Abstract
This article begins with an explanation of social support's preventive functions as a resource for averting and resisting stress and as a general contributor to health and morale. Next, it presents a variety of emergent interventions involving the mobilization and augmentation of social support, one set classified as health protection (secondary prevention) approaches and the other as health enhancement (primary prevention) approaches. The article concludes with suggestions for future research aimed to improve the conduct and impact of these interventions.
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References
Antonovsky, A. (1979).Health, stress, and coping. San Francisco, CA: Jossey-Bass.
Asher, S.R., & Renshaw, P.D. (1981). Children without friends: Social knowledge and social skill training. In S.R. Asher & J.M. Gottman (Eds.),The development of children's friendships. New York: Cambridge University Press.
Avery, A.W., Ridley, C.A., Leslie, L.A., & Milholland, T. (1980). Relationship enhancement with premarital dyads: A six-month follow-up.American Journal of Family Therapy, 8, 23–30.
Barrera, M. Jr., Sandler, I.N., & Ramsay, T.B. (1981). Preliminary development of a scale of social support: Studies on college students.American Journal of Community Psychology, 9, 435–447.
Barrett, C.J. (1978). Effectiveness of widows' groups in facilitating change.Journal of Consulting and Clinical Psychology, 46, 20–31.
Beckanovic, E. (1982). Seeking care for cancer relevant symptoms.Journal of Chronic Disease, 35, 727–734.
Berkman, L.F. (1985). The relationship of social networks and social support to morbidity and mortality. In S. Cohen & S.L. Syme (Eds.),Social support and health (pp.243–262). San Diego, CA.: Academic Press.
Bloom, B.L., Hodges, W., & Caldwell, R. (1982). A preventive program for the newly separated: initial evaluation.American Journal of Community Psychology, 10, 251–264.
Bloom, B.L., Hodges, W.F., Kern, M.B., & McFaddin, S.C. (1985). A preventive intervention program for the newly separated: Final evaluations.American Journal of Orthopsychiatry, 55, 9–26.
Bond, G., Borman, L.D., Bankoff, E., Daiter, S., Lieberman, M.A., & Videka, L. (1979). Mended Hearts: A self-help case study.Social Policy, 9, 50–57.
Borkman, T. (1976). Experiential knowledge: A new concept for the analysis of self-help groups.Social Service Review, 50, 445–455.
Brugha, T., Bebbington, P., Tennant, C., & Hurry, J. (1985). The list of threatening experiences: A subset of 12 life event categories with considerable long-term contextual threat.Psychological Medicine, 15, 189–194.
Coates, D., & Winston, T. (1983). Counteracting the deviance of depression: Peer support groups for victims.Journal of Social Issues, 39, 169–194.
Cohen, S., & Syme, S.L. (1985). Issues in the study and application of social support. In S. Cohen & S.L. Syme (Eds.),Social support and health (pp. 3–20). San Diego, CA: Academic Press.
Cottrell, N.B., & Epley, S.W. (1977). Affiliation, social comparison, and socially mediated stress reduction. In J.M. Suls and R.L. Miller (Eds.),Social comparison processes: theoretical and empirical perspectives (pp. 43–68). Washington, D.C.: Hemisphere.
Cowen, E.L. (1982). Help is where you find it: Four informal helping groups.American Psychologist, 37, 385–395.
Daniels-Mohring, D., & Berger, M. (1984). Social network changes and the adjustment to divorce.Journal of Divorce, 8, 17–32.
Danish, S.J., D'Augelli, A.R., & Hauer, A.L. (1980).Helping skills: A basic training program. New York: Human Sciences Press.
D'Augelli, A.R., & Ehrlich, R.P. (1982). Evaluation of a community-based system for training natural helpers. II. Effects on informal helping activities.American Journal of Community Psychology, 10, 447–456.
D'Augelli, A.R., Vallance, T.R., Danish, S.J., Young, C.E., & Gerdes, J.L. (1981). The community helpers project: A description of a prevention strategy for rural communities.Journal of Primary Prevention, 1, 209–224.
Doane, J.A. (1977).A mental health training and consultation program for family practice attorneys. Unpublished manuscript, University of California-Los Angeles.
Ehrlich, R.P., D'Augelli, A.R., & Conter, K.R. (1981). Evaluation of a community-based system for training natural helpers. I. Effects on verbal helping skills.American Journal of Community Psychology, 9, 321–338.
Gottlieb, B.H. (1978). The development and application of a classification scheme of informal helping behaviors.Canadian Journal of Behavioural Science, 10, 105–115.
Gottlieb, B.H. (Ed.). (1981).Social networks and social support. Beverly Hills, CA: Sage Publications.
Gottlieb, B.H. (1983).Social support strategies: Guidelines for mental health practice. Beverly Hills, CA.: Sage Publications.
Gottlieb, B.H. (1985). Social support and the study of personal relationships.Journal of Social and Personal Relationships, 2, 351–375.
Gottlieb, B.H. (in press). Marshaling and augmenting social support for medical patients and their families. In S-O Isacsson & L. Janzon (Eds.).Social support, health, and disease. New York: Raven Press.
Gottlieb, B.H., & Pancer, M. (in press). Social networks and the transition to parenthood. In W.A. Goldberg & G.Y. Michaels (Eds.),Transition to parenthood: Current theory and research. New York: Cambridge University Press.
Gottlieb, B.H., & Todd, D.M. (1979). Characterizing and promoting social support in natural settings. In R.F. Munoz, L.R. Snowden, & J.G. Kelly (Eds.),Social and psychological research in community settings (pp. 183–216). San Francisco, CA: Jossey-Bass.
Gray, E.B. (1982). Perinatal support programs: A strategy for the primary prevention of child abuse.Journal of Primary Prevention, 2, 138–152.
Guerney, B.J., Jr. (1977).Relationship enhancement: Skill training for therapy, problem prevention and enrichment. San Francisco, CA: Jossey-Bass.
Halpern, R., & Covey, L. (1983). Community support for adolescent parents and their children: The parent-to-parent program in Vermont.Journal of Primary Prevention, 3, 160–173.
Hartford, M., & Parsons, R. (1982). Groups for relatives of dependent older adults.Gerontologist, 22, 394–398.
Hirsch, B.J. (1980). Natural support systems and coping with major life changes.American Journal of Community Psychology, 8, 159–172.
House, J.S. (1981).Work stress and social support. Reading, MA.: Addison-Wesley.
Janis, I.L. (1965). Psychodynamic aspects of stress tolerance. In S. Klausner (Ed.),The quest for self-control. New York: Free Press.
Janis, I.L. (1983). The role of social support in adherence to stressful decisions.American Psychologist, 38, 143–160.
Jemmott, J.B., & Locke, S.E. (1984). Psychosocial factors, immunologic mediation, and human susceptibility to infectious diseases: How much do we know?Psychological Bulletin, 95, 78–108.
Johnson, J.E., & Leventhal, H. (1974). Effects of accurate expectations and behavioural instructions on reactions during a noxious medical examinaton.Journal of Personality and Social Psychology, 29, 710–718.
Kalter, N., Pickar, J., & Lesowitz, M. (1984). School-based developmental facilitation groups for children of divorce: A preventive intervention.American Journal of Orthopsychiatry, 54, 613–623.
Kessler, S. (1978). Building skills in divorce adjustment groups.Journal of Divorce, 2, 209–216.
Klibanoff, L.S., Hersey, J.C., & Probst, J.C. (1983).An evaluation of Friends Can be Good Medicine: Long term impacts of the pilot project and a study of the statewide project. Sacramento, CA: California Department of Mental Health.
Lazarus, R.S., & Folkman, S. (1984).Stress, appraisal, and coping. New York: Springer.
Lenrow, P.B., & Burch, R.W. (1981). Mutual aid and professional services: Opposing or complementary? In B.H. Gottlieb (Ed.),Social networks and social support (pp. 233–258). Beverly Hills, CA.: Sage Publications.
Levy, L.H. (1979). Processes and activities in groups. In M.A. Lieberman, L.D. Borman, & Associates,Self-help groups for coping with crisis (pp. 234–271). San Francisco, CA.: Jossey-Bass.
Lieberman, M.A., Borman, L.D., & Associates (1979).Self-help groups for coping with crisis. San Francisco, CA.: Jossey-Bass.
Maccoby, N., & Alexander, J. (1979). Reducing heart disease risk using the mass media: Comparing the effects on three communities. In R.F. Munoz, L.R. Snowden, & J.G. Kelly (Eds.),Social and psychological research in community settings (pp. 69–87). San Francisco, CA.: Jossey-Bass.
McGuire, J., & Gottlieb, B.H. (1979). Social support groups among new parents: An experimental study in primary prevention.Journal of Child Clinical Psychology, 8, 111–116.
Meichenbaum, D., & Cameron, R. (1983). Stress inoculation training: Toward a general paradigm for training coping skills. In D. Meichenbaum & M.E. Jaremko (Eds.),Stress reduction and prevention (pp. 115–154). New York: Plenum.
Messinger, L., Walker, K., & Freeman, S. (1978). Preparation for remarriage following divorce: The use of group techniques.American Journal of Orthopsychiatry, 48, 263–272.
Miller, S., Nunnally, E.W., & Wackman, D.B. (1976). Minnesota Couples Communication Program (MCCP): Premarital and marital groups. In D.H.L. Olson (Ed.),Treating relationships. Lake Mills, Iowa: Graphic Publishing.
Minde, K., Shosenberg, N., Marton, P., Thompson, J., Ripley, J., & Burns, S. (1980). Self-help groups in a premature nursery—a controlled evaluation.Journal of Pediatrics, 96, 933–940.
Mitchell, R.E., Billings, A.G., & Moos, R.H. (1982). Social support and well-being: Implications for prevention programs.Journal of Primary Prevention, 2, 77–98.
Northouse, L.L. (1980). Who supports the support system?Journal of Psychiatric Nursing and Mental Health Services, 18, 11–15.
Osterweis, M., Solomon, F., & Green, M. (Eds.). (1984).Bereavement: Reactions, consequences and care. Washington, D.C.: National Academy Press.
Pearson, R.E. (1983). Support groups: A conceptualization.Personnel and Guidance Journal, 61, 361–364.
Puska, P., Nissinen, A., Tuomilehto, J., Salonen, J.T., Koskela, K., McAlister, A., Kottke, T.E., Maccoby, N., & Farquhar, J.W. (1985). The community-based strategy to prevent coronary heart disease: Conclusions from the ten years of the North Karelia project.Annual Review of Public Health, 6, 147–193.
Putallaz, M., & Gottman, J. (1983). Social relationship problems in children: An approach to intervention. In B.B. Lahey & A.E. Kasdin (Eds.),Advances in clinical child psychology (pp. 1–44). New York: Plenum.
Rappaport, J., Seidman, E., Toro, P.A., McFaddin, L.S., Reischl, T.M., Roberts, L.J., Salem, D.A., Stein, C.H., & Zimmerman, M.A. (1985). Collaborative research with a mutual help organization.Social Policy, 15, 12–24.
Reschly, B. (1979).A guide to the parent-to-parent model. Ypsilanti, MI: High/Scope Educational Research Foundation.
Ridley, C.A., Jorgensen, S.R., Morgan, A.C. & Avery, A.W. (1982). Relationship enhancement with premarital couples: An assessment of effects on relationship quality.American Journal of Family Therapy, 10, 41–48.
Ridley, C.A., & Nelson, R.R. (1984). The behavioral effects of training premarital couples in mutual problem solving skills.Journal of Social and Personal Relationships, 1, 197–210.
Rook, K.S. (1984). Promoting social bonding: Strategies for helping the lonely and socially isolated.American Psychologist, 39, 1389–1407.
Rosenberg, P.P. (1984). Support groups: A special therapeutic entity.Small Group Behavior, 15, 173–186.
Roskin, M. (1982). Coping with life changes—a preventive social work approach.American Journal of Community Psychology, 10, 331–340.
Roy, C.A., & Atcherson, E. (1983). Peer support for renal patients: The patient visitor program.Health and Social Work, 8, 52–56.
Sarason, I.G., & Sarason, B.R. (Eds.). (1985).Social support: Theory, research and applications. The Hague, Holland: Martinus Nijhoff.
Schachter, S. (1959).The psychology of affiliation. Palo Alto, CA.: Stanford University Press.
Schilling, R.F., Gilchrist, L.D., & Schinke, S.P. (1984). Coping and social support in families of developmentally disabled children.Family Relations, 33, 47–54.
Schulz, R., & Rau, M.T. (1985). Social support through the life course. In S. Cohen & S.L. Syme (Eds.),Social support and health (pp. 129–150). San Diego, CA.: Academic Press.
Silverman, P.R. (1970). The widow as caregiver in a program of preventive intervention with other widows.Mental Hygiene, 54, 540–547.
Silverman, P.R. (1976).If you will lift the load, I will lift it too: A guide to developing widow-to widow programs. New York: Jewish Funeral Directors of America.
Sobell, L.C. (1985).Integrating environmental resources—social support—into a planned therapeutic intervention. Grant application. Addiction Research Foundation, Toronto, Canada.
Sokolovsky, J., Cohen, C., Berger, D., & Geiger, J. (1978). Personal networks of exmental patients in a Manhattan SRO hotel.Human Organization, 37, 5–15.
Stolberg, A.L., & Cullen, P.M. (1983). Preventive interventions for families of divorce: The Divorce Adjustment Project. In L. A. Kurdek (Ed.),Children and divorce (pp. 71–81). San Francisco, CA.: Jossey-Bass.
Stolberg, A.L., & Garrison, K.M. (1985). Evaluating a primary prevention program for children of divorce.American Journal of Community Psychology, 13, 111–124.
Tardy, C. H. (1985). Social support measurement.American Journal of Community Psychology, 13, 187–202.
Thoits, P. A. (1985). Social support and psychological well-being: Theoretical possibilities. In I.G. Sarason & B.R. Sarason (Eds.),Social support: Theory, research, and applications (pp. 51–72). The Hague, Holland: Martinus Nijhoff.
Vachon, M.L.S., Lyall, W., Rogers, J., Freedman-Letofsky, K., & Freeman, S. (1980). A controlled study of self-help intervention for widows.American Journal of Psychiatry, 137, 1380–1384.
Walker, K.N., MacBride, A., & Vachon, M.L.S. (1977). Social support networks and the crisis of bereavement.Social Science and Medicine, 11, 35–42.
Wandersman, L.P. (1982). An analysis of the effectiveness of parent-infant support groups.Journal of Primary Prevention, 3, 99–115.
Warren, N.J., & Amara, I.A. (1984). Educational groups for single parents: The Parenting After Divorce programs.Journal of Divorce, 8, 79–96.
Weiss, R.S. (1974). The provisions of social relationships. In Z. Rubin (Ed.),Doing unto others. Englewood Cliffs, N.J.: Prentice-Hall.
Wideman, M.V., & Singer, J.E. (1984). The role of psychological mechanisms in preparation for childbirth.American Psychologist, 39, 1357–1371.
Wiesenfeld, A.R., & Weis, H.M. (1979). A mental health consultation program for beauticians.Professional Psychology, 10, 786–792.
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Gottlieb, B.H. Using social support to protect and promote health. J Primary Prevent 8, 49–70 (1987). https://doi.org/10.1007/BF01695018
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DOI: https://doi.org/10.1007/BF01695018