Abstract
Using data from 40-year-old and older respondents in the 2007–2008 National Health and Nutrition Examination Study, this study sought to identify variations in emotional support networks among midlife and older adults and examine how those variations were related to depressive symptoms and to perceptions of inadequate support. Latent class analyses were used to identify six typologies of emotional support networks. Typologies were labeled, and multinomial logistic regression was used to examine how membership in typologies was related to variations in depressive symptoms and perceived adequacy of emotional support. The findings indicate that when the focus is emotional support, social support from spouses is related to fewer depressive symptoms and less perceived need for increased emotional support. The results of this study suggest that access to family members, especially spouses, for emotional support is related to fewer depressive symptoms and a decreased probability of reporting inadequate social support. Overall, this study suggests that emotional support networks that include family members, especially spouses, are supportive of older persons’ quality of life.
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Adams, R. G., & Blieszner, R. (1995). Aging well with friends and family. American Behavioral Scientist, 39(2), 209–224. doi:10.1177/0002764295039002008.
Antonucci, T. C. (1990). Social supports and social relationships. In R. H. Binstock & L. K. George (Eds.), Handbook of aging and the social sciences (3rd ed., pp. 205–226). San Diego, CA: Academic Press.
Antonucci, T. C., & Akiyama, H. (1995). Convoys of social relations: Family and friendships within a life span context. In R. Blieszner & V. H. Bedford (Eds.), Handbook of aging and the family (pp. 355–371). Westport, CT: Greenwood Press/Greenwood Publishing Group.
Berkman, L. F., Seeman, T. E., Albert, M., Blazer, D., Kahn, R., Mohs, R., et al. (1993). High, usual and impaired functioning in community-dwelling older men and women: Findings from the MacArthur Foundation research network on successful aging. Journal of Clinical Epidemiology, 46(10), 1129–1140. doi:10.1016/0895-4356(93)90112-E.
Callahan, C. M., Kesterson, J. G., & Tierney, W. M. (1997). Association of symptoms of depression with diagnostic test charges among older adults. Annals of Internal Medicine, 126(6), 426–432. Retrieved from http://annals.org/article.aspx?articleid=710381.
Caputo, J., & Simon, R. W. (2013). Physical limitation and emotional well-being: Gender and marital status variations. Journal of Health and Social Behavior, 54(2), 241–257. doi:10.1177/0022146513484766.
Centers for Disease Control. (2006). Analytical and reporting guidelines: National Health and Nutrition Examination Survey. Hyattsville, MD: National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/data/nhanes/nhanes_03_04/nhanes_analytic_guidelines_dec_2005.pdf.
Centers for Disease Control. (2009). National Health and Nutrition Examination Survey: 2007–2008 [Data file]. Retrieved from http://www.cdc.gov/nchs/nhanes/nhanes_questionnaires.htm.
Choi, H., & Marks, N. F. (2011). Socioeconomic status, marital status continuity and change, marital conflict, and mortality. Journal of Aging and Health, 23(4), 714–742. doi:10.1177/0898264310393339.
Fiori, K. L., Antonucci, T. C., & Cortina, K. S. (2006). Social network typologies and mental health among older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 61(1), 25–32. doi:10.1093/geronb/61.1.P25.
Fiori, K. L., Smith, J., & Antonucci, T. C. (2007). Social network types among older adults: A multidimensional approach. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62B(6), P322–P330. doi:10.1093/geronb/62.6.P322.
Glass, T. A., DeLeon, C., Bassuk, S. S., & Berkman, L. F. (2006). Social engagement and depressive symptoms in late life: Longitudinal findings. Journal of Aging and Health, 18(4), 604–628. doi:10.1177/0898264306291017.
House, J. S. (1981). Work stress and social support. Reading, MA: Addison-Wesley Publishing.
House, J. S. (1996). Americans’ changing lives: Waves I and II, 1986 and 1989. Ann Arbor, MI: Inter-university Consortium for Political and Social Research.
Jorm, A. F. (2005). Social networks and health: It’s time for an intervention trial. Journal of Epidemiology and Community Health, 59(7), 537–538. doi:10.1136/jech.2004.031559.
Katon, W. J., Lin, E., Russo, J., & Unutzer, J. (2003). Increased medical costs of a population-based sample of depressed elderly patients. Archives of General Psychiatry, 60(9), 897–903. doi:10.1001/archpsyc.60.9.897.
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9. Journal of General Internal Medicine, 16(9), 606–613. doi:10.1046/j.1525-1497.2001.016009606.x.
Langa, K. M., Valenstein, M. A., Fendrick, A. M., Kabeto, M. U., & Vijan, S. (2004). Extent and cost of informal caregiving for older Americans with symptoms of depression. American Journal of Psychiatry, 161(5), 857–863. doi:10.1176/appi.ajp.161.5.857.
Lanza, S. T., Dziak, J. J., Huang, L., Xu, S., & Collins, L. M. (2011). PROC LCA & PROC LTA users’ guide (Version 1.2.7). University Park, PA: The Methodology Center, Pennsylvania State University. Retrieved from http://methodology.psu.edu.
Liebler, C. A., & Sandefur, G. D. (1998). Exchanging social support with friends, neighbors, and coworkers [CDE Working Paper No. 98-19]. Madison, WI: University of Wisconsin-Madison, Center for Demography and Ecology. Retrieved from http://www.ssc.wisc.edu/cde/cdewp/98-19.pdf.
Lima, J. C., Allen, S. M., Goldscheider, F., & Intrator, O. (2008). Spousal caregiving in late midlife versus older ages: Implications of work and family obligations. Journal of Gerontology: Social Sciences, 63B, S229–S238. Retrieved from http://psychsocgerontology.oxfordjournals.org/.
Litwin, H. (2001). Social network type and morale in old age. Gerontologist, 41(4), 516. doi:10.109/geront/41.4.516.
Litwin, H., & Shiovitz-Ezra, S. (2011). Social network type and subjective well-being in a national sample of older Americans. The Gerontologist, 51, 379–388. doi:10.1093/geront/gnq094.
Merz, E. M., Schuengel, C., & Schulze, H. J. (2009). Intergenerational relations across four years: Wellbeing is affected by quality not by support exchange. Gerontologist, 49(4), 536–548. doi:10.1093/geront/gnp043.
SAS Institute (Version 9.2) [Software]. (2008). Available from http://www.sas.com/.
Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glasner, J. K. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin, 119, 488–531.
Umberson, D., & Montez, J. K. (2010). Social relationships and health: A flashpoint for health policy. Journal of Health and Social Behavior, 51(S), S54–S66. doi:10.1177/0022146510383501.
Wenger, G. C. (1991). A network typology: From theory to practice. Journal of Aging Studies, 5(2), 147–162. doi:10.1016/0890-4065(91)90003-B.
White, A. M., Philogene, G. S., Fine, L., & Sinha, S. (2009). Social support and self-reported health status of older adults in the United States. American Journal of Public Health, 99(10), 1872–1878. doi:10.2105/AJPH.2008.146894.
Acknowledgments
This study is partially funded by the University of Arkansas Division of Agriculture. The authors thank Mr. James Duncan for his assistance on this manuscript.
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Killian, T.S., Turner, M.J. Latent Class Typologies for Emotional Support Among Midlife and Aging Americans: Evidence from the National Health and Human Nutrition Examination Survey. J Adult Dev 21, 96–105 (2014). https://doi.org/10.1007/s10804-014-9183-0
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DOI: https://doi.org/10.1007/s10804-014-9183-0