Skip to main content

The Influence of Social Support Factors on the Well-Being of the Elderly

  • Chapter
Handbook of Clinical Behavior Therapy with the Elderly Client

Part of the book series: Applied Clinical Psychology ((NSSB))

Abstract

Social support has received considerable attention in the literature as researchers have noted its influence upon both psychological well-being and physical health. Nowhere is the influence of social support more strongly felt than among the elderly population. This group typically experiences a gradual (and sometimes sudden) decline in both support systems and health status over time. Therefore, if social support can, indeed, influence health and well-being, it may be that this population has the most to gain from research findings in this area. This chapter focuses upon the influence of social support factors on both the psychological and physical health of the elderly, two interrelated and overlapping subareas. I will first describe definitional and measurement issues related to social support and health. Next, I will present various theories relating social support to physical and psychological health. In the subsequent sections, I will review demographic variables, which may be useful in identifying individuals at risk for succumbing to stressful life events, and I will discuss adverse effects of social support and make some clinical recommendations of ways to use this information.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Andervont, H. B. (1944). Influence of environment on mammary cancer in mice. Journal of the National Cancer Institute, 4, 579–581.

    Google Scholar 

  • Andrews, G., Tennant, C., Hewson, D. M., & Vaillant, G. E. (1978). Life event stress, social support, coping style, and risk of psychological impairment. Journal of Nervous and Mental Diseases, 166, 307–316.

    Article  Google Scholar 

  • Aneshensel, C., & Freiichs, R. (1982). Stress, support, and depression: A longitudinal causal model. Journal of Community Psychology, 10, 363–376.

    Article  Google Scholar 

  • Antonovsky, A. (1980). Health, stress, and coping. San Francisco: Jossey-Bass.

    Google Scholar 

  • Antonucci, T. C. (1985). Personal characteristics, social support, and social behavior. In R. H. Binstock & E. Shanas (Eds.), Handbook of aging and the social sciences (pp. 94–128). New York: Van Nostrand Reinhold.

    Google Scholar 

  • Antonucci, T., & House, J. (1983). Health and social support among the elderly. Paper presented at the annual meeting of the American Sociological Society, Detroit, MI.

    Google Scholar 

  • Babchuck, N. (1978–1979). Aging and primary relations. International Journal of Aging and Human Development, 9, 139–152.

    Google Scholar 

  • Backeland, F., & Lund well, L. (1975). Dropping out of treatment: A critical review. Psychological Bulletin, 82, 738–783.

    Article  Google Scholar 

  • Bailer, C. (1968). Les états névrotiques chez les personnes agées. Gazette Medicale de France, 75, 3415–3420.

    Google Scholar 

  • Baltes, M. (1984). Dependent behavior of elderly in nursing homes. Paper presented at the annual meeting of the Association for Behavior Analysis, Nashville, TN.

    Google Scholar 

  • Bengston, V., Kasschau, P. K., & Ragan, P. (1977). The impact of social structure on aging individuals. In J. E. Birren & K. Schaie (Eds.), Handbook of the psychology of aging (pp. 327–347). New York: Van Nostrand Reinhold.

    Google Scholar 

  • Berkman, L. R., & Syme, L. (1979). Social networks, host resistance, and mortality: A nine-year follow- up study of Alamada County residents. American Journal of Epidemiology, 109, 186–204.

    PubMed  Google Scholar 

  • Blau, Z. (1973). Old age in a changing society. New York: New Viewpoints.

    Google Scholar 

  • Blazer, D. G. (1982). Social support and mortality in an elderly population. American Journal of Epidemiology, 115, 684–94.

    PubMed  Google Scholar 

  • Britton, J., & Britton, J. O. (1972). Personality changes in aging: A longitudinal study of community residents. New York: Springer.

    Google Scholar 

  • Brown, G. W., Bhrolchain, M. N., & Harris, T. (1975). Social class and psychiatric disturbance among women in an urban population. Sociology, 9, 225–254.

    Article  Google Scholar 

  • Burch, J. (1972). Recent bereavement in relation to suicide. Journal of Psychosomatic Research, 16, 361–366.

    Article  Google Scholar 

  • Campbell, A. (1980). A sense of well-being in America. New York: McGraw-Hill.

    Google Scholar 

  • Carp, F. M. (1966). A future for the aged. Austin: University of Texas Press.

    Google Scholar 

  • Christenson, W. N., & Hinkle, L. E. (1961). Differences in illness and prognostic signs in two groups of young men. Journal of the American Medical Association, 177, 247–253.

    Article  PubMed  Google Scholar 

  • Clark, M., & Anderson, B. (1967). Culture and aging. Springfield, IL: Charles C Thomas.

    Google Scholar 

  • Cobb, S. (1976). Social support as a moderator of life stress. Journal of Psychosomatic Medicine, 38, 300–314.

    Google Scholar 

  • Conger, J. C., Sawrey, W., & Turrel, E. S. (1958). The role of social experience in the production of gastric ulcers in hooded rats placed in a conflict situation. Journal of Abnormal Psychology, 57, 214–220.

    Article  PubMed  Google Scholar 

  • Coyne, J. C., & DeLongis, A. (1986). Going beyond social support: The role of social relationships in adaptation. Journal of Consulting and Clinical Psychology, 54, 454–460.

    Article  PubMed  Google Scholar 

  • Coyne, J. C., & Holroyd, K. (1982). Stress, coping, and illness: A transactional perspective. In T. Millon, C. Green, & R. Meagher (Eds.), Handbook of health care psychology (pp. 103–28). New York: Plenum.

    Chapter  Google Scholar 

  • Cumming, E., & Schneider, D. (1961). Sibling solidarity: A property of American kinship. American Anthropology, 63, 498–507.

    Article  Google Scholar 

  • Dean, A., Lin, N., & Ensel, W. (1980). The epidemiological significance of social support in depression. In R. Simmons (Ed.), Research in community and mental health (pp. 77–109). New York: JAI Press.

    Google Scholar 

  • Derogatis, L., Rickels, K., & Rock, A. (1976). The SCL-90 and the MMPI: A step in the validation of a new self-report scale. British Journal of Psychology, 128, 280–289.

    Article  Google Scholar 

  • DiMatteo, M. R., & Hays, R. (1981). Social support and serious illness. In B. H. Gottlieb (Ed.), Social networks and social support, Vol. 4 (pp. 117–148). Beverly Hills: Sage Publications.

    Google Scholar 

  • Fiore, J., Becker, J., & Coppel, D. B. (1983). Social network interaction: A buffer or a stress? American Journal of Community Psychology, 11, 423–440.

    Article  PubMed  Google Scholar 

  • Fischer, C. (1982). To dwell among friends: Personal networks in town and city. Chicago: Chicago University Press.

    Google Scholar 

  • Funch, D., & Mettlin, C. (1982). The role of support in relation to recovery from breast surgery. Social Science and Medicine, 16, 91–98.

    Article  PubMed  Google Scholar 

  • Garrity, T. (1973). Vocational adjustment after first myocardial infarction: Comparative assessment of several variables suggested in the literature. Social Science and Medicine, 7, 705–717.

    Article  Google Scholar 

  • Glenn, N. D., & Weaver, C.N. (1981). The contribution of marital happiness to global happiness. Journal of Marriage and Family, 43, 161–168.

    Article  Google Scholar 

  • Gore, S. (1978). The effect of social support in moderating the health consequences of unemployment. Journal of Health and Social Behavior, 19, 157–165.

    Article  PubMed  Google Scholar 

  • Gove, W. R., Hughes, M., & Style, C. B. (1983). Does marriage have positive effects on the well-being of the individual? Journal of Health and Social Behavior, 24, 122–131.

    Article  PubMed  Google Scholar 

  • Handen, B. L. (1985). The effect of social support and stress on the health of community-living elderly. (Doctoral dissertation, University of Massachusetts, Amherst, 1985). Dissertation Abstracts International, 45, 961B.

    Google Scholar 

  • Harris, L. (1975). The myth and reality of aging in America. Washington, DC: The National Council on Aging.

    Google Scholar 

  • Heltsley, M., & Powers, R. (1975). Social interaction and perceived adequacy of interaction of the rural aged. The Gerontologist, 15, 533–536.

    Article  PubMed  Google Scholar 

  • Henderson, S., Duncan-Jones, P., Adcock, S., Scott, R., & Steele, G. (1978). Social bonds in the epidemiology of neurosis: A preliminary communication. British Journal of Psychology, 132, 463–466.

    Article  Google Scholar 

  • Henry, J. P., & Cassel, J. P. (1969). Psychosocial factors in essential hypertension. Journal of Epidemiology, 90, 171–200.

    Google Scholar 

  • Himmelfarb, S., & Murreil, S. (1983). Reliability and validity of five mental health scales in older people. Journal of Gerontology, 38, 333–339.

    Article  PubMed  Google Scholar 

  • Hollingshead, A. B., & Redlich, F. C. (1958). Social class and mental illness. New York: John Wiley and Sons.

    Book  Google Scholar 

  • Holmes, T. (1956). Multidiscipline study of tuberculosis. In P. J. Sparer (Ed.), Personality, stress, and tuberculosis (pp. 65–152). New York: International Universities Press.

    Google Scholar 

  • Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Medicine, 11, 213–218.

    Article  Google Scholar 

  • Horley, J. (1984). Life satisfaction, happiness, and morale: Two problems with the use of subjective well- being indicators. The Gerontologist, 2, 124–127.

    Article  Google Scholar 

  • House, J. S. (1981). Work stress and social support. Reading, MA: Addison-Wesley.

    Google Scholar 

  • Hoyt, D., Kaiser, M., Peters, G., & Babchuk, N. (1980). Life satisfaction and activity theory: A multidimensional approach. Journal of Gerontology, 43, 409–421.

    Google Scholar 

  • Hussiani, B., Neff, J., Newbrough, J., & Moore, M. (1982). The stress-buffering role of social support and personal competence among the rural married. Journal of Community Psychology, 10, 409–426.

    Article  Google Scholar 

  • Hyman, M. D. (1972). Social isolation and performance in rehabilitation. Journal of Chronic Diseases, 25, 85–97.

    Article  PubMed  Google Scholar 

  • Kahn, R. (1979). Aging and social support. In M. W. Riley (Ed.), Aging from birth to death (pp. 77–91). Washington, DC: American Association for the Advancement of Science.

    Google Scholar 

  • Kahn, R., & Antonucci, T. (1983). Convoys of social support: A life-course approach. In R. H. Binstock & E. Shanas (Eds.), Handbook of aging and the social sciences (2nd ed., pp. 383–405). New York: Van Nostrand Reinhold.

    Google Scholar 

  • Kraus, A. S., & Lilienfeld, A. M. (1959). Some epidemiologic aspects of the high mortality rates in the young widowed group. Journal of Chronic Diseases, 10, 207–217.

    Article  PubMed  Google Scholar 

  • Langlie, J. (1977). Social networks, health beliefs, and preventive health behavior. Journal of Health and Social Behavior, 18, 244–260.

    Article  PubMed  Google Scholar 

  • Larson, R. (1978). Thirty years of research on the subjective well-being of older Americans. Journal of Gerontology, 33, 109–125.

    Article  PubMed  Google Scholar 

  • Lawton, M. P. (1977). The impact of the environment on aging and behavior. In J. E. Birren & W. Schaie (Eds.), Handbook of the psychology of aging (pp. 276–295). New York: Van Nostrand Reinhold.

    Google Scholar 

  • Lehman, D. R., Ellard, J. H., & Wortman, C. (1986). Social support for the bereaved: Recipients’ and providers’ perspectives on what is helpful. Journal of Consulting and Clinical Psychology, 54, 436–438.

    Article  Google Scholar 

  • Levitt, M., Antonucci, T., Clark, M., Rotton, J., & Finley, G. (1985–1986). Social support and well-being: Preliminary indicators on two samples of the elderly. International Journal of Aging and Human Development, 21, 61–78.

    Article  Google Scholar 

  • Lewis, C. E. (1966). Factors influencing the return to work of men with congestive heart failure. Journal of Chronic Diseases, 19, 1193–1209.

    Article  Google Scholar 

  • Liang, J., Dvorkin, L., Kahana, E., & Mazian, F. (1980). Social integration and morale: A re-examination. Journal of Gerontology, 35, 746–757.

    Article  PubMed  Google Scholar 

  • Lin, N., Ensel, W., Simeone, R., & Kuo, W. (1979). Social support, stressful life events, and illness: A model and empirical test. Journal of Health and Social Behavior, 20, 108–119.

    Article  PubMed  Google Scholar 

  • Lin, N., Dean, A., & Ensel, W. (1981). Social support scales: A methodological note. Schizophrenia Bulletin, 7, 73–87.

    Article  PubMed  Google Scholar 

  • Lopata, H. Z. (1975). Support systems of elderly urbanites: Chicago of the 1970s. The Gerontologist, 15, 35–41.

    Article  PubMed  Google Scholar 

  • Lopata, H. Z. (1979). Women and widows: Support systems. New York: Elsvier North Holland.

    Google Scholar 

  • Lowenthal, M. F. (1964). Social isolation and mental illness in old age. American Sociology Review, 29, 54–70.

    Article  Google Scholar 

  • Lowenthal, M. F., & Boler, D. (1965). Voluntary vs. involuntary social withdrawal. Journal of Gerontology, 20, 54–70.

    Article  Google Scholar 

  • Lowenthal, M. F., & Haven, C. (1968). Interaction and adaptation: Intimacy as a critical variable. American Sociology Review, 33, 20–30.

    Article  Google Scholar 

  • Masuda, M., & Holmes, T. H. (1967). Magnitude estimations of social readjustments. Journal of Psychosomatic Research, 11, 219–225.

    Article  PubMed  Google Scholar 

  • Miller, P., & Ingham, J. G. (1976). Friends, confidants, and symptoms. Social Psychology, 11, 51–58.

    Google Scholar 

  • Moriwaki, S. (1973). Self-disclosure, significant others, and psychological well-being in old age. Journal of Health and Social Behavior, 14, 226–232.

    Article  PubMed  Google Scholar 

  • Myers, J., Lindenthal, J., & Pepper, M. (1971). Life events and psychiatric impairment. Journal of Nervous and Mental Disease, 152, 149–157.

    Article  PubMed  Google Scholar 

  • Neugarten, B., Havighurst, R., & Tobin, S. (1961). The measurement of life satisfaction. Journal of Gerontology, 16, 134–143.

    Article  PubMed  Google Scholar 

  • Nuckolls, K. B., Cassel, J. C., & Kaplan, B. H. (1972). Psychosocial assets, life crisis, and the prognosis of pregnancy. American Journal of Epidemiology, 95, 431–441.

    PubMed  Google Scholar 

  • Pearlin, L. L., Lieberman, M. A., Menaghan, E. G., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22, 337–356.

    Article  PubMed  Google Scholar 

  • Pfeiffer, E. (1973). Multidimensional quantitative assessment of three populations of elderly. Paper presented at Annual Meeting of the Gerontological Society, Miami Beach.

    Google Scholar 

  • Roy, A. (1978). Vulnerability factors and depression in women. British Journal of Psychology, 133, 106–110.

    Article  Google Scholar 

  • Schooler, K., Pastorello, T., Comen, A., & Clark, C. (1981). The relative impact of objective and subjective social integration on morale: A replication. The Gerontologist, 21, 292 (Abstract).

    Google Scholar 

  • Shanas, E. (1982). National survey of the aged (DHHS Publication No. OHDS 83–20425). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Sherman, S. (1975). Patterns of contacts for residents of age-segregated and age integrated housing. Journal of Gerontology, 30, 103–107.

    Article  PubMed  Google Scholar 

  • Syme, S. L., Hyman, M. M., & Enterline, P. E. (1971). Some social and cultural factors associated with the occurrence of coronary heart disease. Journal of Chronic Diseases, 19, 277–289.

    Google Scholar 

  • Thoits, P. A. (1982). Conceptual, methodological, and theoretical problems in studying support as a buffer against life stress. Journal of Health and Social Behavior, 23, 145–159.

    Article  PubMed  Google Scholar 

  • Thoits, P. A. (1986). Social support as coping assistance. Journal of Consulting and Clinical Psychology, 54, 416–423.

    Article  PubMed  Google Scholar 

  • Troll, L. (1971). The family of later life: A decade review. Journal of Marriage and Family, 33, 263–290.

    Article  Google Scholar 

  • Troll, L., Miller, S., & Atchley, R. (1978). Families of later life. Belmont, CA: Wadsworth.

    Google Scholar 

  • Turner, R. J. (1983). Direct, indirect, and moderating effects of social support on psychological distress and associated conditions. In H. B. Kaplan (Ed.), Psychosocial stress: Trends, theory, and research (pp. 105–155). New York: Academic Press.

    Google Scholar 

  • U.S. Department of Commerce, Bureau of the Census. (1983). Statistical abstract of the United States, 1984 (104th edition). Washington, DC: US. Bureau of the Census.

    Google Scholar 

  • Varoff, J., Douvan, E., & Kulka, R. (1981). The inner American. New York: Basic Books.

    Google Scholar 

  • Wallston, B. S., Alagna, S. W., DeVellis, B. M., & DeVellis, R. F. (1983). Social support and physical health. Health Psychology, 2, 367–391.

    Article  Google Scholar 

  • Wad, R., Sherman, S., & LaGory, M. (1984). Subjective network assessments and subjective well-being. Journal of Gerontology, 39, 358–366.

    Google Scholar 

  • Wills, T. A. (1984). Supportive functions of interpersonal relationships. In S. Cohen & L. Syme (Eds.), Social support and health (pp. 61–82). New York: Academic Press.

    Google Scholar 

  • Wood, V., & Robertson, I. (1978). Friendship and kinship interaction: Differential effect on the morale of the elderly. Journal of Marriage and Family, 40, 367–373.

    Article  Google Scholar 

  • Wood, V., Wylie, M., & Sheafor, B. (1969). Analysis of a short self-report measure of life satisfaction: Correlation with rater judgments. Journal of Gerontology, 24, 465–469.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Handen, B.L. (1991). The Influence of Social Support Factors on the Well-Being of the Elderly. In: Wisocki, P.A. (eds) Handbook of Clinical Behavior Therapy with the Elderly Client. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0638-0_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0638-0_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0640-3

  • Online ISBN: 978-1-4899-0638-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics