the Impact of Personality and Social Support on Mental Health for Female Patients with Rheumatoid Arthritis

The relationship between personality traits, social support and mental health problems was studied in 138 female patients with rheumatoid arthritis (RA). Structural equation modelling showed that instrumental support was uncorrelated with mental health problems. The effect of emotional support on mental health was spurious and due to personality traits. Companionship had a direct effect on mental health in addition to partially mediating the effects of both extra-version and neuroticism. However, the total effect of social support was moderate compared to a strong influence of neuroticism. The therapeutical implications are discussed. This revised version was published online in August 2006 with corrections to the Cover Date.     

城市老年人社会活动参与对其健康的影响--基于CHARLS 2011年数据

基于2011年“中国健康与养老追踪调查”全国基线调查数据,研究城市老年人社会活动参与对其健康的影响。研究结果发现社会活动参与对老年人日常生活活动能力、抑郁情绪均有显著影响。社会活动参与越多的老年人,在日常生活活动能力方面表现得越好;抑郁情绪也越少。可见,社会活动参与能有效改善老年人的健康水平。本文的研究结论支持了活动理论的观点,即老年人参与社会活动,可以增进他们的身体和心理健康水平。此外,本文还发现性别、年龄、婚姻状况、医疗保险、吸烟、喝酒等变量均对老年人健康有显著影响。     

Adolescent Same-Sex Attraction and Mental Health: The Role of Stress and Support

This study draws on the social stress model from the sociology of mental health to examine the impact of same-sex attraction on depressed mood and suicidal tendencies. Specifically, we hypothesize that across multiple contexts, adolescents with same-sex attractions are likely to experience more social stress and less social support than heterosexual adolescents. In turn, these experiences increase the likelihood of negative mental health outcomes. Using data from the National Longitudinal Study of Adolescent Health (n = 11,911), we find that adolescents with same-sex attraction are more likely than their heterosexual counterparts to report depressed mood and suicidal tendencies. Moreover, stress and social support were found to mediate a substantial part of the relationship between same-sex attraction and depressed mood. In addition, stress and social support mediated about one third of the relationship between same-sex attraction and suicidal tendencies. These findings give strong support for the social stress model. We conclude with a discussion of the role that alienation plays in same-sex-attracted adolescent mental health.     

Social Support and Well-Being in Contemporary Greek Society: Examination of Multiple Indicators at Different Levels of Analysis

An extensive and coherent body of social and psychological research has identified social ties and supportive relationships as important predictors of well-being and quality of life. This paper examines the relationships between structural and functional indicators of supportive relations and well-being in Greece at different levels of analysis based on results from three studies: (a) the European Social Survey (Study 1); (b) a cross sectional community study in Greece (Study 2); and (c) a social interactions study in Greece and the UK using an event sampling methodology (Study 3). Structural indicators of social support and life satisfaction and happiness in the first study were moderately associated. This finding was partly supported by results from the second study which revealed connections between some structural aspects of social support and well-being (happiness, anxiety, irritability) but not others. Functional aspects of social support and psychological indicators of well-being (happiness, anxiety, mental health) at the individual (Study 2) and social interaction (Study 3) levels were not associated. Cross-cultural comparisons of structural indicators of social support in Studies 1 and 3 revealed low frequency of social interactions. Also functional aspects of social support in everyday social interactions in Greece showed significantly lower levels in comparison to the UK. These findings suggest that structural and functional aspects of social support in Greece may not have the same palliative role as usually observed in the international literature and are discussed with particular attention to the level of analysis, the method, and the aspect of well-being being assessed.     

Children and the Mental Health of Older Adults in China: What Matters?

China is witnessing several major demographic, socioeconomic, and cultural trends that likely intersect in unique and significant ways to influence the health and well-being of its older adult population. Concerns that such trends may be eroding traditional family structures and values raise questions about the continued importance and impact of children on the lives of their older parents. Do children matter and, if so, what is it about having children that makes a difference to the mental health of their parents? This study addressed these issues using baseline data drawn from the Chinese Longitudinal Aging Social Survey, conducted in 2014. Multivariate OLS regression analyses revealed the importance of having children for parental mental health. This relationship was found to be mediated by economic/utilitarian factors (co-residence, the receipt of financial, and instrumental support) as well as psychological/emotional factors (companionship, emotional support), and social/traditional factors (children’s socioeconomic status achievements). These findings support the view that children continue to be important to the mental health of their older parents in contemporary China. Further, what matters most when it comes to understanding the influence that children have on parents’ mental health are their perceived accomplishments in life and their meaningful presence in the day-to-day lives of their parents.

     

Invisible Scars: Comparing the Mental Health of LGB and Heterosexual Intimate Partner Violence Survivors

Intimate partner violence (IPV) affects countless women and men in lesbian, gay, and bisexual (LGB) as well as heterosexual relationships, but few studies have examined how such abuse is associated with the mental health of LGB victims. The present study addresses this issue using data from the 2006 Behavioral Risk Factor Surveillance System (BRFSS) survey to examine differences in depression and anxiety among IPV victims in LGB and heterosexual partnerships. The findings indicate LGB IPV victims are much more likely to have a history of depression (OR 1.70, p < .05) and anxiety (OR 1.70, p < .05) than heterosexual victims. These differences are slightly mediated by the victim’s perceived emotional support but not the type of abuse experienced. Our findings accentuate the need for greater inclusion of LGB persons in the IPV and mental health discourse, as well as the importance of social support for IPV victims. Policy implications for members of the LGB community are discussed.     

Maternal mental health in Australia and New Zealand: A review of longitudinal studies

AimThe aim of this paper is to describe the factors that impact on the mental health of Australian and New Zealand (NZ) women in the perinatal period (pregnancy and the year following birth), and to determine the impact of perinatal mental health on women's subsequent health by summarising findings from prospective longitudinal studies conducted in Australia and NZ.MethodsA systematic search was conducted using the databases, Scopus, Medline, PsychInfo and Health Source to identify prospective longitudinal studies focused on women's social and emotional health in the perinatal period. Forty-eight papers from eight longitudinal studies were included.ResultsThe proportion of women reporting depressive symptoms in the first year after birth was between 10 and 20% and this has remained stable over 25 years. The two strongest predictors for depression and anxiety were previous history of depression and poor partner relationship. Importantly, women's mood appears to be better in the first year after birth, when compared to pregnancy and five years later. Becoming a mother at a young age is by itself not a risk factor unless coupled with social disadvantage. Women report a high number of stressors in pregnancy and following birth and the rate of intimate partner violence reported is worryingly high.ConclusionMidwives have an important role in the identification, support and referral of women experiencing mental health problems. As many women do not seek help from mental health services, the potential for a known midwife to impact on women's mental health warrants further examination.     

Perceived social support and prenatal wellbeing; The mediating effects of loneliness and repetitive negative thinking on anxiety and depression during the COVID-19 pandemic

ProblemPrenatal depression and anxiety are linked to poor maternal and infant outcomes. We need to understand predictors of poor mental health to identify at-risk women, and targets for support.BackgroundPrevious research has demonstrated a relationship between low levels of perceived social support, and depression and anxiety in pregnant women. However, there is a lack of research into the factors that may mediate this relationship.AimAs social distancing measures (e.g., lockdown) are likely to negatively affect women’s perceived support in the prenatal period, we investigated the relationship between perceived social support and both anxiety and depression in UK-based pregnant women during the COVID-19 pandemic. Further, we examined two potential mediators that may contribute to psychological symptoms: repetitive negative thinking and loneliness.MethodsWe administered a battery of online measures to a sample of pregnant women (N = 205) between May-June 2020, during the first peak of the pandemic in the UK, when perceived social support was likely to be low.ResultsConsistent with predictions, perceived social support was significantly negatively related to depression, anxiety, loneliness and repetitive negative thinking. Furthermore, repetitive negative thinking and loneliness mediated the relationship between perceived social support and both depression and anxiety. Moreover, perceived social support and loneliness were associated with specific types of online behaviours.ConclusionsTaken together, the findings shed light on the processes through which social support may exert its effects on depression and anxiety and highlight potential therapeutic targets for interventions which aim to prevent and treat mood disorders in perinatal cohorts.     

Qualitative insights into women's personal experiences of perinatal depression and anxiety

Background and aimSymptoms of perinatal depression and anxiety are usually described and understood from a nosological perspective. This research sought to gain insight into women's lived experience of postnatal depression and anxiety, the factors that contribute to these symptoms and the context in which they develop.MethodFace to face and telephone interviews were conducted with 28 women from metropolitan and rural areas across Australia, who had experienced postnatal depression and/or anxiety within the last five years. Analysis was conducted from a grounded theory perspective.FindingsParticular symptoms of anxiety and depression develop in the context of the numerous changes inherent to the transition to motherhood and contribute to a common experience of frustration and loss. Symptoms were also associated with feelings of dissatisfaction with the pregnancy and motherhood experience.ConclusionsThe findings provide useful insights into women's experiences of mental health symptoms during the perinatal period, how these symptoms present and the factors involved in their development and maintenance. The need to consider women's perspectives to develop resources and health promotions strategies, as well as within the context of relationships with health professionals is highlighted. The study emphasizes the need for greater, more accurate information surrounding perinatal depression and the need to increase the profile and awareness of anxiety disorders.     

Dimensions of mental health: Life satisfaction,positive affect,anxiety and depression

Psychological well-being and psychological distress are often regarded as distinct, if not orthogonal dimensions of mental health. Based on analyses in this paper, we consider the distinction misleading. Four dimensions seem worth measuring in general population surveys: life satisfaction, positive affect, anxiety and depression. Furthermore, one of the well-being dimensions, life satisfaction, is quite strongly correlated with a distress dimension, depression. A person is unlikely to be both satisfied with life and depressed, but may be satisfied and anxious. The paper is based on convergent validity (exploratory and confirmatory factor analyses) and divergent validity assessments of a range of widely used measures, which were included in the Victorian Quality of Life Panel Survey, 1987.     

Correlating Post-disaster Support Network Density with Reciprocal Support Relation Satisfaction: An Elderly Cohort Within One Year of the 2011 Japan Disasters

While there has been much empirical investigation into how social support networks improve mental health in post-disaster communities, network density—the extent members within a network are acquainted—remains under-researched. This study examines correlations between support network density and support reciprocity satisfaction in an elderly sample (N = 221), and the influence on post-disaster depression and trauma symptomology in a fishing community south of the Fukushima nuclear plant within 1 year of the March 11, 2011 Japan earthquake. The Brief Inventory of Social Support Exchange Network (BISSEN) taps support network density, support source by relational category, tangible and emotional type, and providing or receiving direction of social support. Density measurement convergent validity was established from questionnaire responses. After confirming network density construct and criteria validity, and extracting components reciprocal support relationship satisfaction, correlation between these two variables was moderate at r = 0.34. However, reciprocity satisfaction moderately explained mental health variance, but results were not significant for density nor interaction between predictors. These results question the assumption that support network density and support reciprocity can be validly incorporated into a construct of “social capital” necessarily promoting mental health.     

Trauma and Mental Health in South Africa

Prior to the first democratic elections, South Africa had experienced severe political violence. In this paper, we describe the effects of this violence on mental health, concentrating mainly on post-traumatic stress disorder (PTSD), and its symptoms, including reliving aspects of the trauma, avoiding situations which remind one of the experience, and heightened irritability. As part of a nationwide survey on health inequalities covering 4000 South African households, questions were put to 3870 respondents aged 16 to 64 years on their mental health status, feelings of powerlessness, exposure to violence and other traumatic situations, symptoms of PTSD and access to health care for these symptoms. Weighted survey results indicate that approximately five million adults (23% of the population aged 16 to 64 years) had been exposed to one or more violent events, for example, being attacked, participating in violence and witnessing one's home being burnt. Just under four-fifths (78%) of those who had experienced at least one traumatic event had one or more symptoms of PTSD. This syndrome was found to be related to feelings of powerlessness, anxiety and depression and fair or poor self-ratings of emotional well-being. The authors concluded that healing the people of South Africa involves revealing the full extent of political violence that was committed during the apartheid era, confronting the effects of this violence, and establishing both professional and community structures to deal with it on a large scale, for example, the training of lay people to give counselling.     

The Relationship Between Social Support, Loneliness, and Subjective Well-Being in a Spanish Sample from a Multidimensional Perspective

The aim of this study was to investigate the association between social support, loneliness and well-being from a multidimensional perspective for which two structural models are proposed. The study included 2042 participants from Malaga City (Spain) who were aged between 18 and 95 years. For the dimensions frequency of support and satisfaction with support, the results show that partner support, family support, and support from friends, respectively, significantly decrease romantic loneliness, family loneliness, and social loneliness. On the other hand, community support has little effect on reducing social loneliness. Of the three types of support analyzed (emotional, informational and instrumental), emotional support was significantly more effective in reducing loneliness (family, romantic and social) and increasing well-being. Loneliness partially acts as a mediator variable, although it is affected by social support, but at the same time decreases the effects of social support on subjective well-being. The three types of loneliness have a strong negative impact on subjective well-being. Implications of these results are discussed.     

Sexual identity distress, social support, and the health of gay, lesbian, and bisexual youth

Sex researchers and mental health clinicians have long recognized that the stigma surrounding homosexuality plays an important role in shaping the social psychological adjustment of gay, lesbian, and bisexual (g/l/b) people. In recent years, researchers have suggested that sexual identity- related distress may influence the physical health status of g/l/b people, primarily because of the ways these self-related feelings and beliefs impact patterns of health-related behavior. This study examines the influence of sexual identity distress and social support on g/l/b youth's drug and alcohol use, psychological distress, and risky sexual behavior. The data come from a services research demonstration program conducted at the Indiana Youth Group, Inc., a g/l/b youth development agency based in Indianapolis, Indiana. Results indicate that sexual identity distress is strongly associated with psychological distress, less frequent use of alcohol, and using fewer types of illegal drugs. Being out to more people in one's support network, however, attenuates the severity of youth's sexual identity-related distress. Youth who report more support ties to g/l/b people indicate engaging in more frequent risky sexual behavior. The implications of these findings for theories of g/l/b youth's sexual identity development are discussed.     

Purpose,Mood, and Pleasure in Predicting Satisfaction Judgments

We examined the extent to which satisfaction with life, with one’s self, and with one’s day are predicted by pleasure, purpose in life, interest, and mood. In a sample of 222 college students we found that both satisfaction with life and self-esteem were best predicted by positive feelings and an absence of negative feelings, as well as purpose in life. By contrast, satisfaction with individual days was predicted by negative feelings, and very strongly predicted by positive feelings, but not by purpose in life. In predicting life satisfaction purpose in life provided a buffering effect for lower levels of mood. People high in purpose in life reported high levels of life satisfaction even with moderate levels of mood. Thus, what makes a satisfying day is different from what makes a satisfying life or self. Life and self satisfaction were predicted significantly by purpose in life even after controlling for physical pleasure and affect balance, suggesting that they are more than just hedonic variables.     

A prospective examination of depression,anxiety and stress throughout pregnancy

BackgroundPerinatal distress has largely been conceptualised as the experience of depression and/or anxiety. Recent research has shown that the affective state of stress is also present during the perinatal period and thus may add to a broader understanding of perinatal distress.AimThe aims of the present study were to investigate the changes in depression, anxiety and stress symptoms across pregnancy, and to explore the prospective relationships between these symptoms.MethodsTwo-hundred and fourteen pregnant women were recruited when they were less than 16 weeks gestation. Women completed depression, anxiety and stress measures on a monthly basis, from 16 weeks gestation through to 36 weeks gestation. The covariate measures of sleep quality and social support were assessed bi-monthly at 16, 24 and 32 weeks gestation.FindingsLevels of depression, anxiety and stress symptoms were all shown to change over time, with women experiencing fewer symptoms during the middle of their pregnancy. Higher symptoms early in pregnancy predicted higher symptom levels throughout the rest of pregnancy. Higher depression scores early in pregnancy were also shown to predict higher anxiety and higher stress scores in late pregnancy. Increased stress scores during mid pregnancy also predicted higher anxiety scores in late pregnancy.ConclusionCurrent findings indicate that symptom levels of depression, anxiety and stress vary over the course of pregnancy. Increased depression in early pregnancy seemed to be particularly pertinent as it not only predicted later depression symptoms, but also increased anxiety and stress in late pregnancy. Collectively, these results further highlight the importance of emotional health screening early in pregnancy.     

代际支持对老年人主观幸福感的影响--基于年龄组的差异性分析

本文从年龄组差异的角度分析了代际支持对老年人心理健康的影响。研究发现,在控制了客观健康状况等变量后,老年人的心理健康水平并非随着年龄增长呈现出下降趋势。其次,接受代际支持和给予代际支持都对老年人心理健康有着显著的促进作用。第三,对于不同年龄组来说,代际支持对老年人心理健康产生的效果既有共同点也存在着差异。相似之处在于充足的经济支持对65－74岁、75－84岁和85岁及以上这三个年龄组老人的心理健康都是有利的。然而,更突出的是这三个年龄组之间的相异点：对于65－74岁这一组别而言,老人与子女之间的经济交换最为频繁。这种经济上的互惠提升了老人的积极情绪、抑制了消极情绪的产生。就75－84岁的老年人来说,子女在日常照料的作用表现的十分显著。和子女共同居住、在生病时由子女照料的老人表现出更少的消极情绪。至于85岁以上的高龄老人,得到充足的情感支持对于提升主观幸福感的作用更为显著;最先和子女分享想法的老人有着更高的心理健康水平。因此就现实状况来看,当父母逐渐衰老,作为子女,应当更加关注对父母的日常照护和情感关怀。尤其是对于这些高龄老人,他们对子女的情感态度更为敏感;子女提供的充足的情感支持对其心理健康有着十分显著的促进作用。     

Measuring Social Well-Being in People with Chronic Illness

Although social well-being (SWB) is recognized as an integral component of health, it is rarely included in health-related quality of life (HRQL) instruments. Two SWB dimensions were identified by literature review: social support (SWB-SS) and social function (SWB-SF). As part of a larger project to develop item response theory-derived item banks and computerized adaptive testing, we developed and tested items for the SWB banks. Item ratings of three large (n > 600) datasets were conducted by 15 reviewers. Rasch measurement analyses were conducted to initially define item hierarchies. Out of 83 total items, 8 were removed due to model misfit and 8 were removed because of overlapping item content. We then wrote 11 new SWB-SS and 16 new SWB-SF items to fill content gaps, and edited items to improve comprehension and consistency. A total of 94 items (65 SWB-SS, 29 SWB-SF) was administered by computer to 202 cancer patients. Confirmatory factor analyses, Rasch analyses, and evaluations of construct validity were performed. Patients commented favorably on the content of the items and expressed appreciation for attention to this aspect of their HRQL. Using current psychometric standards for unidimensionality, reliability, and content and construct validity, we derived six preliminary item banks for social support (instrumental support, informational support, positive and negative emotional support, positive and negative social companionship) and two for social function (limitations and satisfaction). The empirical construct hierarchy was consistent with clinical observations; e.g., hobbies and leisure activities tended to reflect more limitations, while meeting the needs of family and friends tended to reflect fewer limitations. Optimal care for patients with cancer or other chronic illnesses includes obtaining a complete picture of patients’ physical and psychosocial health status. SWB measures are important since diseases like cancer and their treatment can affect quality of relationships, parental responsibilities, work abilities and social activities. With properly calibrated item banks, it will be possible to precisely and efficiently measure and monitor multiple HRQL dimensions in individual patients, and use their responses to inform care. Qualitative patient feedback and quantitative analyses suggest that it is possible and desirable to include SWB measures in HRQL assessment.     

Stigma,guilt and motherhood: Experiences of pregnant women with COVID-19 in Brazil

BackgroundThe COVID-19 pandemic raises health issues worldwide. Infected pregnant women may have negative mental health outcomes, but little is known about their emotional experiences.AimWe aimed to understand the experience of women infected with COVID-19 during pregnancy, regarding their feelings, their relationships, and the influence of social media.MethodsWe conducted a qualitative study among 22 women infected with COVID-19 during pregnancy, from a tertiary hospital during the first wave of the pandemic in Brazil (May–August 2020). We applied semi-directed interviews, sociodemographic and health data sheets, and field diaries. We built the sample purposefully. Interviews were audio-recorded and transcribed verbatim. We used thematic analysis and discussed data considering the health psychology framework.ResultsWe created five categories following a timeline perspective, from before infection to the experience after recovering. Pregnant women were resistant to believing the diagnosis. They described a fear of serious symptoms or death, concerns about the fetus, sorrow from being isolated, and worries about stigma. Family relationships were ambiguous, generating either support or tension. The attachment to the health team through telemedicine or support during hospitalization produced a feeling of security.ConclusionsParticipants psychologically denied the COVID-19 diagnosis and did not accomplish isolation properly, even upon medical recommendations. The illness may produce a traumatic experience, regardless of mild or severe symptoms, but family/friend support and contact with the health team helped them to cope. We offer important insights for the clinical approach and future research, emphasizing that infected pregnant women require emotional support.