in a sample of 482 Chinese high school students using the Self-Supporting Personality Scale for Adolescent Students (SSPS-AS), the Social Support Rating Scale (SSRS), and the Multidimensional Scale of Perceived Social Support (MSPSS). Results from the cross-sectional structural equation analyses revealed that interpersonal initiative, interpersonal openness, personal openness and personal initiative predicted perceived social support through the mediating role of enacted social support, while interpersonal responsibility, interpersonal flexibility, and personal initiative predicted perceived social support directly. Thus, the hypothesized relational model of personality, enacted social support, and perceived social support was supported. The positive relational schema may be the main underpinning of the relation of self-supporting personality, enacted social support, and perceived social support. Culture also may influence the relation.     

Negative emotional responses to motherhood-related support receipt during pregnancy predict postpartum depressive symptoms

Background and Objectives: Prenatal stress increases risk for postpartum depression. While social support availability may attenuate this risk, little research has examined support receipt during pregnancy, which has been linked to increased distress in other domains. This study assesses the implications of motherhood-related and motherhood-unrelated support receipt for daily distress during pregnancy and tests whether negative responsiveness to motherhood-related support predicts postpartum depression risk. Design and Method: Thirty-one pregnant women were recruited from the community for a 3-wave study (beginning at approximately 26 weeks gestation, 34 weeks gestation, and 4 weeks postpartum). Each wave included a survey of general characteristics (e.g. depressive symptoms) and a two-week diary period measuring mood, stress, and support. Results: A multilevel model analysis suggested that motherhood-related support predicted greater increases in daily distress than motherhood-unrelated support. Follow-up regression analysis showed that those who responded more negatively to motherhood-related support reported higher postpartum depressive symptoms. Conclusions: Although preliminary due to the sample size, the results suggest that how women interpret and respond to support may contribute to postpartum depression risk. Future research should focus on how mothers can more positively construe the support they receive in addition to how to increase the support available to them.     

农村中学教师工作满意度与社会支持的相关研究

通过采用采用斯佩克特工作满意度量表(JSS)和肖水源社会支持评定量表(SSRS)对200名农村中学教师进行调查,探讨农村中学教师的工作满意度现状及其与社会支持的关系,进而为农村中学教师的心理健康保健提供指导意义和理论依据。     

Cognitive and marital factors in depression

The current investigation examines three groups of wives: (1) a group of nondepressed, nondiscordant community wives; (2) a group of nondepressed, discordant clinic wives; and (3) a group of depressed, discordant clinic wives. Groups were formed on the basis of structured interview responses and responses to a self-report inventory of depressive symptomatology. To be classified as depressed, wives were required to meet DSM III criteria for depression according to interview data and to exceed a Beck Depression Inventory score of 14. Both clinic groups showed equal levels of marital discord. Both nondepressed groups showed equally few cognitive errors. Accordingly, comparisons of these three groups allow us to test current interpersonal and cognitive theories of depression. The level of closeness in the marriage differentiated the depressed, discordant from the nondepressed, discordant wives despite their equal levels of overall marital discord. The level of depressive symptomatology was greater for the nondepressed clinic wives than it was for the community wives despite their equal levels of cognitive errors. Both closeness in the marriage and cognitive errors accounted for the unique variance in level of depression. Implications for current interpersonal and cognitive accounts of depression are discussed.Support for this research came in part from NIMH Grant 38390-02. Portions of this paper were presented at the 25th Annual Convention of the American Association for the Advancement of Behavior Therapy.     

Effective interactions: Communication and high levels of marital satisfaction

Of all the significant relationships in the lives of human-beings, the marital relationship remains one of the most central and important to their well-being. For this rapid review the authors accessed four online databases (PsycINFO, PsychARTICLES, JSTOR Journals, and ScienceDirect) to examine the evidence on aspects of communication which contribute to high levels of marital satisfaction and to synthesise these findings. The search yielded 103 unique articles, of which 15 were ultimately included. Principal results found the following activities to relate to high marital satisfaction: 1) communication activities such as engaging in small talk and providing verbal and non-verbal messages of affection; 2) “positive” exchanges which include any interactions perceived by both parties as constructive; 3) effective conflict management including the use of responses of recalibration and reaffirmation (R-R response), the use of we-pronouns, and the Listener-Speaker technique; 4) possessing and implementing effective communication skills such as using “I” instead of “you” messages; and 5) using “positive” communication skills such as clarification to elicit “positive” affect such as feeling understood. The evidence suggests that mental health professionals working with married couples should seek to promote quality dyadic communication as part of treatment interventions.     

How psychological resources mediate and perceived social support moderates the relationship between depressive symptoms and help-seeking intentions in college students

There is a high prevalence of depression among college students, which is linked to lower levels of help-seeking intentions. However, there has been a lack of research examining variables that may help explain this relationship. The present study aimed to address this gap by examining whether psychological resources (optimism and self-esteem) mediate the relationship between depressive symptoms and help-seeking intentions, and whether this relationship is moderated by perceived social support. Participants were 8121 college students (66% female) aged 17–25 years (M?=?20.42, SD?=?1.90), who completed the My World Survey Post-Second Level, a national survey on youth mental health. Linear regression analysis confirmed that depressive symptoms predicted lower informal help-seeking intentions. Moderated mediation indicated that social support moderated the direct relationship between depressive symptoms and informal help-seeking intentions and that optimism and self-esteem mediated this relationship, when gender was controlled for. Findings indicate that social support and psychological resources help further our understanding of the relationship between depressive symptoms and help-seeking in young people. Campaigns promoting help-seeking in college students should focus on the beneficial role of social support and on fostering optimism and self-esteem as facilitators of help-seeking intentions.     

The role of social support on the disclosure of everyday unpleasant emotional events

Talking about unpleasant events has important implications for coping with distress, but the literature has not thoroughly addressed the role of social support on the decision to disclose these events. The authors hypothesized that perceptions of the availability of social support and satisfaction with support received regarding an event would be positively related to the disclosure of the event, and participants’ sex, emotional disclosure tendencies, depression symptoms, and global perceptions of support would moderate these relations. College students (N = 365) reported on 2,001 unpleasant emotional events that they personally experienced in the past week. Multilevel modeling analyses revealed that the perceived availability of support for an event predicted the degree of disclosure of that event, even while controlling for its intensity. Event disclosure predicted satisfaction with the support received for the event, controlling for event intensity and available support. This latter relation was moderated by the participants’ global perceptions of social support, such that the disclosure–satisfaction relation was stronger for individuals who perceived relatively less global social support. These findings suggest that characteristics of the social-support network ought to be considered as an important factor relevant to the decision to disclose everyday unpleasant events.     

A model of resilience and marital satisfaction

This article examined the hypothesis that resilience mediates the relationship between marital satisfaction and a host of relevant variables, including spousal attachment, social support, and affect. Participants were 195 married individuals, who completed online surveys about their marriage. Importantly, the findings indicated that resilience has a direct effect on marital satisfaction. In addition, affect and social support were each shown to indirectly impact satisfaction through resilience. The relationships between spousal attachment, resilience, and satisfaction were more complicated than predicted and are further discussed. Overall, the results demonstrate the importance of resilience in marital satisfaction.     

Social support, locus of control, and depressive symptoms in hemodialysis patients

This study aimed to reveal how social support and psychological well-being association might differ with locus of control orientation for chronically ill patients receiving a restrictive and unpleasant medical treatment (i.e., hemodialysis). Data were collected from 104 hemodialysis patients. After controlling for the variance accounted for by gender and duration of dialysis, for patients with internal locus of control, lack of "perceived social support" was found to be associated with depressive symptoms. On the other hand, for patients with external locus of control, the same analysis revealed that lack of "satisfaction from the received social support" was associated with depressive symptoms. Thus, for hemodialysis patients the variables associated with depressive symptoms varied with their locus of control orientations. Furthermore, the present study underlined the importance of considering different aspects of social support while studying with chronically ill patients.     

Relations between plasma oxytocin,depressive symptoms and coping strategies in response to a stressor: the impact of social support

Background: Social support can serve as a protective factor against the negative impacts of stressors and may thereby promote well-being. As well, exogenous administration of oxytocin has been tied to diminished stress responses and might also enhance the effects of social support.

Methods/Results: In the current study, conducted among female undergraduate students (N?=?67), higher depressive symptoms were related to lower endorsements of problem-focused coping in response to a psychosocial stressor comprising the Trier Social Stress test (TSST). However, the relation between depressive symptoms and problem-focused coping was absent among participants who had a close female friend present serving as social support prior to the stressor experience. Additionally, endogenous plasma oxytocin levels were related to certain coping strategies being favored (e.g., problem-solving, humor, cognitive distraction, self-blame and support seeking) in response to the psychosocial stressor. However, the strength of these relations varied as a function of whether individuals had social support present or not.

Conclusion: These findings confirm the positive impact of social support in attenuating the relation between depressive symptoms and specific coping methods. The results of this study are consistent with view that oxytocin levels are accompanied by particular stress responses, possibly through the promotion of coping methods endorsed.     

The relationship between marital standards,dyadic coping and marital satisfaction

Different types of cognitions in close relationships have been identified. Yet, little is known about the nature and effects of most of them, such as marital standards. In our research project ‘What makes marriages last?’ we applied a German adaptation of the ‘Inventory of Specific Relationship Standards,’ a questionnaire measuring how much sharing, egalitarianism and investment spouses feel they should have and actually experience in their own marriage. We hypothesized that high, i.e., relationship‐focused standards, should be associated with dyadic coping processes as well as with marital satisfaction. Thereby, dyadic coping was expected to play a mediating role between standards and marital satisfaction. Based on a sample of 663 German married couples, we found significant correlations between standards, marital satisfaction, and dyadic coping processes. Moreover, supportive behavior in stressful situations had the expected partial mediating effect, which turned out to be slightly different for husbands and wives. Implications for preventive and therapeutic intervention are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

The relationship of social support to depressive symptoms during the transition to high school

The transition to high school is studied as a time when students may experience disruptions in their social support systems. Peer support, family support, and school belonging were hypothesized to be associated with adolescent adjustment, specifically depressive symptoms. Participants included 104 eighth graders and 101 ninth graders from a middle- to high-income, predominantly white community in southern Rhode Island. In year 2, 60 of the original 8th graders were surveyed as 9th graders. Three hypotheses were examined: Social support declines from 8th to 9th grade; depressive symptoms increase from 8th to 9th grade; and social support is significantly associated with depressive symptoms. The hypotheses were tested using cross-sectional and longitudinal analyses. Results indicated that 9th graders experienced more depressive symptoms and lower levels of school belonging as compared to the 8th graders. Changes in parent support and peer support were significantly associated with depressive symptoms in the transition to high school. Implications for increasing school belonging in the 9th grade are discussed.     

Attributions for spousal behavior in relation to criticism and perceived criticism

This study examined relations between spousal attributions and criticism in a sample of 118 married couples. Spouses rated general perceived criticism (PC) and their own expressed criticism as well as interaction-specific PC from a videotaped discussion. Independent judges also coded criticism from the discussion. Spouses’ self-reported causal and responsibility attributions for hypothetical spousal negative behavior were related to all types of criticism. Attributions were also associated with unique variance in spouses’ reports of general PC and criticism, even after controlling either for judges’ or partners’ ratings of criticism and marital adjustment. General PC and expressed criticism appear to reflect more than either the amount of criticism present or feelings about the marriage; rather, general PC and expressed criticism are uniquely associated with the cause and responsibility ascribed to partners’ behavior.