It is generally agreed that social ties play a beneficial role in the maintenance of psychological well-being. In this targeted review, we highlight four sets of insights that emerge from the literature on social ties and mental health outcomes (defined as stress reactions, psychological well-being, and psychological distress, including depressive symptoms and anxiety). First, the pathways by which social networks and social supports influence mental health can be described by two alternative (although not mutually exclusive) causal models—the main effect model and the stress-buffering model. Second, the protective effects of social ties on mental health are not uniform across groups in society. Gender differences in support derived from social network participation may partly account for the higher prevalence of psychological distress among women compared to men. Social connections may paradoxically increase levels of mental illness symptoms among women with low resources, especially if such connections entail role strain associated with obligations to provide social support to others. Third, egocentric networks are nested within a broader structure of social relationships. The notion of social capital embraces the embeddedness of individual social ties within the broader social structure. Fourth, despite some successes reported in social support interventions to enhance mental health, further work is needed to deepen our understanding of the design, timing, and dose of interventions that work, as well as the characteristics of individuals who benefit the most.
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Durkheim E. Suicide. New York: Free Press; 1951. (Originally published 1897).
Barnett PA, Gotlib IH. Psychosocial functioning and depression: distinguishing among antecedents, concomitants, and consequences. Psychol Bull. 1988;104:97–126.
Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985; 98:310–357.
Berkman LF, Glass T. Social integration, social networks, social support, and health. In: Berkman LF, Kawachi I, eds. Social Epidemiology. New York: Oxford University Press; 2000:137–173.
Cohen S, Underwood LG, Gottlieb BH. Social Support Measurement and Intervention. A Guide for Health and Social Scientists. New York: Oxford University Press; 2000.
Lin N, Ye X, Ensel WM. Social support and depressed mood: a structural analysis. J Health Soc Behav. 1999;40:344–359.
Thoits PA. Social support as coping assistance. J Consult Clin Psychol. 1986;54:416–423.
Kamarck T., Manuck S, Jennings J. Social support reduces cardiovascular reactivity to psychological challenge: a laboratory model. Psychosom Med. 1990;52:42–58.
Kaslow NJ, Deering CG, Racusin GR. Depressed children and their families. Clin Psychol Rev. 1994;14:39–59.
Bowlby J. Attachment and Loss. London, England: Hogarth Press; 1973.
Gunnar MR, Nelson CA. Event-related potentials in year-old infants: relations with emotionality and cortisol. Child Dev. 1994;65:80–94.
Oxman T E, Berkman LF, Kasl S, Freeman DHJr, Barrett J. Social support and depressive symptoms in the elderly. Am J Epidemiol. 1992;135:356–368.
Lee GR. Kinship and social support of the elderly: the case of the United States. Aging Soc. 1985;5:19–38.
Rook KS. The negative side of social interaction. J Pers Soc. Psychol. 1984;46:1097–1108.
Fabrigoule C, Letenneur L, Dartigues J, Zarrouk M, Commenges D, Barberger-Gateau P. Social and leisure activities and risk of dementia: a prospective longitudinal study. J Am Geriatr Soc. 1995;43:485–490.
Bassuk S, Glass T, Berkman L. Social disengagement and incident cognitive decline in community-dwelling elderly persons. Ann Intern Med. 1999;131:165–173.
Fratiglioni L, Wang H, Ericsson K, Maytan M, Winblad B. The influence of social network on the occurrence of dementia: a community-based longitudinal study. Lancet. 2000;355:1315.
Wethington E, McLeod JD, Kessler RC. The importance of life events for explaining sex differences in psychological distress. In: Barnett RC, Biener L, Baruch GK, eds. Gender and Stress. New York: The Free Press; 1987:144–156.
Belle D. Gender differences in the social moderators of stress. In: Barnett RC, Biener L, Baruch GK, eds. Gender and Stress. New York: The Free Press; 1987:257–277.
Belle D. Lives in Stress: Women and Depression. Beverly Hills, CA: Sage; 1982.
Stroebe MS, Stroebe W. Who suffers more? Sex differences in health risks of the widowed. Psychol Bull. 1983;93:279–301.
Lowenthal MJ, Haven C. Interaction and adaptation: intimacy as a critical variable. Am Sociol Rev. 1968;33:20–30.
Belle D. The impact of poverty on social networks and supports. Marriage Fam Rev. 1983;5:89–103.
Dressler WW, Badger LW. Epidemiology of depressive symptoms in black communities. J Nerv Ment Dis. 1985;173:212–220.
Corin E. The cultural frame: context and meaning in the construction of health. In: Amick BC III, Levine S, Tarlov AR, Chapman Walsh D, eds. Society and Health. New York: Oxford University Press; 1985:272–304.
Boissevain J. Friends of Friends. New York: St. Martin's Press; 1974.
Berkman LF. The role of social relations in health promotion. Psychosom Med. 1995; 57:245–254.
Faris REL, Dunham HW. Mental Disorders in Urban Areas. New York: Hafner; 1939.
Kawachi I, Kennedy BP, Lochner K, Prothrow-Stith D. Social capital, income inequality, and mortality. Am J Public Health. 1997;87:1491–1498.
Kawachi I, Berkman LF. Social cohesion, social capital, and health. In: Berkman LF, Kawachi I, eds. Social Epidemiology. New York: Oxford University Press; 2000:174–190.
Brown GW, Harris TO. Social Origins of Depression: a Study of Psychiatric Disorder in Women. London: Tavistock; 1978.
Vachon M, Lyall W, Rogers J. A controlled study of self-help intervention for widows. Am J Psychiatry. 1980;137:1380–1384.
Mittleman MS, Ferris SH, Shulman E, et al. A comprehensive support program: effect on depression in spouse-caregivers of AD patients. Gerontologist. 1995;35:792–802.
Heller K, Thompson MG, Trueba PE, Hogg JR, Vlachos-Weber I. Peer support telephone dyads for elderly women: was this the wrong intervention? Am J Community Psychol. 1991;93:53–74.
Harris T, Brown GW, Robinson R. Befriending as an intervention for chronic depression among women in an inner city. I. Randomized controlled trial. Br J Psychiatry. 1999;174:219–224.
Brand EF, Lakey B, Berman S. A preventive, psychoeducational approach to increase perceived social support. Am J Community Psychol. 1995;23:117–135.
Cohen S, Gottlieb BH, Underwood LG. Social relationships and health. In: Cohen S, Underwood LG, Gottlieb BH, eds. Social Support Measurement and Intervention. A Guide for Health and Social Scientists. New York: Oxford University Press; 2000:3–25.
Rook KS, Underwood LG. Social support measurement and interventions. Comments and future directions. In: Cohen S, Underwood LG, Gottlieb BH, eds. Social Support Measurement and Intervention. A Guide for Health and Social Scientists. New York: Oxford University Press; 2000:311–334.
Gottlieb BH. Selecting and planning support interventions. In: Cohen S, Underwood LG, Gottlieb BH, eds. Social Support Measurement and Intervention. A Guide for Health and Social Scientists. New York: Oxford University Press; 2000:195–220.
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Kawachi, I., Berkman, L.F. Social ties and mental health. J Urban Health 78, 458–467 (2001). https://doi.org/10.1093/jurban/78.3.458
- Mental health
- Psychological distress
- Social capital
- Social integration
- Social ties