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This study employs two measures of social support: local relatives support (LRS) and informal credit and savings group membership (IGM), from three pooled cross-sections of rural Zimbabwean farmer-households, to investigate the role of social support in the number of sustainable land management practices (SLMPs) that they adopt. The results indicate that households with greater self-sufficiency capabilities are more likely to receive social support in the form of IGM and less likely to receive it in the form of LRS. Secondly, being spatially proximate to neighbours that receive social support is associated with the farmer-household also receiving social support. Thirdly, receiving social support increases the likelihood of adopting more SLMPs. Fourthly, households without social support would have adopted more SLMPs if they had received social support. Finally, self-enforcing social support in the form of IGM is associated with a higher likelihood of SLMP adoption compared to LRS, which depends on relatives’ benevolence.
Temporary Childbirth Migration (TCM), where women return to their natal homes during or after pregnancy, is a common but understudied practice in India and South Asia. This study examines the influence of social support systems on TCM decisions among Indian women, focusing on the roles of husbands, in-laws, and parents. The study was conducted in the Vadu Health and Demographic Surveillance System (HDSS) in Western Maharashtra, India, and involved 41 in-depth interviews with triads comprising women, their husbands, and mothers-in-law. Participants varied in age, education, occupation, marriage, migration type, and delivery method and included women with infants up to two years old. Data were analysed using rapid and traditional coding approaches with predefined and emergent codes. Findings were categorised under four key domains of social support: emotional, financial, instrumental, and informational. Emotional support from mothers fosters a stress-free environment; financial support from family influences location; instrumental support for household tasks differs across settings; and informational guidance from experienced family members guides expectant mothers. Healthcare access, household status, and the husband’s role also shape migration choices. Women prioritise proximity to medical facilities, comfort, and freedom in their natal homes. Decisions are typically inclusive, involving multiple family members. The study shows that social support, cultural norms, and practical needs influence TCM decisions, and further research is needed to support women’s choices during the perinatal period. In conclusion, recognising emotional, financial, informational, and instrumental support can help providers and policymakers improve maternal and child health outcomes.
Quality of social support is linked to mental health, but less is known about its long-term effects. We aimed to investigate the effects of the quality of social support on affective symptoms from midlife through later life.
Methods
Data were used from the MRC National Survey of Health and Development (NSHD), a prospective birth cohort originally consisting of 5,362 people born in 1946. Affective symptoms were measured at ages 53, 60–64, and 69 years using the General Health Questionnaire (GHQ-28), and longitudinal affective symptom trajectories were derived using growth mixture modeling. Quality of social support (positive and negative) was assessed at age 53 years with an adapted version of the Close Persons Questionnaire. Associations of positive and negative social support with affective symptoms at each age and with the longitudinal trajectories were tested using structural equation modeling and the R3 Step approach.
Results
Four distinct affective symptom trajectories were identified: no/low symptoms (83%), low and increasing symptoms (8%), consistently moderate/high symptoms (5%), and moderate/high and decreasing symptoms (4%). In fully adjusted models, negative social support was associated with affective symptoms at all three ages (β: 0.09–0.16, all p-values < .001) and with the ‘consistently moderate/high symptoms’ trajectory (OR = 1.65, 95% CI: 1.36, 2.01, p < .001); no association was found for positive social support.
Conclusions
Results highlight the importance of negative social support as a potential modifiable factor in prevention and intervention initiatives for affective symptoms among adults from midlife to later life.
The current study examined mothers’ and fathers’ dyadic trajectories of perceived social support and their associations with children’s prosociality. Data were drawn from 4,329 children (52% male, 48% female; 44% Black, 22% Hispanic, 17% White) in a prospective birth cohort study of low-income families. Repeated-measures latent class analysis identified three trajectories of social support at the level of the mother–father dyad from birth to age five: “High and Concordant” (64%), “Paternal-Advantaged, Declining Maternal” (20%), and “Maternal-Advantaged” (16%) social support. Child prosocial behavior differed significantly across dyadic social support trajectories. Children of parents in the “Paternal-Advantaged, Declining Maternal” (M = –0.06, SE = 0.20; p < .001) and “Maternal-Advantaged” (M = –0.26, SE = 0.19; p < .001) social support trajectories scored significantly lower on prosocial behavior at age five than those with “High and Concordant” social support (M = 0.37, SE = 0.04). These differences persisted at age nine for children of parents in the “Paternal-Advantaged, Declining Maternal” social support trajectory. Findings suggest that consistent and adequate social support within the parental dyad is critical to cultivating children’s prosocial skills.
The Youth Physical Activity Promotion Model (Welk, 1999) has provided a specific framework to understand children’s and adolescents’ physical activity behavior. The objectives were (1) to analyze whether the data collected in Chilean and Spanish adolescents fit the proposed model and (2) to analyze the countries’ differences (Spain vs. Chile) in enabling, predisposing, and reinforcing as well as the demographic factors that influence physical activity. The sample comprised 2318 adolescents from Spain (Mage = 14.5, SD = 1.36; 51.9% females) and 734 from Chile (Mage = 14.7, SD = 1.47; 54.2% females). The variables measured were reinforcing factors: fathers’, mothers’, friends’, and Physical Education teachers’ social support; predisposing factors: perceived competence and enjoyment; enabling factor: body mass index; and demographic factor: country of origin. Results showed that the youth physical activity promotion model was supported by the data collected from Spanish and Chilean adolescents. Nevertheless, differences in the model were observed when comparing the Spanish and Chilean populations. Perceived competence and the father’s social support predict Chilean adolescents’ physical activity. In Spain, perceived competence and the mother’s social support predict adolescents’ physical activity. Therefore, the country of origin is a key factor in understanding physical activity because education and family culture may influence physical activity in different ways.
This study was conducted to determine the relationship between death anxiety, spiritual well-being, and social support in patients with gynecological cancer.
Methods
This descriptive study consisted of 519 patients with gynecological cancers. Data were collected using a “Personal Information Form,” the “Death Anxiety Scale,” the “Spiritual Well-Being Scale,” and the “Multidimensional Perceived Social Support Scale.”
Results
The mean total score of the Death Anxiety Scale was 6.8 ± 2.95, the Spiritual Well-Being Scale was 31.16 ± 5.24, and the Multidimensional Perceived Social Support Scale was 62.46 ± 13.76. A positive correlation was found between the scores of the Multidimensional Perceived Social Support Scale and the Spiritual Well-Being Scale. However, death anxiety levels were not influenced by spiritual well-being or social support levels (p < 0.001). As the level of perceived social support increases, spiritual well-being also increases; however, no significant relationship was found between death anxiety and either spiritual well-being or perceived social support.
Significance of results
The findings of this study highlight the importance of social support as a key factor associated with higher levels of spiritual well-being in women with gynecological cancer. Strengthening patients’ support systems may contribute to better psychological and spiritual adjustment during cancer treatment. Although death anxiety was not significantly related to either spiritual well-being or perceived social support, this result suggests that death anxiety may be influenced by other clinical or personal factors beyond these psychosocial variables. These findings provide guidance for developing supportive care programs that prioritize social support enhancement to improve overall patient well-being.
Adolescent girls and young women (AGYW) living with HIV are at increased risk of developing suicidality. Yet little is known about the effects of HIV-related stigma, mental health challenges and social support on suicidality among AGYW living with HIV. We analysed cross-sectional data from 711 AGYW living with HIV who participated in two large prospective South African cohort studies, Mzantsi Wakho (2017–2018) and HEY BABY (2018–2019). Standardised and validated questionnaires were used to measure HIV-related stigma, mental health symptomology (mediator), social support (moderator) and suicidality (outcome). A moderated mediation analysis was used to investigate (1) the direct effects of HIV-related stigma on suicidality, (2) the indirect effects as mediated through mental health symptomology and (3) the moderating effects of social support on mental health issues and suicidality, adjusted for potential confounders. Higher HIV-related stigma (β = 0.45 [0.13, 0.78], p < 0.001) was directly associated with higher suicidality. Mental health symptomology was associated with increased risk of suicidality (β = 1.05 [0.66, 1.44], p < 0.001) and partially mediated the effect of HIV-related stigma on suicidality. Social support buffered the indirect effects of HIV-related stigma on suicidality (β = 0.86, bias-corrected 95% CI [0.01, 2.41]). HIV-related stigma is associated with higher suicidality. Programmes that simultaneously address stigma and strengthen social support services may improve mental health and reduce suicidality among AGYW living with HIV.
Prenatal anxiety is common and may negatively affect the early mother–infant relationship, yet it has received less attention than perinatal depression, particularly in low-resource settings. The psychosocial pathways linking prenatal anxiety to postpartum bonding difficulties remain poorly understood.
Methods
This prospective longitudinal study followed 501 pregnant women in Pakistan from early pregnancy (T1; 15–20 weeks gestation) to 8 weeks postpartum (T2). Prenatal anxiety was assessed using the Generalized Anxiety Disorder Scale–7 (GAD-7), and depressive symptoms were measured with the Patient Health Questionnaire–9 (PHQ-9). Late-pregnancy psychosocial stressors, including pregnancy experiences, domestic violence, and perceived stress, as well as perceived social support, were assessed at T1.5 (30–36 weeks gestation). Postpartum outcomes included mother–infant bonding difficulties measured by the Postpartum Bonding Questionnaire (PBQ) and postpartum anxiety symptoms. Longitudinal path analysis, parallel mediation, and moderated mediation models were conducted.
Results
Prenatal anxiety significantly predicted postpartum bonding difficulties (β = .18, p = .001), independent of prenatal depressive symptoms. This relationship was partially mediated by late-pregnancy psychosocial stressors (total indirect effect = 0.34, 95% CI [0.23, 0.46]). Prenatal anxiety also demonstrated continuity with postpartum anxiety (β = .45, p < .001), which was associated with poorer bonding outcomes (β = .28, p < .001). Perceived social support moderated both direct and indirect pathways. Higher support weakened the direct association between prenatal anxiety and bonding difficulties (interaction β = −.13, p = .001) and reduced indirect effects through psychosocial stressors (index of moderated mediation = −0.07, 95% CI [−0.13, −0.02]).
Conclusions
Prenatal anxiety is a distinct and clinically meaningful predictor of early mother–infant bonding difficulties. Its effects operate through persistent anxiety and heightened psychosocial stress, while perceived social support serves as an important protective factor. Interventions targeting prenatal anxiety, psychosocial stressors, and social support may help promote healthier mother–infant bonding in resource-constrained settings.
Psychotic experiences (PEs) in are associated with elevated risk for mental health difficulties. This study examined predictors of PEs, inclusive of the role of gender, ethnicity, and protective factors.
Methods
Data were drawn from a 2021 Planet Youth survey of adolescents (n = 4,005). PEs were measured using the adolescent psychotic symptom screener. Effects of psychosocial predictors on PEs were measured by fitting multivariable logistic regression main effect and joint exposure models.
Results
29.8% reported PEs. Black/Asian/Other minorities had elevated odds (aOR = 1.59, 95% CI 1.26–2.02, p < .001). Increased odds in males, females, undisclosed gender and non-binary/transgender with elevated emotional/behavioural difficulties (aOR = 4.47, 95% CI 3.53–5.67, p < .001; aOR = 3.25, 95% CI 2.59–4.08, p < .001; aOR = 4.83, 95% CI 2.58–9.02, p < .001; aOR = 4.33, 95% CI 2.69–6.97, p < .001 respectively). High odds in undisclosed gender with low emotional/behavioural difficulties (aOR = 4.36, 95% CI 1.50–12.66, p = .007). Lower odds from perceived school/home safety (aOR = 0.69, 95% CI 0.58–0.83, p < .001 and (aOR = 0.81, 95% CI 0.66–0.99, p = .038, respectively). Elevated odds from recent adversities (aOR = 1.91, 95% CI 1.47–2.49, p = .011) attenuated by parental support (aOR = 1.76, 95% CI 1.17–2.65, p < .001). Each additional adversity (>12 months) increased odds (aOR = 1.12, 95% CI 1.07–1.17, p < .001).
Conclusions
Findings highlight the interplay of risk and protective factors in adolescent PEs, with increased vulnerability among minoritized youth. Results support targeted interventions to reduce mental health disparities.
Employees rely heavily on computer-mediated communication (CMC). While CMC provides significant benefits, it also presents some challenges. The theoretical mechanisms underlying these opposing effects remain poorly understood, limiting our ability to mitigate the drawbacks of CMC use while maximizing its advantages. This study leverages job design theory to unravel the complex relationship between CMC use and employee basic need satisfaction, an important determinant of employee well-being and performance. More specifically, we propose that CMC use can satisfy the basic psychological needs of relatedness, competence, and autonomy as defined in self-determination theory, by providing social support, a critical job resource. However, it may also impede psychological need satisfaction by introducing technology-induced job demands, such as interruptions and techno-workload. A daily diary study among 143 employees reporting on at least 2 days of working from home corroborated these hypotheses: CMC use was positively related to daily relatedness satisfaction through enhanced social support. Conversely, it was negatively associated with daily autonomy satisfaction through task interruptions and techno-workload. We discuss the theoretical and practical implications of these results, confirming the dual role of CMC in fulfilling and challenging basic psychological need satisfaction.
Prolonged grief disorder (PGD) is characterised by persistent yearning and intense emotional pain, and is often accompanied by identity disruption and social withdrawal. Research has identified various PGD risk factors; however, limited research has examined how relationship to the deceased relates to PGD risk.
Aims
This study introduces ‘simpatico’, a novel construct assessing a mourner’s perceived similarity and connection to the deceased as a risk factor for PGD. Grounded in the micro-sociological theory of bereavement, the study hypothesises that simpatico relationships heighten PGD risk because of the particular social deprivations their absence creates.
Method
This cross-sectional study was conducted in Turkey via online surveys with 400 bereaved. Data were analysed using exploratory and confirmatory factor analyses, as well as correlation- and regression-based analyses.
Results
A nine-item Simpatico Scale was validated within a Turkish bereaved adult sample (N = 400), demonstrating good internal consistency (Cronbach’s α = 0.90). Regression analyses revealed that elevated simpatico scores, particularly felt similarities with the deceased, were significantly associated with PGD symptom severity (β = 0.31, p < 0.001), even when controlling for demographic, cause of death, relationship to deceased and social support variables.
Conclusions
Results identify simpatico as a new, particularly influential, interpersonal risk factor for PGD. Further, according to the micro-sociological theory, results suggest that promotion of simpatico relationships among bereaved persons may compensate for the social deprivations resulting from simpatico relationship losses. In these ways, this study identifies mourners at risk and suggests promising ways to intervene to reduce mourners’ risk of PGD.
This study investigates the relationships between family burden, perceived social support, quality of life and happiness among mothers of individuals with intellectual and developmental disabilities (IDDs).
Aims
This study aimed to examine the relationship between family burden and maternal happiness, and to investigate the serial mediating roles of perceived social support and family quality of life in mothers of children with IDDs.
Method
The study sample comprised 250 mothers of children with IDDs. Data were collected using validated instruments: The Multidimensional Scale of Perceived Social Support, a family burden scale, the Beach Center Family Quality of Life Scale and the Oxford Happiness Questionnaire Short Form. Descriptive statistics, correlation analyses and structural equation modelling were conducted with software SPSS 26.0 and JASP 0.16.4.
Results
Perceived social support and family quality of life were positively associated with happiness and negatively associated with caregiving burden; structural equation modelling indicated that their sequential mediation fully explained the link between family burden and happiness.
Conclusions
The findings underscore the critical role of social support and family quality of life in mitigating the negative impact of caregiving burden on maternal happiness.
To examine mediators and modifiable psychosocial factors associated with psychological distress, depression, anxiety and self-rated health among Aboriginal and Torres Strait Islander peoples (hereafter respectfully referred to as ‘Indigenous Australians’) aged ≥18 years.
Methods
This was a cross-sectional study based on the analysis of the 2018–19 National Aboriginal and Torres Strait Islander Health Survey dataset (N = 3942). Odds ratios (OR) and 95% confidence intervals (CI) for associations and indirect effects for mediation analyses were computed.
Results
Our results showed that Indigenous Australians with higher levels of perceived social support were less likely to have psychological distress (OR = 0.36, 95% CI: 0.23, 0.56), depression (OR = 0.44, 95% CI: 0.29, 0.67), anxiety (OR = 0.43, 95% CI: 0.28, 0.65) and low self-rated health (OR = 0.52, 95% CI: 0.33, 0.82). Similarly, those with a high level of mastery were less likely to have psychological distress (OR = 0.14, 95% CI: 0.11, 0.19), depression (OR = 0.20, 95% CI: 0.15, 0.28), anxiety (OR = 0.26, 95% CI: 0.20, 0.36), and low self-rated health (OR = 0.37, 95% CI: 0.28, 0.50). Perceived social support mediated 33.7% of the association between removal from the natural family and psychological distress, 14.6% of the association between discrimination and psychological distress, 20.3% of the association between discrimination and depression, 14.8% of the association between discrimination and anxiety and 16.6% of the association between discrimination and low self-rated health. Both perceived social support and mastery mediated the association between physical harm and psychological distress, depression and anxiety.
Conclusions
We believe that community-driven psychosocial programs that enhance social support, self-efficacy and cultural connection may significantly improve the mental health and psychosocial well-being of Indigenous Australians.
Social relationships are a fundamental component of the human experience, and decades of relationships research supports their central role in health and well-being. This chapter offers a broad look at research on social support in the context of close relationships, with particular emphasis on the role of social support in health. We first give an overview of the foundational theories of the field and discuss how social support has historically been conceptualized. We then discuss contemporary extensions of this work, including theories of invisible support, perceived responsiveness, thriving, dyadic perspectives of coping, and the implications of technology for support processes. We highlight important research on social support in diverse gender and cultural contexts, emphasizing the need for intersectional perspectives in this space. The chapter concludes with a discussion of key considerations for future research and intervention.
Social relationships are not only linked to emotional well-being, but also significantly associated with physical health. Reviewing the epidemiological and experimental body of research reveals evidence of directional and potentially causal associations between social connection and health and longevity. This is consistent with theoretical approaches to social relationships including attachment, social baseline, social network, and social support theory, all of which identify social relationships as vital to health and well-being. Theoretical models further conceptualize how it is that social relationships influence health. The growing scientific evidence documents some of the biological and behavioral pathways involved. While the evidence on the associations between social relationships and health is robust, the literature is uneven pointing to the need for further research on the complex nature of relationship quality and tech-based social connection.
Social support is a key coping resource; its specific role for refugees from sub-Saharan Africa in high-income settings remains poorly understood. This systematic review synthesises existing evidence on the sources of social support and how these networks aid coping during resettlement. We applied an optimised search strategy to identify studies examining social support among sub-Saharan African refugees across six academic indexing databases. We then undertook a meta-synthesis of the identified studies. This involved the use of meta-thematic analysis of the interpretations and quotes presented in each study, combining thematic analysis through the reviewer’s reflexivity. The PRISMA framework guided the review process to ensure methodological rigour. A total of 22 articles were included in the qualitative meta-synthesis. The synthesis revealed four key sources of social support: 1) family, 2) friends, 3) ethnic and community groups, and 4) cultural and religious supports. These support sources played multiple roles, including enhancing community engagement and reciprocity, providing practical and emotional assistance, offering relief from distress and cultivating cultural continuity and adaptation. However, some individuals distanced themselves from their ethnic community and preferred self-driven coping. Access to social support systems remains a crucial coping resource for many sub-Saharan African refugees in high-income settings, alleviating distress and enhancing resilience. Programs that strengthen informal social support networks through community-driven initiatives can enhance the relevance of social support. Future research should investigate the role of social support across various phases of resettlement in relation to psychosocial well-being.
In this study, we investigate why individuals in need of social support refrain from asking for help from social service providers in the third sector. This phenomenon of non-take-up of social support is still underexplored, and our theoretical understanding of it is highly fragmented. Based on psychological, socio-epidemiological, socio-cultural, and public administration research, we distil potential determinants of non-take-up of social support. Based on 55 narratives (individual interviews) and two focus groups (n = 16) in the Dutch municipality of The Hague, we examine empirical evidence for these determinants. Our results indicate that (perceived) bureaucratic obstacles and the desire to maintain one’s (feeling of) independence are critical barriers to help-seeking behaviour for social support from third sector social service providers. We conclude with a discussion of our findings and their implications for practice and propose new research avenues.
Older adults hold various social roles that are assumed to change over time due to life transitions. The (relative) importance assigned to these roles is proposed as a distinct and relevant component of later-life social functioning, yet longitudinal research is lacking. This exploratory study examined the stability and change in the (relative) importance of various social roles, as well as potential predictors of individual differences in change. It used three waves (2019, 2020, 2023) of the Health, Aging, and Retirement Transitions in Sweden (HEARTS) study and comprised 3,935 older adults (mean age 66.9 years, 54% female) who rated the importance of nine social roles across the three waves, along with baseline questions on demographics, social support and personality. Latent growth curve models showed that, over time, older adults had fewer roles, fewer important roles and rated their roles as less important, although effects were generally small. While family roles remained consistently highly valued, the relative importance of friend roles increased, whereas the importance of care-giving and work-related roles declined. Generally, individuals with characteristics facilitating role accumulation and maintenance (i.e. supportive network, good health and higher levels of extraversion, agreeableness and conscientiousness) identified more (important) roles. No predictors explained individual differences in the change in role importance over time. These findings provide a comprehensive view of the stability and slight change in the personal centrality of social roles early in older adulthood, offering a foundation for future confirmatory research on the impact of social roles on later-life social functioning and wellbeing.
It is widely believed that civic associations are capable to produce social capital, here understood as an individual asset resulting from relations of mutual support and assistance. Although hardly anybody denies that socializing is widespread in many civic associations, it still remains to be shown that this socializing provides a genuine commitment to support. This paper explores the relationship between involvement in civic organizations and social support. The data analysed come from a nation-wide survey “Organized Sport and Social Capital—Revisited” (OSSCAR) representing the adult population in Germany. Findings show that participation in civic associations is associated with higher levels of social support. This effect is stronger for active participants and weaker for passive members. Path analyses further indicate that this effect is mediated by a person’s sociability orientations as well as her commitment to prosocial values. These findings help providing a more nuanced understanding of mechanisms of social capital formation in civic associations.
This paper examines the effects of practical and emotional social support to changes in personal and vocational wellbeing of employees and training participants of social purpose enterprises. This study finds that among participants with lower baseline optimism and self-esteem, those who found the practical social support from their organization to be more relevant to their work outcomes had significantly higher optimism and self-esteem at the time of the survey, compared to other low baseline participants who had assigned less importance to their work-centred practical support. Social support did not influence those with high baseline scores in optimism and self-esteem, or changes to self-efficacy and vocational identity. Implications on support intervention within social purpose enterprises and for the broader field of social enterprise research are discussed.