Social Aspects of Depression

  • Joseph A. Flaherty
  • F. Moises Gaviria


Over the last ten years, American psychiatry has witnessed a remarkable rise in interest in the social aspects of depression in particular. A key factor in this rise has been better agreement on research criteria for this group of disorders and new epidemiologic instruments such as the Diagnostic Interview Schedule (DIS), the Present States Examination (PSE), and the Center for Epidemiologic Studies-Depression Scale (CED-S). In a related theme, Dohrenwend has developed an instrument for measuring demoralization as a nonspecific indicator for depression and other psychopathology in community surveys (1). Weissman has developed a reliable scale for assessing social adjustment and has shown how this outcome variable is different than symptom ratings in depressive illness (2). In addition, two well known concepts, social support and life events, have been reexamined and applied to depressive illness. It is the purpose of this report to examine the research on these two variables in particular. This emphasis is predicated on the assumption that we are in danger of becoming complacent with our current understanding of and methodology for measuring these two crucial factors in the etiology and clinical course of the affective disorders.


Social Support Stressful Life Event Depressive Illness Early Life Stress Diagnostic Interview Schedule 


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  1. 1.
    Dohrenwend, B.P., Shrout, P.E., Esir, G., et al.: Nonspecific psychological distress and other dimensions of psythopathology. Arch.Gen.Psych. 37:1229–1236, 1980.CrossRefGoogle Scholar
  2. 2.
    Weissman, M.M., Klerman, G., Paykel, E.S., et al.: Treatment effects of social adjustment in depressed patients. Arch.Gen.Psych. 30:771–778, 1980.CrossRefGoogle Scholar
  3. 3.
    Dohrenwend, B.S., Dohrenwent, B.F. Overview and prospects for research on stressful life events. In B.S.&B.F. Dohrenwend (eds) Stressful Life Events: Their Nature and Effects. New York, Wiley & Co., 1974.Google Scholar
  4. 4.
    Dean, A., Lin, N.: The stress-buffering role of social support. J.Nerv.Ment.Dis. 165:403–416, 1977.PubMedCrossRefGoogle Scholar
  5. 5.
    Brown, G.W., Harris, T.: Social Origins of Depression. New York, Free Press, 1978.Google Scholar
  6. 6.
    Clayton, P., Halikes, J., Mauvie, W.: The bereavement of the widow. Pis.Nerv.Syst. 32:597–604, 1974.Google Scholar
  7. 7.
    Lin, N., Ensel, W., Simeone, R., et al.: Social support, stressful life events and illness. J. Health Soc. Behavior, 20:109–119, 1979.CrossRefGoogle Scholar
  8. 8.
    Surtees, P.B. Social support, residual adversity, and depressive outcome. Social Psychiatry, 15:71–80, 1980.CrossRefGoogle Scholar
  9. 9.
    Flaherty, J.A., Gaviria, F.M., Blak, E.M., et al. The role of social support in the functioning of patients with unipolar depression. Am. J. Psychiatry, 140(4):473–476, 1983.PubMedGoogle Scholar
  10. 10.
    Flaherty, J.A., Gaviria, F.M., Pathak, D. The measurement of social support: the SSNI. Comprehensive Psychiatry (in press, 1983).Google Scholar

Copyright information

© Springer Science+Business Media New York 1985

Authors and Affiliations

  • Joseph A. Flaherty
    • 1
  • F. Moises Gaviria
    • 1
  1. 1.Department of PsychiatryUniversity of Illinois at Chicago College of MedicineChicagoUSA

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