The relationship between social support networks and depression in the 2007 National Survey of Mental Health and Well-being



Social isolation and low levels of social support are associated with depression. The purpose of the current study was to investigate the relationship between depression and social connectivity factors (frequency of contact and quality of social connections) in the 2007 Australian National Survey of Mental Health and Well-being.


A national survey of 8841 participants aged 16–85 years was conducted. Logistic regression was used to investigate the relationship between social connectivity factors and 12-month prevalence of Major Depressive Disorder in the whole sample, as well as across three age groups: younger adults (16–34 years), middle-aged adults (35–54 years), and older adults (55+ years). Respondents indicated how often they were in contact with family members and friends (frequency of contact), and how many family and friends they could rely on and confide in (quality of support), and were assessed for Major Depressive Disorder using the World Mental Health Composite International Diagnostics Interview.


Overall, higher social connection quality was more closely and consistently associated with lower odds of the past year depression, relative to frequency of social interaction. The exception to this was for the older group in which fewer than a single friendship interaction each month was associated with a two-fold increased likelihood of the past year depression (OR 2.19, 95% CI 1.14–4.25). Friendship networks were important throughout life, although in middle adulthood, family support was also critically important—those who did not have any family support had more than a three-fold increased odds of the past year depression (OR 3.47, 95% CI 2.07–5.85).


High-quality social connection with friends and family members is associated with reduced likelihood of the past year depression. Intervention studies that target the quality of social support for depression, particularly support from friends, are warranted.

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  1. 1.

    Durkheim E (1951) Suicide. Free, New York

    Google Scholar 

  2. 2.

    House SJ, Landis KR, Umberson D (1988) Social relationships and health. Science 241:540–545

    CAS  Article  PubMed  Google Scholar 

  3. 3.

    Umberson D, Montez JK (2010) Social relationships and health: a flashpoint for health policy. J Health Soc Behav 51:S54–S66

    Article  PubMed  PubMed Central  Google Scholar 

  4. 4.

    Kawachi I, Berkman LF (2001) Social ties and mental health. J Urban Health 78:458–467

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  5. 5.

    Cacioppo JT, Hughes ME, Waite LJ, Hawkley LC, Thisted RA (2006) Loneliness as a specific risk factor for depressive symptoms: cross-sectional and longitudinal analyses. Psychol Aging 21:140–151

    Article  PubMed  Google Scholar 

  6. 6.

    House SJ, Kahn R (1985) Measures and concepts of social support. In: Cohen S, Syme SL (eds) Social support and health. Academic, New York, pp 83–108

    Google Scholar 

  7. 7.

    Tardy CH (1985) Social support measurement. Am J Commun Psychol 13:187–202

    Article  Google Scholar 

  8. 8.

    Gariepy G, Honkaniemi H, Quesnel-Vallee A (2016) Social support and protection from depression: systematic review of current findings in Western countries. Br J Psychiatry 209:284–293

    Article  PubMed  Google Scholar 

  9. 9.

    Cohen S, Wills TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357

    CAS  Article  PubMed  Google Scholar 

  10. 10.

    Cohen S (2004) Social relationships and health. Am Psychol 59:676–684

    Article  PubMed  Google Scholar 

  11. 11.

    Rueger SY, Malecki CK, Pyun Y, Aycock C, Coyle S (2016) A meta-analytic review of the association between perceived social support and depression in childhood and adolescence. Psychol Bull 142:1017–1067

    Article  PubMed  Google Scholar 

  12. 12.

    Chu PS, Saucier DA, Hafner E (2010) Meta-analysis of the relationships between social support and well-being in children and adolescents. J Soc Clin Psychol 29:624–645

    Article  Google Scholar 

  13. 13.

    Schwarzer R, Leppin A (1991) Social support and health: a theoretical and empirical overview. J Soc Pers Relat 8:99–127

    Article  Google Scholar 

  14. 14.

    Teo AR, Choi H, Valenstein M (2013) Social relationships and depression: 10-year follow-up from a nationally representative study. PLoS One 8:e62396

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  15. 15.

    Carstensen LL (1992) Motivation for social contact across the life span: a theory of socioemotional selectivity. Neb Symp Motiv 40:209–254

    CAS  Google Scholar 

  16. 16.

    Fiori KL, Antonucci TC, Cortina KS (2006) Social network typologies and mental health among older adults. J Gerontol B Psychol Sci Soc Sci 6:25–32

    Article  Google Scholar 

  17. 17.

    Litwin H, Shiovitz-Ezra S (2011) Social network type and subjective well-being in a National sample of older Americans. Gerontologist 51:379–388

    Article  PubMed  Google Scholar 

  18. 18.

    Rickwood DJ, Deane FP, Wilson CJ (2007) When and how do young people seek professional help for mental health problems. Med J Aust 187:35–39

    Google Scholar 

  19. 19.

    Slade T, Johnston A, Oakley Browne MA, Andrews G, Whiteford H (2009) 2007 National Survey of Mental Health and Wellbeing: methods and key findings. Aust NZ J Psychiatry 43:594–605

    Article  Google Scholar 

  20. 20.

    Kessler RC, Ustun TB (2004) The World Mental Health (WMH) survey initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr 13:93–121

    Article  Google Scholar 

  21. 21.

    Andrews G, Peters L (1998) The psychometric properties of the Composite International Diagnostic Interview. Soc Psychiatry Psychiatr Epidemiol 33:80–88

    CAS  Article  PubMed  Google Scholar 

  22. 22.

    Haro JM, Arbabzadeh-Bouchez S, Brugha TS, de Girolamo G, Guyer ME, Jin R et al (2006) Concordance of the Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health surveys. Int J Methods Psychiatr 15:167–180

    Article  Google Scholar 

  23. 23.

    Kessler RC (2003) Epidemiology of women and depression. J Affect Disord 74:5–13

    Article  PubMed  Google Scholar 

  24. 24.

    Umberson D, Chen MD, House JS, Hopkins K, Slaten E (1996) The effect of social relationships on psychological well-being: are men and women really so different? Am Sociol Rev 61:837–857

    Article  Google Scholar 

  25. 25.

    Lumley T (2010) Complex surveys: a guide to analysis using R. Wiley, New Jersey

    Google Scholar 

  26. 26.

    Fiori KL, Antonucci TC, Cortina KS (2006) Social network typologies and mental health among older adults. J Gerontol B Psychol Sci Soc Sci 6:25–32

    Article  Google Scholar 

  27. 27.

    Okun MA, Keith VM (1998) Effects of positive and negative social exchanges with various sources on depressive symptoms in younger and older adults. J Gerontol B Psychol Sci Soc Sci 53:4–20

    Article  Google Scholar 

  28. 28.

    Fiorillo D, Sabatini F (1982) Quality and quantity: the role of social interactions in self-reported individual health. Soc Sci Med 73:1644–1652

    Article  Google Scholar 

  29. 29.

    DuPertuis LL, Aldwin CM, Bosse R (2001) Does the source of support matter for different health outcomes? Findings from the normative aging study. J Aging Health 13:494–510

    CAS  Article  PubMed  Google Scholar 

  30. 30.

    Felton BJ, Berry CA (1992) Do the sources of the urban elderly’s social support determine its psychological consequences? Psychol Aging 7:89–97

    CAS  Article  PubMed  Google Scholar 

  31. 31.

    Barry CM, Madsen SD, Nelson LJ, Carroll JS, Badger S (2009) Friendship and romantic relationship qualities in emerging adulthood: differential associations with identity development and achieved adulthood criteria. J Adult Dev 16:209–222

    Article  Google Scholar 

  32. 32.

    Cohen P, Kasen S, Chen H, Hartmark C, Gordon K (2003) Variations in patterns of developmental transitions in the emerging adulthood period. Dev Psychol 39:657–669

    Article  PubMed  Google Scholar 

  33. 33.

    Heikkinen RL, Kauppinen M (2004) Depressive symptoms in late life: a 10-year follow-up. Arch Gerontol Geriatr 38:239–250

    Article  PubMed  Google Scholar 

  34. 34.

    Gupta V, Korte C (1994) The effects of a confidant and a peer group on the well-being of single elders. Int J Aging Hum Dev 39:293–302

    CAS  Article  PubMed  Google Scholar 

  35. 35.

    Bullers S (2000) The mediating role of perceived control in the relationship between social ties and depressive symptoms. Women Health 31:97–116

    CAS  Article  PubMed  Google Scholar 

  36. 36.

    Holahan CJ, Valentiner DP, Moos RH (1995) Parental support, coping strategies, and psychological adjustment: an integrative model with late adolescents. J Youth Adolesc 24:633–648

    Article  Google Scholar 

  37. 37.

    Jane-Llopis E, Hosman C, Jenkins R, Anderson P (2003) Predictors of efficacy in depression prevention programmes. Br J Psychiatry 185:384–397

    Article  Google Scholar 

  38. 38.

    Dickens AP, Richards SH, Greaves CJ, Campbell JL (2011) Interventions targeting social isolation in older people: a systematic review. BMC Public Health 11:647

    Article  PubMed  PubMed Central  Google Scholar 

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This work was supported by the Australian Government under the Substance Misuse Prevention and Service Improvements Grants Fund; and a National Health and Medical Research Council Centre of Research Excellence Grant (NHMRC APP1041129). The funders had no role in the design, execution, analyses or data interpretation for this study, or in the decision to submit the results for publication.

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Correspondence to Aliza Werner-Seidler.

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Werner-Seidler, A., Afzali, M.H., Chapman, C. et al. The relationship between social support networks and depression in the 2007 National Survey of Mental Health and Well-being. Soc Psychiatry Psychiatr Epidemiol 52, 1463–1473 (2017).

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  • Depression
  • Social support
  • Social network, isolation