Abstract
Purpose
Disability acquisition in adulthood is associated with deterioration in mental health. Social support may act as a “buffer” against poor mental health following disability acquisition. We tested the hypothesis that women and men with low social support experienced larger declines in mental health on acquisition of a disability compared to women and men with high social support.
Methods
We assessed whether social support, measured both prior and subsequent to disability acquisition, modified the association between disability acquisition and mental health using 14 annual waves of data from the Household, Income and Labour Dynamics in Australia Survey. Participants reported at least two consecutive waves of disability preceded by at least two consecutive waves without disability (2200 participants, 15,724 observations). Fixed-effects linear regression models were used to estimate average differences in mental health between waves with and without disability, for women and men separately. We tested for effect measure modification of the association by social support, including a three-way interaction between disability and social support prior and subsequent to disability acquisition.
Results
Though the effects of disability acquisition on mental health were much larger for women, for both women and men there was a consistent pattern of association with social support. There was evidence that social support modified the association between disability acquisition and mental health, with the largest effects for those experiencing a change from high to low social support subsequent to disability and for people with consistently low social support.
Conclusions
These findings highlight the importance of developing new policy and practice strategies to improve the mental health of people with disabilities, including interventions to promote social support at the time of disability acquisition.
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References
ABS (2004) Disability, ageing and carers: summary of findings, 2003 (4430.0). ABS
World Health Organization and World Bank Group (2011) World report on disability. WHO, Geneva
Kavanagh AM, Krnjacki L, Beer A, Lamontagne AD, Bentley R (2013) Time trends in socio-economic inequalities for women and men with disabilities in Australia: evidence of persisting inequalities. Int J Equity Health 12:73
Hosseinpoor AR, Williams JAS, Gautam J et al (2013) Socioeconomic inequality in disability among adults: a multicountry study using the world health survey. Am J Public Health 103:1278–1286
Mithen J, Aitken Z, Ziersch A, Kavanagh AM (2015) Inequalities in social capital and health between people with and without disabilities. Soc Sci Med 126:26–35
Emerson E, Llewellyn G, Honey A, Kariuki M (2012) Lower well-being of young Australian adults with self-reported disability reflects their poorer living conditions rather than health issues. Aust N Z J Public Health 36:176–182
Honey A, Emerson E, Llewellyn G (2011) The mental health of young people with disabilities: impact of social conditions. Soc Psychiatry Psychiatr Epidemiol 46:1–10
World Health Organization (2001) International classification of functioning, disability and health. WHO, Geneva
Madden RH, Dune T, Lukersmith S, Hartley S, Kuipers P, Gargett A, Llewellyn G (2014) The relevance of the International Classification of Functioning, Disability and Health (ICF) in monitoring and evaluating Community-based Rehabilitation (CBR). Disabil Rehabil 36:826–837
Cohen S, Gottlieb BH, Underwood LG (2001) Social relationships and health: challenges for measurement and intervention. Adv Mind Body Med 17:129–141
Kawachi I, Berkman LF (2001) Social ties and mental health. J Urban Health Bull N Y Acad Med 78:458–467
Lakey B, Orehek E (2011) Relational regulation theory: a new approach to explain the link between perceived social support and mental health. Psychol Rev 118:482–495
Cohen S, Wills TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357
Milner A, Krnjacki L, Butterworth P, LaMontagne AD (2016) The role of social support in protecting mental health when employed and unemployed: a longitudinal fixed-effects analysis using 12 annual waves of the HILDA cohort. Soc Sci Med 153:20–26
Olstad R, Sexton H, Sogaard AJ (2001) The Finnmark Study. A prospective population study of the social support buffer hypothesis, specific stressors and mental distress. Soc Psychiatry Psychiatr Epidemiol 36:582–589
Antonucci TC (1993) A life-span view of women’s social relations. In: Turner BF, Troll LE (eds) Women growing older: a psychological perspective. Sage Publications, Thousand Oaks
Shye D, Mullooly JP, Freeborn DK, Pope CR (1995) Gender differences in the relationship between social network support and mortality—a longitudinal-study of an elderly cohort. Soc Sci Med 41:935–947
Kavanagh AM, Aitken Z, Baker E, LaMontagne AD, Milner A, Bentley R (2016) Housing tenure and affordability and mental health following disability acquisition in adulthood. Soc Sci Med 151:225–232
Kavanagh AM, Aitken Z, Krnjacki L, LaMontagne AD, Bentley R, Milner A (2015) Mental health following acquisition of disability in adulthood-the impact of wealth. PLoS One 10:e0139708
Lucas RE (2007) Long-term disability is associated with lasting changes in subjective well-being: evidence from two nationally representative longitudinal studies. J Pers Soc Psychol 92:717–730
Mandemakers JJ, Monden CWS (2010) Does education buffer the impact of disability on psychological distress? Soc Sci Med 71:288–297
Smith DM, Langa KM, Kabeto MU, Ubel PA (2005) Health, wealth, and happiness: financial resources buffer subjective well-being after the onset of a disability. Psychol Sci 16:663–666
Bonanno GA (2004) Loss, trauma, and human resilience—have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol 59:20–28
Lynch JW, Kaplan GA, Shema SJ (1997) Cumulative impact of sustained economic hardship on physical, cognitive, psychological, and social functioning. N Engl J Med 337:1889–1895
Dalgard OS, Bjork S, Tambs K (1995) Social support, negative life events and mental health. Br J Psychiatry 166:29–34
Summerfield M, Freidin S, Hahn M et al (2014) HILDA user manual-release 13. Melbourne Institute of Applied Economic and Social Research, University of Melbourne, Melbourne
Watson N, Wooden M (2012) The HILDA Survey: a case study in the design and development of a successful household panel study. Longitud Life Course Stud 3:369–381
Rumpf HJ, Meyer C, Hapke U, John U (2001) Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard. Psychiatry Res 105:243–253
Yamazaki S, Fukuhara S, Green J (2005) Usefulness of five-item and three-item Mental Health Inventories to screen for depressive symptoms in the general population of Japan. Health Qual Life Outcomes 3:48
World Health Organization (2002) Towards a common language for functioning, disability and health: ICF the international classification of functioning, disability and health. WHO, Geneva
Crosier T, Butterworth P, Rodgers B (2007) Mental health problems among single and partnered mothers. The role of financial hardship and social support. Soc Psychiatry Psychiatr Epidemiol 42:6–13
Hewitt B, Turrell G, Giskes K (2012) Marital loss, mental health and the role of perceived social support: findings from six waves of an Australian population based panel study. J Epidemiol Commun Health 66:308–314
Milner A, Krnjacki L, LaMontagne AD (2016) Age and gender differences in the influence of social support on mental health: a longitudinal fixed-effects analysis using 13 annual waves of the HILDA cohort. Publ Health 140:172–178
Watson N (2004) Income and wealth imputation for waves 1 and 2 Melbourne. Melbourne Institute of Applied Economic and Social Research, University of Melbourne, Melbourne
Haagenars A, de Vos K, Zaidi A (1994) Poverty statistics in the late 1980s: research based on micro-data. Off Off Publ Eur Commun, Luxemburg
ABS (2013) Household income and income distribution, Australia, 2011–12 (6523.0). ABS
Gunasekara FI, Richardson K, Carter K, Blakely T (2013) Fixed effects analysis of repeated measures data. Int J Epidemiol 43(1):264–269
StataCorp (2011) Stata statistical software: release 12. StataCorp LP, College Station
Hahn MH, Haisken-DeNew JP (2013) PanelWhiz and the Australian longitudinal data infrastructure in economics. Aust Econ Rev 46:379–386
Piccinelli M, Wilkinson G (2000) Gender differences in depression—critical review. Br J Psychiatry 177:486–492
Nolen-Hoeksema S (2001) Gender differences in depression. Curr Dir Psychol Sci 10:173–176
Ware JE Jr, Kosinski M, Gandek B (2000) SF-36 health survey: manual & interpretation guide. QualityMetric, Lincoln
ABS (2013) Disability, ageing and carers: summary of findings, 2012 (4430.0). ABS
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This work was supported by an Australian Government Research Training Program Scholarship and a National Health and Medical Research Council Postgraduate Scholarship (1093740) to ZA, an Australian Research Council Linkage Grant (LP100200545) with the Victorian Health Promotion Foundation (VicHealth) as a funding partner, centre Grant funding from VicHealth (#15732), and Fellowship funding from the (Australian) Society for Mental Health Research.
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On behalf of all authors, the corresponding author states that there is no conflict of interest.
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Aitken, Z., Krnjacki, L., Kavanagh, A.M. et al. Does social support modify the effect of disability acquisition on mental health? A longitudinal study of Australian adults. Soc Psychiatry Psychiatr Epidemiol 52, 1247–1255 (2017). https://doi.org/10.1007/s00127-017-1418-5
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DOI: https://doi.org/10.1007/s00127-017-1418-5