Depressive Symptoms,Stress, and Social Support Among Dental Students at a Historically Black College and University

Objective: The authors measured the prevalence of depressive symptoms among dental students at a historically black college in the United States to determine how depressive symptoms, stress, and social support influence each other within this student population. Participants: Dental students (n = 143) completed a self-administered survey to assess depressive symptoms, stress, and social support, using validated and reliable instruments. Participants also reported demographic variables. Methods: The authors used multivariable linear regression controlling for potential confounding. Results: The prevalence of depressive symptoms was 16.7%. There were significantly higher levels of stress for students with depressive symptoms compared with those without such symptoms (p < .01), and students with depressive symptoms had significantly lower levels of social support (p < .01). Results show higher levels of depressive symptomatology to be related to decreased social support at both high and low stress levels (p < .01). Conclusions: Stress and social support are associated with depressive symptoms among dental students.     

Disclosure Stress,Social Support,and Depressive Symptoms Among Cisgender Bisexual Youth

Bisexual youth are at elevated risk for depression when compared with lesbians and gay men. Research on bisexual stigma suggests that these youth are uniquely vulnerable to stress related to sexual identity disclosure. Depression associated with this stress may be buffered by social support from parents and friends. We examined the differential influence of social support from parents and friends (Child and Adolescent Social Support Scale) on the relation between disclosure stress (LGBTQ Coming Out Stress Scale) and depressive symptoms (Beck Depression Inventory) and differences by gender in a sample of cisgender bisexual youth (N = 383) using structural equation modeling. Parental support buffered the association between stressful disclosure to family and depressive symptoms, especially for bisexual men; bisexual women seemed not to benefit from such support when disclosure stress was high. This nuanced examination elucidates the ways family members and clinicians can best support bisexual youth sexual identity disclosure.     

Validation of the Postpartum Social Support Questionnaire in low-income,African American women

ABSTRACT

This study applied a previously developed Postpartum Social Support Questionnaire to low-income, African American women. The 33-question survey was administered to 95 African American women between 4- and 8-weeks postpartum. The survey was readministered 2 weeks later. All women were of low socioeconomic status based on their qualification for public insurance. The questionnaire addresses subscales of partner, parent, in-law, and other friend/relative support. Responses were used to evaluate internal reliability of each subscale, test–retest correlation, and factor loading. Results were compared between women with and without a positive postpartum depression screen. Cronbach's alpha coefficients for each subscale ranged from .90 to .96. Test-retest correlation coefficients ranged from .72 to .87. Exploratory factor analysis with orthogonal varimax rotation was consistent with previously studied samples. Those women with positive postpartum depression screens had significantly lower social support scores (M = 122, SD = 36) than women with negative postpartum depression screens (M = 149, SD = 38), t(79) = ?2.62, p = .01. The Postpartum Social Support Questionnaire is a useful assessment in low-income, African American mothers.     

A Culture of Mutual Support: The Impact of Giving and Receiving of Practical and Emotional Support on African American Marital Satisfaction

Although the literature has discussed the extensive family network ties of African Americans and its implications for marital satisfaction, few studies incorporate primarily African American samples in studies of marital satisfaction and social networks. This study draws on a sample of African American married couples from the National Survey of American Life and explores the impact of mutual support, giving and receiving of practical and emotional support, on the marital satisfaction of husbands and wives. Results from the ordinal logistic regression analyses reveal that emotional support received from family and support given to friends are significantly related to husbands’ marital satisfaction whereas emotional support received from family and negative interaction with family contributes to wives’ marital satisfaction. Research and practice implications with African American married couples are discussed.     

Life Balance and Work Addiction Among African Americans

A dearth of counseling literature examines the experiences of people of color, including African American women and men, in relation to work–life balance. The authors, therefore, investigated the association between life‐balance domains and work addiction for African Americans. A multiple regression analysis of 115 African American participants (47 men, 68 women) indicated a significant relationship between life‐balance domains and work addiction. In particular, community support was an important indicator of decreased work addiction. Career counselors and mental health counselors need to develop an understanding of how extended familial and social networks assist African American clients in effectively managing work–life balance.     

Factors That Facilitate Relationship Entry Among Married and Cohabiting African Americans

This article examines whether social class differences influences low-income, married and cohabiting African Americans to realize that they are in a “coupled” relationship. To determine the extent to which social class influences the assessment of “couple” status in these partnerships, we examined the qualitative responses of 30 cohabiting and 31 married African Americans to a question regarding the specific event in their relationship that made them realize they were a couple. Qualitative analyses of the data resulted in four delineated themes: (1) relationship marker, (2) affection/sex, (3) having or rearing children, and (4) time and money. Supporting qualitative data are presented in connection with each theme. The sociological aspects of income on African American romantic relationships are also discussed.     

Positive Social Support,Negative Social Exchanges,and Suicidal Behavior in College Students

Abstract

Objective: Risk for suicide is often higher among college students, compared to same-age noncollegiate peers, and may be exacerbated by quality of social support and interactions. The authors examined the independent contributions of positive social support and negative social exchanges to suicide ideation and attempts in college students. Participants: Participants were 439 volunteer undergraduate students, who were primarily female (71%). Methods: Cross-sectional, survey design. Participants completed measures assessing positive social support, including emotional, informational, and tangible support; negative social exchanges; and suicidal behavior, including ideation and attempts. Results: Positive social support, particularly tangible support, and negative social exchanges were significantly predictive of greater suicidal behavior. Conclusions: Practical manifestations of support may buffer against suicide risk for college students, whereas conflict-based interactions may contribute to increased risk. At the institutional, parental, and peer levels, promotion of supportive relationships may be an important suicide prevention strategy.     

Environmental Correlates of Depressive Symptoms Among African American Adolescents Living in Public Housing

Abstract

Using a sample of 238 African American adolescents living in public housing, this study assesses the prevalence of depressive symptoms and examines the relationship between depressive symptoms and neighborhood characteristics. The prevalence of depressive symptoms was 34. Males (M = 20) reported significantly higher depressive symptoms than females (M = 16). Results show a significant relationship between ambient risk and depressive symptoms. The relationship between ambient risk and depressive symptoms was exacerbated by exposure to delinquent peers. Parental factors and attitude towards deviance buffered the relationship between ambient risk and depressive symptoms. These findings may have important implications for social policy and suggest that interventions to prevent depression among African American adolescents, living in public housing developments, must not only focus on reducing neighborhood risk factors but also on enhancing the protective factors available to the youth.     

Buffers of Racial Discrimination: Links With Depression Among Rural African American Mothers

The current study examines racial discrimination as a predictor of depression in a sample of 414 rural, low‐income African American mothers of young children. The potential moderating role of optimism and church‐based social support was also examined. Mothers completed questionnaires when their child was 24 months old. Hierarchical regression revealed that mothers' perception of racism was a significant predictor of depression even after controlling for a variety of distal demographic characteristics and environmental stressors. Significant interactions suggested the importance of psychological and social characteristics in understanding maternal depression. Specifically, high levels of optimism and church‐based social support buffered mothers from increased depressive symptomology attributable to perceived racism.     

Exploring Physical Health of African Americans: A Social Determinant Model

The objective was to examine the relationships between socioeconomic, structural, community, and individual factors and health outcomes of African Americans in the United States using a modified version of the social determinants of health model in a nationally representative sample of 2,926 non-elderly African American adults. This empirical evidence supports the hypothesis that there is a positive relationship between socioeconomic/structural determinants and health outcomes of African Americans. Results show poor housing and low income contribute to poorer health outcomes; therefore, in order to improve the health outcome, programs are needed that provide their residents with adequate and safe housing and employment. Moreover, local, state, and federal governmental entities need to work together to rebuild and revitalize the housing in African American communities.     

The Affordable Care Act: Implications for African Americans Living with HIV

This article reviews the Patient Protection and Affordable Care Act (ACA), 2010. It highlights the implications of the ACA for African Americans living with HIV/AIDS. This law is a practical step toward decreasing disproportionate chronic disease in vulnerable communities. Proper implementation of provisions will help the United States catch up to other industrialized nations with well-established public health care programs. Included is a concise table referencing notable provisions that support increased access to treatment, health education, and quality of care for clients. Social workers can use this information to ensure that clients benefit from this legislation.     

Acculturation,Premigration Traumatic Experiences,and Depression Among Vietnamese Americans

Summary

This study investigated the role of acculturation as a potential mediator or moderator for premigration traumatic experiences (PTE) and depression. The mediator effect refers to an effect in which acculturation mediates the negative impact of PTE on depression. On the other hand, the moderator effect signifies an interaction effect in which acculturation buffers the impact of PTE on depression. In other words, the negative impact of PTE on depression is hypothesized to vary according to different levels of acculturation. These two competing hypotheses were tested in a community-based sample of 261 adult Vietnamese Americans aged 25 and over. The sample consisted of 48% males and 64% of the sample were married. The average length of residence in the U.S. was 7 years. Multiple regression analyses did not support the mediator effect of acculturation, but did support its moderator effect as a buffer of PTE. Specifically, PTE had a much stronger effect on depression among those with lower levels of acculturation than those with higher levels of acculturation. Implications for future research and clinical practices are discussed.     

Religion,spirituality, coping,and resilience among African Americans with diabetes

Study aims were to explore how religion and spirituality impacted attitudes about self-management practices among African Americans with homelessness histories and to understand resilience in diabetes care practices. Qualitative semistructured face-to-face interviews were conducted with 42 African Americans older than 18 years. All audio-taped interviews lasted between 1–1.5 hr, transcribed verbatim, and analyzed using ATLAS.ti (version 7.0). Five resilience themes emerged. While participants recognized diabetes as an illness requiring professional treatment, the context of balancing treatment with religion and spiritual practices mattered. The study findings highlight the importance of spirituality, religious beliefs, and coping strategies in diabetes self-care activities.     

Family Relationships,Social Connections,and Depressive Symptoms Among Chinese Older Adults in International Migrant Families

This study explored whether and how family relationships and social connections influence depressive symptoms of older migrants and older adults in transnational families using the data gathered from a cross-sectional survey in Los Angeles, California, United States, and Beijing, China. Regression results showed that the older migrants reported significantly higher levels of depression than the elders in transnational families. The findings highlight the importance of maintaining close family relations and having large friendship networks for older adults in international migrant families.     

Social Networking Among Health Sciences University Students: Examining Social Network Usage,Social Support,and General Well-Being

Social network sites (SNSs) are organized around users who join an internet network to engage in daily discussions and postings. Though research informs us about SNSs usage, no published research addresses the use of social network sites among health science professionals. This study examined the relationship between social network usage, social support, and general well-being among undergraduate and graduate students. This study provides results that identify significant relationships (p < .001) associated with SNS usage and the variables of social support and general well-being among this study population. These results can inform the use of SNSs in university health sciences educational programs.     

Social isolation from extended family members and friends among African Americans: Findings from a national survey

This study investigated the correlates of objective social isolation from extended family members and friends among a national sample of African Americans. The analysis is based upon the African American subsample (n = 3,570) of the National Survey of American Life. The dependent variable examines four categories of respondents: 1) socially isolated from both family and friends, 2) socially isolated from friends only, 3) socially isolated from family only, and 4) not socially isolated. Overall, 23% of respondents indicated some degree of objective social isolation from family, friends or both groups, while the complementary 77% of the sample were not isolated from family or friends. Only 4% of respondents indicated being isolated from both family and friends. Multinomial logistic regression analysis revealed several gender, education, marital status and region differences. In particular, African American women were less likely to be socially isolated from family members than African American men. This finding was sustained even when controlling for differences in subjective isolation from family members, underscoring the protective effect of female gender. Study findings are discussed in relation to previous research on social isolation, as well as prior research on African American social support networks.     

Relations Among Intimate Partner Violence,Maternal Depressive Symptoms,and Maternal Parenting Behaviors

The authors examined the relations among intimate partner violence (IPV), maternal depressive symptoms, and maternal harsh intrusive parenting. Using a cross‐lagged, autoregressive path model, they sought to clarify the directionality of the relations among these 3 variables over the first 2 years of the child's life. The results indicated that, in this diverse sample of families living in predominantly low‐income rural communities (N = 705), higher levels of early IPV were associated with increases in maternal depressive symptoms, which in turn were associated with increases in maternal harsh intrusive parenting behaviors. These findings suggest that interventions aimed at improving the parenting of women exposed to domestic violence may want to simultaneously target IPV and depressive symptomatology.     

Religiousness/Spirituality and Subjective Well-Being Among Rural Elderly Whites,African Americans,and Native Americans

SUMMARY

Little attention has been paid to subjective well-being among non-White elderly in rural areas where medical resources and financial support are deficient. The present study assessed a rural community sample of 215 elderly comprising 85 Caucasians, 75 African Americans, and 55 Native Americans, to examine roles of spirituality/religiousness on their subjective well-being. This study found ethnic differences in the reliance on religiosity/spirituality and a significant association between dimensions of religiousness/spirituality and subjective well-being among all ethnic rural elderly groups. The results of the study suggest that health providers, social workers, and faith communities need to provide rural elderly with religious and spiritual support in order to enhance their life satisfaction and lessen their emotional distress.     

Career Adaptability and Social Support Among Graduating College Seniors

Previous research has highlighted the employment needs of recent college graduates, focusing on the specific challenges members of this group encounter as they transition into the workforce. This study examined graduating seniors (N = 164) during their senior year of college as they transitioned to the workforce, investigating career adaptability and social support. Results from multiple regression analyses found that the concern resource of career adaptability was significantly predicted by social support. Implications and future directions are highlighted.