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Relationships Among Disease, Social Support, and Perceived Health: A Lifespan Approach

  • Original Article
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American Journal of Community Psychology

Abstract

We examined the relationship between the cumulative presence of major disease (cancer, stroke, diabetes, heart disease, and hypertension), social support, and self-reported general and emotional well-being in a community representative sample of predominantly White and African American respondents (N = 1349). Across all ages, greater presence of disease predicted poorer reported general health, and predicted lower emotional well-being for respondents 40 and above. In contrast, social support predicted better-reported general and emotional well-being. We predicted that different types of social support (blood relatives, children, friends, community members) would be relatively more important for health in different age groups based on a lifespan or life stage model. This hypothesis was supported; across all ages, social support was related to better reported general and emotional health, but sources of support differed by age. Broadly, those in younger age groups tended to list familial members as their strongest sources of support, whereas older group members listed their friends and community members. As a whole, social support mediated the effect of disease on reported well-being, however, moderated mediation by type of support was not significant. The results are consistent with a lifespan approach to changing social ties throughout the life course.

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References

  • Almeida, J., Subramanian, S. V., Kawachi, I., & Molnar, B. E. (2011). Is blood thicker than water? Social support, depression and the modifying role of ethnicity/nativity status. Journal of Epidemiology and Community Health, 65(1), 51–56.

    Article  PubMed  Google Scholar 

  • Amirkhan, J., & Auyeung, B. (2007). Coping with stress across the lifespan: Absolute versus relative changes in strategy. Journal of Applied Developmental Psychology, 28(4), 298–317.

    Article  Google Scholar 

  • Antonucci, T. C., Ajrouch, K. J., & Birditt, K. S. (2013). The convoy model: Explaining social relations from a multidisciplinary perspective. The Gerontologist, gnt118.

  • Antonucci, T., Akiyama, H., & Takahashi, K. (2004). Attachment and close relationships across the life span. Attachment & Human Development, 6(4), 353–370.

    Article  Google Scholar 

  • Barrera, M., Jr (2000). Social support research in community psychology. In J. Rappaport & E. Seidman (Eds.), Handbook of community psychology (pp. 215–245). New York, NY: Kluwer Academic/Plenum Publishers.

    Google Scholar 

  • Berkman, L. F., & Glass, T. (2000). Social integration, social networks, social support, and health. Social epidemiology, 1, 137–173.

    Google Scholar 

  • Berkman, L. F., Sekher, T. V., Capistrant, B., et al. Social Networks, Family, and Care Giving Among Older Adults in India. In: National Research Council (US) Panel on Policy Research and Data Needs to Meet the Challenge of Aging in Asia; Smith JP, Majmundar M, editors. Aging in Asia: Findings From New and Emerging Data Initiatives. Washington (DC): National Academies Press (US); 2012. 11. Available from: http://www.ncbi.nlm.nih.gov/books/NBK109207/.

  • Bjornstrom, E. E., Ralston, M. L., & Kuhl, D. C. (2013). Social cohesion and self-rated health: The moderating effect of neighborhood physical disorder. American Journal of Community Psychology, 52(3–4), 302–312.

    Article  PubMed  Google Scholar 

  • Brim, O.G., Baltes, P.B., Bumpass, L.L., Cleary, P.D., Featherman, D.L., Hazzard, W.R., Kessler, R.C. Margie, Lachman, E., Markus, H.R., Marmot, M.G., Rossi, A.S., Ryff, C.D., & Shweder, R.A. (2000). National survey of midlife development in the United States (MIDUS), 1995–1996 (Computer file). ICPSR version. Ann Arbor, MI: DataStat, Inc./Boston, MA: Harvard Medical School, Dept. of Health Care Policy (producers), 1996. Ann Arbor, MI: Inter-university Consortium for Political and Social Research (distributor), 2000.

  • Brown, B. B. (2004). Adolescent relationships with peers. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology, 2nd edition (pp. 363–394). Hoboken, NJ: John Wiley & Sons, Inc.

    Google Scholar 

  • Bryan, A. E., & Arkowitz, H. (2015). Meta-analysis of the effects of peer-administered psychosocial interventions on symptoms of depression. American Journal of Community Psychology, 55(3–4), 455–471.

    Article  PubMed  Google Scholar 

  • Cantor, M. (1979). Neighbors and friends. Research on Aging, 1, 434–463.

    Article  Google Scholar 

  • Casale, M., Cluver, L., Crankshaw, T., Kuo, C., Lachman, J. M., & Wild, L. G. (2015). Direct and indirect effects of caregiver social support on adolescent psychological outcomes in two south African AIDS-affected communities. American Journal of Community Psychology, 55(3–4), 336–346.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cotten, S. R. (1999). Marital status and mental health revisited: Examining the importance of risk factors and resources. Family Relations, 48, 225–233.

    Article  Google Scholar 

  • Crohan, S., & Antonucci, T. (1989). Friends as a source of social support in old age. In Rebecca Adams & Rosemary Blieszner (Eds.), Older adult friendship (pp. 129–146). Newbury Park, CA: Sage.

    Google Scholar 

  • Dean, A., Kolody, B., & Wood, P. (1990). Effects of social support from various sources on depression in elderly persons. Journal of Health and Social Behavior, 31, 148–161.

    Article  PubMed  Google Scholar 

  • Dressler, W. W. (1985). Extended family relationships, social support, and mental health in a southern black community. Journal of Health and Social Behavior, 26, 39–48.

    Article  PubMed  Google Scholar 

  • Erikson, E. H. (1964). Insight and responsibility. New York: Norton.

    Google Scholar 

  • Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review Public Health, 26, 399–419.

    Article  Google Scholar 

  • Finfgeld-Connett, D. (2005). Clarification of social support. Journal of Nursing Scholarship, 37(1), 4–9.

    Article  PubMed  Google Scholar 

  • Friedman, M. M. (1993). Social support sources and psychological well-being in older women with heart disease. Research in Nursing & Health, 16, 405–413.

    Article  Google Scholar 

  • Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18(3), 233–239.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fung, H. H., Carstensen, L. L., & Lang, F. R. (2001). Age-related patterns in social networks among European Americans and African Americans: Implications for socioemotional selectivity across the life span. International Journal of Aging and Human Development, 52, 185–206.

    Article  PubMed  Google Scholar 

  • Gallant, M. P. (2003). The influence of social support on chronic illness self-management: A review and directions for research. Health Education & Behavior, 30(2), 170–195.

    Article  Google Scholar 

  • Greenwell, L., & Bengtson, V. L. (1997). Geographic distance and contact between middle-aged children and their parents: The effects of social class over 20 years. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 52(1), S13–S26.

    Article  Google Scholar 

  • Gupta, V., & Korte, C. (1994). The effects of a confidant and a peer group on the well-being of single elders. The International Journal of Aging and Human Development, 39(4), 293–302.

    Article  PubMed  Google Scholar 

  • Gurung, R. A., Taylor, S. E., & Seeman, T. E. (2003). Accounting for changes in social support among married older adults: Insights from the MacArthur studies of successful aging. Psychology and Aging, 18, 487.

    Article  PubMed  Google Scholar 

  • Ha, J. H. (2010). The effects of positive and negative support from children on widowed older adults’ psychological adjustment: A longitudinal analysis. The Gerontologist, 50, 471–481.

    Article  PubMed Central  PubMed  Google Scholar 

  • Ha, J. H., & Ingersoll-Dayton, B. (2008). The effect of widowhood on intergenerational ambivalence. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(1), S49–S58.

    Article  Google Scholar 

  • Haines, V. A., & Hurlbert, J. S. (1992). Network range and health. Journal of Health and Social behavior, 33, 254–266.

    Article  PubMed  Google Scholar 

  • Hartup, W. W., & Stevens, N. (1999). Friendships and adaptation across the life span. Current Directions in Psychological Science, 8, 76–79.

    Article  Google Scholar 

  • Heckhausen, J., & Schulz, R. (1995). A life-span theory of control. Psychological Review, 102, 284.

    Article  PubMed  Google Scholar 

  • Kahn, R. L., & Antonucci, T. C. (1980). Convoys over the life course: Attachment, roles, and social support. In P. B. Balets & O. Brim (Eds.), Life-span development and behavior (pp. 254–283). New York, NY: Academic Press.

    Google Scholar 

  • Karb, R. A., Elliott, M. R., Dowd, J. B., & Morenoff, J. D. (2012). Neighborhood-level stressors, social support, and diurnal patterns of cortisol: The Chicago Community Adult Health Study. Social Science and Medicine, 75, 1038–1047.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kardum, I., & Krapić, N. (2001). Personality traits, stressful life events, and coping styles in early adolescence. Personality and Individual Differences, 30, 503–515.

    Article  Google Scholar 

  • Krause, N. (1986). Social support, stress, and well-being among older adults. Journal of gerontology, 41(4), 512–519.

    Article  PubMed  Google Scholar 

  • Kruger, D. J., Hutchison, P., Monroe, M. G., Reischl, T., & Morrel-Samuels, S. (2007). Assault injury rates, social capital, and fear of neighborhood crime. Journal of Community Psychology, 35(4), 483–498.

    Article  Google Scholar 

  • Lawrence, R. H., Bennett, J. M., & Markides, K. S. (1992). Perceived intergenerational solidarity and psychological distress among older Mexican Americans. Journal of Gerontology, 47, S55–S65.

    Article  PubMed  Google Scholar 

  • Lefkowitz, E. S., Boone, T. L., & Shearer, C. L. (2004). Communication with best friends about sex-related topics during emerging adulthood. Journal of Youth and Adolescence, 33(4), 339–351 .

    Article  Google Scholar 

  • Levitt, M. J. (2005). Social relations in childhood and adolescence: The convoy model perspective. Human Development, 48(1–2), 28–47.

    Article  Google Scholar 

  • Mickelson, K. D., & Kubzansky, L. D. (2003). Social distribution of social support: The mediating role of life events. American Journal of Community Psychology, 32(3–4), 265–281.

    Article  PubMed  Google Scholar 

  • Okun, M. A., & Keith, V. M. (1998). Effects of positive and negative social exchanges with various sources on depressive symptoms in younger and older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53, P4–P20.

    Article  Google Scholar 

  • Roder, E., Boekacrts, M., & Kroonenberg, P. (2002). The stress and coping questionnaire for children (school version and asthma version): Construction, factor structure, and psychometric properties. Psychological Reports, 91, 29–36.

    Article  PubMed  Google Scholar 

  • Rutledge, T., Reis, S. E., Olson, M., Owens, J., Kelsey, S. F., Pepine, C. J., & Matthews, K. A. (2004). Social networks are associated with lower mortality rates among women with suspected coronary disease: The National Heart, Lung, and Blood Institute-Sponsored Women’s Ischemia Syndrome Evaluation study. Psychosomatic Medicine, 66, 882–888.

    Article  PubMed  Google Scholar 

  • Schulz, R., & Heckhausen, J. (1996). A life span model of successful aging. American Psychologist, 51, 702.

    Article  PubMed  Google Scholar 

  • Shaw, B. A., Krause, N., Chatters, L. M., Connell, C. M., & Ingersoll-Dayton, B. (2004). Emotional support from parents early in life, aging, and health. Psychology and Aging, 19, 4–12.

    Article  PubMed  Google Scholar 

  • Silverstein, M., & Bengtson, V. L. (1994). Does intergenerational social support influence the psychological well-being of older parents? The contingencies of declining health and widowhood. Social Science and Medicine, 38, 943–957.

    Article  PubMed  Google Scholar 

  • Stansfeld, S. A., Rael, E. G. S., Head, J., Shipley, M., & Marmot, M. (1997). Social support and psychiatric sickness absence: A prospective study of British civil servants. Psychological Medicine, 27, 35–48.

    Article  PubMed  Google Scholar 

  • Symister, P. (2011). Beyond social support: Using family expectations to predict psychological adjustment in end-stage renal disease patients. Journal of health psychology, 16(7), 1015–1026.

    Article  PubMed  Google Scholar 

  • Thoemmes, F., MacKinnon, D. P., & Reiser, M. R. (2010). Power analysis for complex mediational designs using Monte Carlo methods. Structural Equation Modeling, 17(3), 510–534.

    Article  PubMed Central  PubMed  Google Scholar 

  • Thoits, P. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behavior, 52(2), 145–161.

    Article  PubMed  Google Scholar 

  • Uchino, B. N. (2009). Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of perceived and received support. Perspectives on Psychological Science, 4, 236–255.

    Article  PubMed  Google Scholar 

  • Ulbrich, P. M., Warheit, G. J., & Zimmerman, R. S. (1989). Race, socioeconomic status, and psychological distress: An examination of differential vulnerability. Journal of Health and Social Behavior, 30, 131–146.

    Article  PubMed  Google Scholar 

  • U.S. Census Bureau, 2010 Census. Retrieved from http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk. 15 Sept 2015.

  • Väänänen, A., Vahtera, J., Pentti, J., & Kivimäki, M. (2005). Sources of social support as determinants of psychiatric morbidity after severe life events: Prospective cohort study of female employees. Journal of Psychosomatic Research, 58, 459–467.

    Article  PubMed  Google Scholar 

  • Van Tilburg, T. (1998). Losing and gaining in old age: Changes in personal network size and social support in a four-year longitudinal study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53(6), S313–S323.

    Article  Google Scholar 

  • Walen, H. R., & Lachman, M. E. (2000). Social support and strain from partner, family, and friends: Costs and benefits for men and women in adulthood. Journal of Social and Personal Relationships, 17(1), 5–30.

    Article  Google Scholar 

  • Wills, T. A., & Fegan, M. F. (2001). Social networks and social support. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology (pp. 209–234). Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Wolff, J. L., & Kasper, J. D. (2006). Caregivers of frail elders: Updating a national profile. The Gerontologist, 46, 344–356.

    Article  PubMed  Google Scholar 

  • Wrzus, C., Hänel, M., Wagner, J., & Neyer, F. J. (2013). Social network changes and life events across the life span: A meta-analysis. Psychological Bulletin, 139, 53.

    Article  PubMed  Google Scholar 

  • Ystgaard, M., Tambs, K., & Dalgard, O. S. (1999). Life stress, social support and psychological distress in late adolescence: A longitudinal study. Social Psychiatry and Psychiatric Epidemiology, 34(1), 12–19.

    Article  PubMed  Google Scholar 

  • Zunzunegui, M. V., Beland, F., & Otero, A. (2001). Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain. International Journal of Epidemiology, 30(5), 1090–1099.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. University of Michigan, SPH 1, 1415 Washington Heights, Ann Arbor, MI, 48109, USA

    Justin E. Heinze, Daniel J. Kruger, Thomas M. Reischl, Suzanne Cupal & Marc A. Zimmerman

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  1. Justin E. Heinze
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  2. Daniel J. Kruger
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  3. Thomas M. Reischl
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  4. Suzanne Cupal
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  5. Marc A. Zimmerman
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Correspondence to Justin E. Heinze.

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Heinze, J.E., Kruger, D.J., Reischl, T.M. et al. Relationships Among Disease, Social Support, and Perceived Health: A Lifespan Approach. Am J Community Psychol 56, 268–279 (2015). https://doi.org/10.1007/s10464-015-9758-3

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