Behavioral manifestations of social support: a microanalytic investigation

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

Perceived social support, self-efficacy, and adjustment to abortion

Prior to their having a 1st trimester abortion, women's perceptions of social support from their partner, family, and friends and self-efficacy for coping were assessed. Depression, mood, physical complaints, and anticipation of negative consequences were measured after the 30-min recovery period. As predicted, perceived social support enhanced adjustment indirectly through its effects on self-efficacy. Women who perceived high support from their family, friends, and partners had higher self-efficacy for coping. Higher self-efficacy, in turn, predicted better adjustment on the psychological measures but not on the physical complaint measure. No direct path between social support and adjustment was observed. In addition, women who told close others of their abortion but perceived them as less than completely supportive had poorer postabortion psychological adjustment than either women who did not tell or women who told and perceived complete support.     

Assessment of coping strategies, social support, and general health status in individuals with diabetes mellitus

This study examined 51 individuals (30 men, 21 women) who participated in an outpatient diabetes education program. Participants with higher perceived support by friends and problem-solving coping strategies were healthier, while those exhibiting a wish-fulfillment coping style were less healthy. Perceived family social support was much greater for Type II (noninsulin-dependent) individuals than for Type I (insulin-dependent) individuals. Men perceived greater family support, were more likely to use problem-solving coping, and were healthier than women; however, both wish fulfillment and detachment coping were more prevalent in women. Perceived support from family and friends increased with education. Implications for diabetes education programs are also introduced.     

The relationship of daily hassles, social support, and coping to depression in black and white students

Black and White American college students were compared to determine how daily hassles, coping strategies, and social support related to depression. Although the mean intensity of hassles did not differ, Black students reported a higher frequency of hassles. Cumulative severity of hassles, defined in terms of both intensity and frequency was therefore higher for Black students. White students perceived more support from friends than from family, but the opposite held for Black students. Mean scores on type of coping (active problem solving, seeking social support, or avoidance) were similar, as were the reported levels of depression. Hierarchical multiple regression showed that the severity of hassles was directly related to depression for both groups. Race did not interact with any index of social support, except perceived family support, which was related to lower depression among Black students. There was no support for the notion that social support serves as a buffer against depression.     

Recipient-provider agreement on enacted support, perceived support, and provider personality

This study examined agreement between recipients and providers about social support and personality. One hundred daughter caregivers of a parent with Alzheimer's disease and each caregiver's most important support provider independently reported supportive behaviors provided to caregivers, the perceived supportiveness of the provider, and providers' personality traits. For all indices, agreement was higher for enacted support than for perceived support and personality, which were similar to each other for some, but not all, indices of agreement. These findings support the validity of measures of enacted and perceived support.     

Stress,social support,and problem-solving appraisal/skills: Prediction of suicide severity within a college sample

This study assessed whether stress, social support, and interpersonal problem-solving appraisal/skills were predictive of level of suicidality within a chronic suicidal college sample. Stepwise regression analyses were used to assess whether stress, social support, and problem-solving were independently predictive of severity of suicide ideation. In addition, hierarchical regression analyses were used to test the mediational nature of social support and problem-solving in the stress-suicidality relationship. Problem-solving confidence was found to be a significant predictor of severity of suicide ideation. In addition, both perceived problem-solving skills and social support mediated the relationship between stress and level of suicide ideation. However, only one of the two perceived problem-solving skills interactions was in the expected direction. This study provided support for the importance of problem-solving confidence and the interaction of stress and social support in the prediction of suicide severity. Unlike previous studies, this study did not find problem-solving skills/deficits to mediate the stress-suicidality relationship.This research was supported by NIMH Grant 1-18MH48133.     

Enacted support during stressful life events in middle and older adulthood: An examination of the interpersonal context

Individuals often turn to their close social ties for support during stressful life events. Although a great deal of work examines perceived support (i.e., support believed to be available should an event occur), less is known about enacted support (i.e., support actually provided during stressful events), especially among middle-aged and older people. The present study investigated whether enacted support (emotional or instrumental) varies by relationship quality and stress appraisals. Participants included 152 adults (principal respondents; aged 50 to 69 years, 63% women) who had experienced three or more stressful life events in the last year and 180 of their identified supportive ties (core network members). Multilevel models revealed that higher quality relationships enact high levels of support irrespective of high or low stress appraisals. In contrast, lower quality relationships enact greater support under conditions of higher stress but less support under conditions of lower stress, suggesting that lower quality relationships are mobilized only under higher levels of stress. Findings are consistent with the support provision process model and highlight the importance of considering relationship context and the stress continuum in studies of enacted support among older adults. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Multiple pathways from stress to suicidality and the protective effect of social support in Hong Kong adolescents

Two theoretical models were constructed to illustrate how stressful events, family and friends support, depression, substance use, and death attitude mutually influence to create cumulative risks for suicide. The models were evaluated using structural equation modeling. Results showed that suicidality was strongly predicted by death attitude, depression, and substance use which together form a dangerous combination of risk factors at the personal level. Within the adolescent's social environment, stressful events increased suicidality through intensifying depression, substance use, and death acceptance, whereas family and friends support lowered it, partly through reducing stress and death acceptance. The effect (direct and indirect combined) of family support was much stronger than that of friends support. Enhancing stress coping ability, promoting positive family relationships, and attacking attitudes supportive of death might be the best strategies to prevent youth suicide.     

Social support and cancer: Adult patients' desire for support from family,friends, and health professionals

Examined cancer patients' desire for social support from family, friends, and health professionals upon whom they most depended for support. Before a single interaction with each of these sources, nonhospitalized adult cancer patients (N = 64) completed a questionnaire indicating their desire for support from the source on 11 functional components. Results indicated that emotional and instrumental functions of support were distinct and required separate examination. Distinctiveness of primary sources was manifest by patients' overall preference for tangible aid from family, modeling from friends who had cancer, and open communication and clarification from health professionals. Family and friends were equally preferred sources for dealing with affective reactions to the stressfulness of cancer. All three sources were similarly desired for self-esteem enhancement and for relief from decision-making and problem-solving responsibilities. Finally, patients' perceived prognosis but not the objective severity of their illness was associated with a heightened desire for support, especially for instrumental support functions.     

Examination of the salutogenic model, support resources, coping style, and stressors among Israeli university students

The author investigated A. Antonovsky's (1979) concept of the sense of coherence (SOC) in relation to social support, coping styles, and the stress experiences of college students. A multivariate model was used to assess the relationships between the psychosocial resources, perceived stress, and the effect of different coping styles among 261 undergraduate students in three Israeli institutions of higher education. Results of a multivariate analysis of variance revealed that younger students used more emotional strategies and perceived having greater social support from friends than did older students. Students who did not work reported experiencing higher levels of stress associated with daily life and work-related issues. Women used more emotional and avoidance coping strategies. The findings of the regression analysis demonstrated that task-oriented and emotional coping modes, work stress, and family support explained 30% of the variance of SOC. These results increase our understanding of the salutogenic model of students within university settings and suggest focusing on the students and their interaction with the environment, using the concepts of stress, coping, and social support as inseparable characteristics of systems models.     

Social conflict, social support, and psychological distress: evidence of cross-domain buffering effects.

A longitudinal study examined the relative and joint effects of perceived social support and social conflict on psychological distress in 228 college students. Women had higher perceived social support from roommates and friends and less conflict with roommates than did men; there were no gender differences in level of conflict with friends or psychological distress. Roommate conflict predicted increases in psychological distress over time; this effect was attenuated by high levels of perceived social support from friends. Friend conflict also predicted increases in psychological distress over time; this effect was attenuated by high levels of perceived social support from roommates. These results show the importance of negative and positive aspects of social experiences to emotional functioning and the importance of compensatory social support for individuals facing social conflicts.     

Social Problem-Solving and Suicidal Ideation Among Homeless Youth Receiving a Cognitive Therapy Intervention: A Moderated Mediation Analysis

Despite the high prevalence of suicidal ideation and attempts among homeless youth, little research has examined how suicide prevention interventions influence suicide-related risk and protective factors, and ultimately produce positive outcome in suicidality in this population. Drawing on the Diathesis-Stress Model and the Interpersonal Theory of Suicide, the current study examined whether participation in Cognitive Therapy for Suicide Prevention (CTSP) moderated the mediation link between social problem-solving, perceived burdensomeness and thwarted belongingness, and suicidal ideation among a sample of homeless youth experiencing suicidal ideation. Social problem-solving refers to a set of cognitive, emotional, and behavioral coping responses in the face of stressful situations, and it is identified as a potent protective factor in alleviating perceived burdensomeness and thwarted belongingness, and reducing suicidal ideation. Participants included 150 homeless youth (M age = 20.99, range = 18-24; 41% female) who were randomly assigned to Cognitive Therapy for Suicide Prevention (CTSP) + Treatment as Usual (TAU) (n = 75) or Treatment as Usual alone (n = 75). Participants were assessed at baseline, 3, 6, and 9 months post-baseline. Findings showed that perceived burdensomeness mediated the association of social problem-solving with suicidal ideation only among youth participating in the CTSP condition. These findings provide evidence to support the promising effects of CTSP in enhancing the protective effects of social problem-solving on suicidal ideation through the mediating effects of perceived burdensomeness. Findings also have implications for improving intervention effectiveness with a community-based population at high risk of suicide.     

Sociocultural predictors of psychological help-seeking attitudes and behavior among Mexican American college students

Sociocultural variables of acculturation, enculturation, cultural congruity, and perceived social support were used as predictors of psychological help-seeking attitudes and behaviors among 162 Mexican American college students. Multivariate multiple regression analyses indicated that higher cultural congruity, lower perceived social support from family, and higher perceived social support from significant others were significant predictors of positive help-seeking attitudes. In addition, higher acculturation into the dominant society, lower perceived social support from family, and lower perceived social support from friends were significantly predictive of greater help-seeking behavior. Implications for research and practice are discussed.     

Social support and college student contraceptive use

Sources of social support for contraceptive use were examined in a survey of 280 sexually active college students (132 female and 148 male) aged 17-23 years. Variables measured were contraceptive use at last intercourse, perceived social support for contraceptive use, and motivation to comply with these sources of support. Friends and partners were identified as equally supportive, but only partner support was related to contraceptive use. Among nonusers of an effective method, best friend support exceeded partner support. Finally, students reported more motivation to comply with their partners than with friends or parents. Men were even less likely to comply with support provided by a best friend than women. The finding that parental support was not an important factor suggests that contraceptive use is best promoted through the self-disclosure and open discussion young adults enjoy with peers. Moreover, a desire to please one's sexual partner seems to outweigh advice provided by a best friend. Thus, contraceptive promotion among young adults should be targeted not only at potential users, but also at sexual partners. The potential of such an approach is demonstrated by this study's finding that young men were willing to use condoms when encouraged by their partner, despite widespread dislike of this method.     

Social support,self-esteem and depression: Relationship with risk for sexually transmitted infections/HIV transmission

Sexually transmitted infections (STIs) and HIV are important health problems that affect adolescents. The aim of the present study was to analyze the relationship between 1) depression, self-esteem and perceived social support and 2) sexual risk behaviors according to gender. The sample used in this ex post facto study was composed of 1,005 adolescents of both sexes aged between 14 and 18 years. Participants completed several questionnaires in the classrooms of their secondary education schools. The questionnaires assessed depression, self-esteem and perceived social support and recorded information on sexual behavior and socio-demographic issues. Results showed that, among males, self-esteem predicted higher vaginal risk, depression was related to higher vaginal, anal and oral sexual risk, and perceived support from the family predicted lower vaginal and anal sexual risk. Among females, self-esteem was found to be associated with lower anal sexual risk and perceived support from friends predicted lower anal and oral sexual risk. The study highlights the importance of considering family and friends as well as gender differences in the prevention of STIs/HIV.     

Companion cats and the social support systems of men with AIDS.

60 male pet owners with AIDS were given a formal questionnaire including items related to demographic, lifestyle, and pet ownership, as well as the Comfort from Companion Animals Scale, the Revised UCLA Loneliness Scale, and the General Health Questionnaire (GHQ-28). The men lived in the San Francisco area and received assistance from Pets Are Wonderful Support (PAWS), a community organization, in caring for their companion dogs or cats. Participants were a convenience sample of pet owners who volunteered from among 500 PAWS clients and who do not necessarily represent a random sample of men with AIDS who keep companion animals. For these men, their comfort from companion animals was significantly associated with having cats but not dogs, closeness with friends, dissatisfaction with their practical support system, and listing pets as a source of support. Loneliness was negatively associated with having a large practical support network, scoring as healthy on the General Health Questionnaire, and living alone. For these male pet owners with AIDS, pet cats appeared to complement their supportive relationships with friends and family that were protective against loneliness.     

Objective determinants of perceived social support

Objective characteristics of people's social networks were examined as determinants of the perceived availability of social support in two populations: elderly adults (n = 50) and mothers of 1-year-olds (n = 71). Number of network members and frequency of contact with network members, computed separately for kin and nonkin were examined as predictors of loneliness, overall social support, and the six components of social support proposed by Weiss (1974). Kin were found to be more effective providers than nonkin of some aspects of social support. Network characteristics were better predictors of perceived social support for the elderly than for the mothers, but a maximum of 30% of the variance in perceived social support was attributable to the objective network characteristics in either sample. It is recommended that future research on the determinants of perceived social support consider actual interpersonal behaviors, their contexts, and personality characteristics that affect the facilitation an interpretation of supportive behaviors.     

Perceived social support,coping, and symptoms of distress in American and Spanish students

Abstract

The aim of this study was to test whether coping responses mediated the influence of perceived social support on symptoms of anxiety/depression, social withdrawal, and aggressive behavior in American (N=349) and Spanish students (N=437). Participants completed measures of perceived support, social stress, coping, and distress. Coping partially mediated relations between perceived support and distress, with coping mediation most evident in individuals facing high levels of social stress. Decreased use of disengagement coping by individuals with high perceived support appears to partially explain the protective value of perceived social support. Multiple group covariance structure analysis showed that models linking perceived support, coping, and distress were very similar across cultures, suggesting that the mechanisms underlying decreased risk for individuals with high perceived support may be relatively independent of cultural context, and that interventions designed to increase perceived support and decrease disengagement could be appropriate in both cultures.     

Social support and psychological well-being in young adults: the multi-dimensional support scale

A large sample (N = 483) of community-living adults (M age = 23.6 years) responded to questions about the frequency and adequacy of emotional, practical, and informational support during the past month from three sources-confidants, peers, and supervisors-using the Multi-Dimensional Support Scale. Factor analysis was used to distinguish meaningful regularities in item responses, and the resulting five scales have high internal reliability. Scores correlated significantly with measures of self-esteem, depressive affect, and psychological disturbance according to the General Health Questionnaire. To investigate what contribution support measures could make to the prediction of psychological well-being, hierarchical regression analyses were carried out with stressors entered first and support scores entered second. As expected, respondents' psychological well-being was related to their level of life stress; however, the addition of social support measures doubled the explained variance in measures of psychological well-being. The support measure with the strongest association with well-being was the frequency of supportive behaviors toward the respondent by close family and friends.     

Coping, Conflictual Social Interactions, Social Support, and Mood Among HIV-Infected Persons

This study considers the interrelationships among coping, conflictual social interactions, and social support, as well as their combined associations with positive and negative mood. Research has shown that each of these variables affects adjustment to stressful circumstances. Few studies, however, examine this full set of variables simultaneously. One hundred forty HIV-infected persons completed a questionnaire containing measures of coping, social support, conflictual social interactions, and positive and negative mood. Factor analyses showed that perceived social support and conflictual social interactions formed separate factors and were not strongly related. Compared to perceived social support, social conflict was more strongly related to coping behaviors, especially to social isolation, anger, and wishful thinking. Conflictual social interactions were more strongly related to negative mood than was perceived social support. Coping by withdrawing socially was significantly related to less positive and greater negative mood. The findings point to the importance of simultaneously considering coping, supportive relationships, and conflictual relationships in studies of adjustment to chronic illness. In particular, a dynamic may occur in which conflictual social interactions and social isolation aggravate each other and result in escalating psychological distress.