Abstract
Social support research has been hampered by a lack of clarity both in the definitions of social support and in the conceptualization of its effects on health outcomes. The present study compared social network size and three types of perceived social support—tangible, emotional, and informational —in relation to stressful life events, psychological symptoms and morale, and physical health status in a sample of 100 persons 45–64 years old. Social network size was empirically separable from, though correlated with, perceived social support and had a weaker overall relationship to outcomes than did support. Low tangible support and emotional support, in addition to certain life events, were independently related to depression and negative morale; informational support was associated with positive morale. Neither social support nor stressful life events were associated with physical health. It was concluded that social support research would benefit from attention to the multidimensionality of support and greater specificity in hypotheses about the relationship between types of support and adaptational outcomes.
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Andrews, G., Tennant, C., Hewson, D., and Schonell, M. (1978). The relation of social factors to physical and psychiatric illness.Am. J. Epidemiol. 108: 27–35.
Berkman, L. F., and Syme, S. L. (1979). Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents.Am. J. Epidemiol. 109: 186–204.
Bloom, J. R. (1978). Social support, coping and adjustment to mastectomy. Paper presented at International Congress on Cancer, Buenos Aires, Argentina.
Bradburn, N., and Caplovitz, D. (1965).Reports on Happiness: A Pilot Study of Behavior Related to Mental Health, Aldine, Chicago.
Brown, G. W., Bhrölcháin, M. N., and Harris, T. (1975). Social class and psychiatric disturbance among women in an urban population.Sociology 9: 225–254.
Campbell, A. (1976). Subjective measures of well-being.Am. Psychol. 31: 117–124.
Cassel, J. (1976). The contribution of the social environment to host resistance.Am. J. Epidemiol. 104: 107–123.
Cobb, S. (1976). Social support as a moderator of life stress.Psychosom. Med. 38: 300–314.
Costa, P. T., and McCrae, R. R. (1980a). Influence of extraversion and neuroticism on subjective well-being: Happy and unhappy people.J. Personal. Soc. Psychol. 38: 668–677.
Costa, P. T., and McCrae, R. R. (1980b). Somatic complaints in males as a function of age and neuroticism: A longitudinal analysis.J. Behav. Med. 3: 245–258.
Coyne, J. C. (1976a). Depression and the response of others.J. Abnorm. Psychol. 85: 186–193.
Coyne, J. C. (1976b). Toward an interactional description of depression.Psychiatry 39: 28–40.
Coyne, J. C., and Lazarus, R. S. (1980). Cognition, stress, and coping: A transactional perspective. In Kutash, I. L., and Schlesinger, L. B. (eds.),Pressure Point: Perspectives on Stress and Anxiety, Jossey-Bass, San Francisco.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests.Psychometrika 16: 542–548.
Croog, S. (1970). The family as a source of stress. In Levine, S., and Scotch, N. A. (eds.),Social Stress, Aldine, Chicago.
Dean, A., and Lin, N. (1977). The stress-buffering role of social support.J. Nerv. Ment. Dis. 169: 403–417.
Derogatis, L. R., Lipman, R. S., Covi, L., Rickels, K., and Uhlenhuth, E. H. (1970). Dimensions of outpatient neurotic pathology: Comparison of a clinical versus an empirical assessment.J. Consult. Psychol. 34: 164–171.
Derogatis, L. R., Lipman, R. S., Covi, L., and Rickels, K. (1971). Neurotic symptom dimensions: As perceived by psychiatrists and patients of various social classes.Arch. Gen. Psychiat. 24: 454–464.
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., and Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A measure of primary symptom dimensions. In Pichot, P. (ed.),Psychological Measurements in Psychopharmacology. Modern Problems in Pharmacopsychiatry, Vol. 7, Karger, Basel.
Dohrenwend, B. P. (1974). Problems in defining and sampling the relevant population of stressful life events. In Dohrenwend, B. S., and Dohrenwend, B. P. (eds.),Stressful Life Events: Their Nature and Effects, Wiley, New York.
Ernster, V. L., Sacks, S. T., Selvin, S., and Petrakis, N. L. (1979). Cancer incidence by marital status: U.S. Third National Cancer Survey.J. Nat. Cancer Inst. 63: 567–585.
Folkman, S., Schaefer, C., and Lazarus, R. S. (1979). Cognitive processes as mediators of stress and coping. In Hamilton, V., and Warburton, D. M. (eds.),Human Stress and Cognition: An Information-processing Approach, Wiley, London.
Goldberg, E. L., and Comstock, G. W. (1980). Epidemiology of life events: Frequency in general populations.Am. J. Epidemiol. 111: 736–752.
Gore, S. (1978). The effect of social support in moderating the health consequences of unemployment.J. Health Soc. Behav. 19: 157–165.
Granovetter, M. S. (1973). The strength of weak ties.Am. J. Sociol. 73: 1360–1380.
Henderson, S. K., Byrne, D. G., Duncan-Jones, P., Adcock, S., Scott, R., and Steele, G. P. (1978). Social bonds in the epidemiology of neurosis: A preliminary communication.Brit. J. Psychiat. 132: 463–466.
Holmes, T. H., and Rahe, R. H. (1967). The social readjustment rating scale.J. Psychosom. Res. 11: 213–218.
Kanner, A. D., Coyne, J. C., Schaefer, C., and Lazarus, R. S. (1981). Comparison of two modes of stress measurement: Daily hassles and uplifts versus major life events.J. Behav. Med. 4: 1–39.
Kaplan, B. H., Cassel, J., and Gore, S. (1977). Social support and health.Med. Care 15(5): 47–58.
LaRocco, J. L., House, J. S., and French, J. R. P., Jr. (1980). Social support, occupational stress, and health.J. Health Soc. Behav. 21: 202–218.
Lazarus, R. S. (1981). The stress and coping paradigm. In Eisdorfer, C., Cohen, D., Kleinman, A., and Maxim, P. (eds.),Theoretical Bases for Psychopathology, Spectrum, New York.
Lazarus, R. S., and Launier, R. (1978). Stress-related transactions between person and environment. In Pervin, L. A., and Lewis, M. (eds.),Perspectives in Interactional Psychology, Plenum, New York.
Lazarus, R. S., Kanner, A. D., and Folkman, S. (1980). Emotions: A cognitive-phenomenological analysis. In Plutchik, R., and Kellerman, H. (eds.),Theories of Emotion, Academic Press, New York.
Liem, R., and Liem, J. (1978). Social class and mental illness reconsidered: The role of economic stress and social support.J. Health Soc. Behav. 19: 139–156.
Lin, N., Simeone, R. S., Ensel, W. M., and Kuo, W. (1979). Social support, stressful life events, and illness: A model and empirical test.J. Health Soc. Behav. 20: 108–119.
Lowenthal, M. F. (1964). Social isolation and mental illness in old age.Am. Sociol. Rev. 29: 54–70.
Lowenthal, M. F., and Haven, C. (1968). Interaction and adaptation: Intimacy as a critical variable.Am. Sociol. Rev. 33: 20–29.
Meltzer, J., and Hochstim, J. (1970). Reliability and validity of survey data on physical health.Publ. Health Rep. 85: 1075–1086.
Miller, P., McC., and Ingham, J. G. (1976). Friends, confidants and symptoms.Soc. Psychiat. 11: 51–58.
Mitchell, J. C. (1969).Social Networks in Urban Situations, Manchester University Press, Manchester, England.
Nuckolls, K. B., Cassel, J., and Kaplan, B. H. (1972). Psychosocial assets, life crisis, and the prognosis of pregnancy.Am. J. Epidemiol. 95: 431–441.
Ortmeyer, C. F. (1974). Variations in mortality, morbidity, and health care by marital status. In Erhardt, C. L., and Berlin, J. E. (eds.),Mortality and Morbidity in the United States, Harvard University Press, Cambridge, Mass.
Parsons, T. (1951).The Social System, The Free Press, New York.
Parsons, T. (1972). Definitions of health and illness in the light of American values and social structure. In Jaco, E. G. (ed.),Patients, Physicians and Illness, 2nd ed., The Free Press, New York.
Rabkin, J. G., and Struening, E. L. (1976). Life events, stress, and illness.Science 194: 1013–1020.
Rickels, K., Lipman, R. S., Garcia, C. R., and Fisher, E. (1972). Evaluating clinical improvement in anxious outpatients: A comparison of normal and treated neurotic patients.Am. J. Psychiat. 128: 119–123.
Satariano, W. A., and Syme, S. L. (1980). Life changes and diseases in elderly populations: Coping with change. In McGaugh, J., Kiesler, S., and Marsh, J. G. (eds.),Biology, Behavior, and Aging, Academic Press, New York.
Syme, S. L. (1981). Sociocultural factors and disease etiology. In Gentry, W. D. (ed.),The Handbook of Behavioral Medicine, Guilford, New York (in press).
Uhlenhuth, E. H., Lipman, R. S., Balter, M. B., and Stern, M. (1974). Symptom intensity and life stress in the city.Arch. Gen. Psychiat. 31: 759–764.
Vaughn, C. E., and Leff, J. P. (1976). The influence of family and social factors in the course of psychiatric illness.Br. J. Psychiat. 129: 125–137.
Weiss, R. S. (1968). Materials for a theory of social relationships. In Bennis, W. G., Schein, E. H., Steele, F. I., and Berlew, D. E. (eds.),Interpersonal Dynamics: Essays and Readings on Human Interactions, 2nd ed., Dorsey, Homewood, Ill.
Weiss, R. S. (1974). The provisions of social relationships. In Rubin, Z. (ed.),Doing Unto Others, Prentice-Hall, Englewood Cliffs, N.J.
Wilson, W. (1967). Correlates of avowed happiness.Psychol. Bull. 67: 294–306.
Wingard, D. G. (1980). The sex differential in mortality rates: Biological and social factors. Unpublished doctoral dissertation, University of California, Berkeley.
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Writing of this paper was supported in part by National Institute on Aging Research Grant AG 00799 and Public Health Service Training Grant MH 13561.
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Schaefer, C., Coyne, J.C. & Lazarus, R.S. The health-related functions of social support. J Behav Med 4, 381–406 (1981). https://doi.org/10.1007/BF00846149
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DOI: https://doi.org/10.1007/BF00846149