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Social support in depression: structural and functional factors, perceived control and help-seeking

  • A. Kleinberg (a1), A. Aluoja (a1) and V. Vasar (a1)
Abstract
Aims.

This study examined the associations of social support, loneliness and locus of control with depression and help-seeking in persons with major depression.

Methods.

Twelve-month help-seeking for emotional problems was assessed in a cross-sectional 2006 Estonian Health Survey. Non-institutionalized individuals aged 18–84 years (n = 6105) were interviewed. A major depressive episode was assessed using the Mini-International Neuropsychiatric Interview. Factors describing social support, social and emotional loneliness and locus of control were assessed, and their associations with depression were analysed. The associations with reported help-seeking behaviour among people identified as having a major depressive episode (n = 343) were explored.

Results.

Low frequency of contacts with one's friends and parents, emotional loneliness, external locus of control and emotional dissatisfaction with couple relations were significant factors predicting depression in the multivariate model. External locus of control was associated with help-seeking in the depressed sample. Interactions of emotional loneliness, locus of control and frequency of contacts with parents significantly predicted help-seeking in the depressed sample.

Conclusions.

Depression is associated with structural and functional factors of social support and locus of control. Help-seeking of depressed persons depends on locus of control, interactions of emotional loneliness, locus of control and contacts with the parental family.

Copyright
Corresponding author
*Address for correspondence: Dr A. Kleinberg, Department of Psychiatry, University of Tartu, Raja 31, Tartu 50417, Estonia. (Email: anne.kleinberg@lastehaigla.ee)
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M Albert , T Becker , P McCrone , G Thornicroft (1998). Social networks and mental health service utilization—a literature review. International Journal of Social Psychiatry 44, 248266.

MC Angermeyer , H Matschinger , SG Riedel-Heller (2001). What to do about mental disorder-help-seeking recommendations of the lay public. Acta Psychiatrica Scandinavica 103, 220225.

TC Antonucci , R Fuhrer , JF Dartigues (1997). Social relations and depressive symptomatology in a sample of community-dwelling French older adults. Psychology and Aging 12, 189195.

PR Benson (2012). Network characteristics, perceived social support, and psychological adjustment in mothers of children with autism spectrum disorder. Journal of Autism and Developmental Disorders 42, 25972610.

LF Berkman , T Glass , I Brissette , TE Seeman (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine 51, 843857.

JT Cacioppo , LC Hawkley , RA Thisted (2010). Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychology and Aging 25, 453463.

N Carpentier , D White (2002). Cohesion of the primary social network and sustained service use before the first psychiatric hospitalization. Journal of Behavioural Health Services and Research 29, 404418.

SF Chao (2011). Assessing social support and depressive symptoms in older Chinese adults: a longitudinal perspective. Aging and Mental Health 15, 765774.

S Cobb (1976). Social support as a moderator of life stress. Psychosomatic Medicine 38, 300314.

L Cooper-Patrick , NR Powe , MW Jenckes , JJ Gonzales , DM Levine , DE Ford (1997). Identification of patient attitudes and preferences regarding treatment of depression. Journal of General and Internal Medicine 12, 431438.

CS Cornford , A Hill , J Reilly (2007). How patients with depressive symptoms view their condition: a qualitative study. Family Practice 24, 358364.

K Daniels , A Guppy (1997). Stressors, locus of control, and social support as consequences of affective psychological well-being. Journal of Occupational Health Psychology 2, 156174.

J De Jong Gierveld , T Van Tilburg (2010). The De Jong Gierveld short scales for emotional and social loneliness: tested on data from 7 countries in the UN generations and gender surveys. European Journal of Ageing 7, 121130.

KL Fiori , TC Antonucci , KS Cortina (2006). Social network typologies and mental health among older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences 61, 2532.

S Fröjd , M Marttunen , M Pelkonen , B von der Pahlen , R Kaltiala-Heino (2007). Adult and peer involvement in help-seeking for depression in adolescent population: a two-year follow-up in Finland. Social Psychiatry and Psychiatric Epidemiology 42, 945952.

J Golden , RM Conroy , I Bruce , A Denihan , E Greene , M Kirby , BA Lawlor (2009). Loneliness, social support networks, mood and wellbeing in community-dwelling elderly. International Journal of Geriatric Psychiatry 24, 694700.

C Hammen , PA Brennan (2002). Interpersonal dysfunction in depressed women: impairments independent of depressive symptoms. Journal of Affective Disorders 72, 145156.

M Harrow , BG Hansford , EB Astrachan-Fletcher (2009). Locus of control: relation to schizophrenia, to recovery, and to depression and psychosis. A 15-year longitudinal study. Psychiatry Research 168, 186192.

LC Hawkley , ME Hughes , LJ Waite , CM Masi , RA Thisted , JT Cacioppo (2008). From social structural factors to perceptions of relationship quality and loneliness: the Chicago health, aging, and social relations study. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences 63, S375S384.

G Hawthorne (2008). Perceived social isolation in a community sample: its prevalence and correlates with aspects of peoples’ lives. Social Psychiatry and Psychiatric Epidemiology 43, 140150.

RL Heikkinen , M Kauppinen (2004). Depressive symptoms in late life: a 10-year follow-up. Archives of Gerontology and Geriatrics 38, 239250.

LM Heinrich , E Gullone (2006). The clinical significance of loneliness: a literature review. Clinical Psychology Review 26, 695718.

SH Kang , NT Wallace , JK Hyun , A Morris , J Coffman , JR Bloom (2007). Social networks and their relationship to mental health service use and expenditures among Medicaid beneficiaries. Psychiatric Services 58, 689695.

N Khan , P Bower , A Rogers (2007). Guided self-help in primary care mental health: meta-synthesis of qualitative studies of patient experience. British Journal of Psychiatry 191, 206211.

KT Kronmüller , M Backenstrass , D Victor , I Postelnicu , C Schenkenbach , K Joest , P Fiedler , C Mundt (2011). Quality of marital relationship and depression: results of a 10-year prospective follow-up study. Journal of Affective Disorders 128, 6471.

Y Lecrubier , DV Sheehan , E Weiller , P Amorim , I Bonora , K Harnett Sheehan , J Janavs , GC Dunbar (1997). The Mini International Neuropsychiatric Interview (MINI) a short diagnostic structured interview: reliability and validity according to the CIDI. European Psychiatry 12, 224231.

PK Maulik , WW Eaton , CP Bradshaw (2009). The role of social network and support in mental health service use: findings from the Baltimore ECA study. Psychiatric Services 60, 12221229.

PK Maulik , WW Eaton , CP Bradshaw (2011). The effect of social networks and social support on mental health services use, following a life event, among the Baltimore Epidemiologic Catchment Area cohort. Journal of Behavioural Health Services and Research 38, 2950.

C McCracken , OS Dalgard , JL Ayuso-Mateos , P Casey , G Wilkinson , V Lehtinen , C Dowrick (2006). Health service use by adults with depression: community survey in five European countries. Evidence from the ODIN study. British Journal of Psychiatry 189, 161167.

C Morgan , R Mallett , G Hutchinson , H Bagalkote , K Morgan , P Fearon , P Dazzan , J Boydell , K McKenzie , G Harrison , R Murray , P Jones , T Craig , J Leff ; AESOP Study Group (2005). Pathways to care and ethnicity. 2: source of referral and help-seeking. Report from the AESOP study. British Journal of Psychiatry 186, 290296.

TP Ng , AZ Jin , R Ho , HC Chua , CS Fones , L Lim (2008). Health beliefs and help seeking for depressive and anxiety disorders among urban Singaporean adults. Psychiatric Services 59, 105108.

R Olstad , H Sexton , AJ Søgaard (2001). The Finnmark Study. A prospective population study of the social support buffer hypothesis, specific stressors and mental distress. Social Psychiatry and Psychiatric Epidemiology 36, 582589.

SB Patten , JV Williams , DH Lavorato , AG Bulloch (2010). Reciprocal effects of social support in major depression epidemiology. Clinical Practice and Epidemiology in Mental Health 6, 126131.

MJ Prince , RH Harwood , RA Blizard , A Thomas , AH Mann (1997). Social support deficits, loneliness and life events as risk factors for depression in old age. The Gospel Oak Project VI. Psychological Medicine 27, 323332.

J Rotter (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs Rotter JB Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs 80, 128.

CD Sherbourne (1988). The role of social support and life stress events in use of mental health services. Social Science and Medicine 27, 13931400.

J Spijker , RV Bijl , R de Graaf , WA Nolen (2001). Determinants of poor 1-year outcome of DSM-III-R major depression in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Acta Psychiatrica Scandinavica 103, 122130.

I van Beljouw , P Verhaak , M Prins , P Cuijpers , B Penninx , J Bensing (2010). Reasons and determinants for not receiving treatment for common mental disorders. Psychiatric Services 61, 250257.

TD Wade , KS Kendler (2000). The relationship between social support and major depression: cross-sectional, longitudinal, and genetic perspectives. Journal of Nervous and Mental Disorders 188, 251258.

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Epidemiology and Psychiatric Sciences
  • ISSN: 2045-7960
  • EISSN: 2045-7979
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