Social problem-solving abilities, social support, and adjustment among family caregivers of individuals with a stroke.

ABSTRACT. Objective: To investigate the unique contributions of social problem solving abilities and social support in the prediction of aspects of caregiver adjustment. Study Design: Correlational procedures were used to determine the unique contributions of social problem-solving abilities and social support in the prediction of caregiver depression, health, and life satisfaction. Mediating factors were examined with correlational and regression analyses. Participants: Caregivers of individuals who had a stroke (20 African Americans and 20 Caucasians). Main Outcome Measures: The general health scale from the Short-Form Health Survey and measures of life satisfaction and depression. Results: Social support was the best predictor of caregiver life satisfaction. Perceived control over emotions when solving problems was the best predictor of caregiver depressive behavior and health. Social problem-solving abilities were associated with caregiver depressive behavior and health; social support did not mediate these relationships. Conclusions: Problem-solving interventions may be most appropriate for the treatment and prevention of caregiver depression and health problems. Social support programs may be indicated for caregiver life satisfaction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family cohesion, family adaptability, social support, and adolescent depressive symptoms in outpatient clinic families.

The relationships among adolescent depressive symptoms and self-reported family cohesion, adaptability, satisfaction with family functioning, family structure, and social support received from family and friends were investigated in a sample of 93 families attending family therapy at an outpatient clinic. Results were in keeping with previous studies of nonclinical samples, in that family cohesion and family social support were inversely related to depression. In contrast to nonclinical samples, family characteristics were more strongly associated with depression among boys than among girls, and social support from friends did not act as a buffer against depression. The strongest predictor of depressive symptoms was adolescents' levels of satisfaction with the cohesiveness and adaptability in their families, suggesting the importance of subjective cognitive appraisal in the link between family functioning and depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationships of job and family involvement, family social support, and work–family conflict with job and life satisfaction.

A model of the relationship between work and family that incorporates variables from both the work-family conflict and social support literatures was developed and empirically tested. This model related bidirectional work-family conflict, family instrumental and emotional social support, and job and family involvement to job and life satisfaction. Data came from 163 workers who were living with at least 1 family member. Results suggested that relationships between work and family can have an important effect on job and life satisfaction and that the level of involvement the worker assigns to work and family roles is associated with this relationship. The results also suggested that the relationship between work and family can be simultaneously characterized by conflict and support. Higher levels of work interfering with family predicted lower levels of family emotional and instrumental support. Higher levels of family emotional and instrumental support were associated with lower levels of family interfering with work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress, coping, and perceptions of child behavior in parents of preschoolers with cerebral palsy.

This study explored the relationships among stress, coping, and perceptions of child behavior in parents of preschoolers with cerebral palsy. Parents (62 mothers and 22 fathers) completed measures of parenting stress, depression, parenting satisfaction, social support, and child behavior problems. For mothers, only parenting self-efficacy was a significant predictor of maternal perceptions of child adjustment. High levels of maternal social support satisfaction were related to low levels of depression and parenting stress and to high levels of parenting satisfaction. High levels of depression were related to high levels of parenting stress and low levels of parenting satisfaction. For fathers, high levels of distress were related to low levels of parenting satisfaction and high levels of child maladjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reciprocity of social exchange and social satisfaction among older women.

Investigated the association between reciprocity and older women's satisfaction with their social relationships. The sample consisted of 120 elderly widowed women. Analyses indicated that social exchange patterns that either overbenefited or underbenefited respondents were associated with greater loneliness. Reciprocity was greater in interactions with friends than with adult children and was more strongly related to satisfaction with friends than with children. Reciprocity was also found to vary as a function of the type of social exchange involved (companionship, instrumental support, or emotional support). The results suggest that the meaning of reciprocity is contingent on the actors' role relations and the content of their exchanges. The implications of studying reciprocity within a network perspective versus a dyadic-relationship perspective are also considered. (57 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Long-term impact of parental divorce on intimate relationship quality in adulthood and the mediating role of psychosocial resources.

The purpose of this 16-year prospective follow-up study was to investigate the association between parental divorce in childhood and intimate relationship quality in adulthood. The mediating role of psychosocial resources (parent-child relationships at 16 years, self-esteem and social support at 32 years) in this association was also studied. All 16 year olds of one Finnish city completed questionnaires at school and were followed up by postal questionnaires at 32 years of age (n = 1,471). Results showed that women and men from divorced families were more often divorced or separated at the age of 32 years than those from nondivorced families. However, parental divorce was associated with poorer intimate relationship quality only among women. Women from divorced families also had poorer relationships with their father and mother in adolescence, and they had lower self-esteem and satisfaction with social support in adulthood than women from intact families. No such associations were found among men. The impact of parental divorce on intimate relationship quality among women was partially mediated by mother-daughter relationship, self-esteem, and satisfaction with social support. The mediating role of mother-daughter relationship was not direct, however, but was mediated via self-esteem and satisfaction with social support. Our findings indicate that parental divorce affects daughters more than sons. In the context of parental divorce, the mother-daughter relationship in adolescence is important for the development of later psychosocial resources and, via them, for intimate relationship quality. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Social support versus companionship: Effects on life stress, loneliness, and evaluations by others.

In recent years, much interest has focused on delineating and contrasting specific functions of social relationships that contribute to psychological well-being. Five studies contrasted the roles of companionship and social support in buffering the effects of life stress, in influencing feelings of loneliness and social satisfaction, and in affecting others' judgments. Study 1 analyzed data from a community survey and found that companionship had a main effect on psychological well-being and a buffering effect on minor life stress, whereas social support had only a buffering effect on major life stress. Studies 2, 3, and 4 analyzed data from two college student samples and a different community survey to evaluate how companionship and social support contributed to relationship satisfaction and feelings of loneliness. The results of these studies indicated that companionship was the strongest predictor of these dimensions of social satisfaction. Study 5 used an experimental design to test the hypothesis that a deficit of companionship elicits more negative reactions from others than does a deficit of social support. This hypothesis received partial support. Considered together, the results of these studies suggest that companionship plays a more important and more varied role in sustaining emotional well-being than previous studies have acknowledged. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relational competence, relationships, and adjustment in old age.

Investigated how the implications of relational competence and satisfying personal relationships for adjustment differ among young-old (60–72 yrs) and old-old (73–94 yrs) adults. Four studies with 377 young-old and old-old adults were conducted to test the hypothesis that among old-old Ss, adjustment and psychological well-being would be less predictable from personality (relational competence) variables or from satisfactory social involvements. Results indicate that for the young-old Ss, relational competence, social involvement, and satisfaction with social support relationships were associated positively with morale, self-esteem, and adjustment to widowhood. This pattern was not found among the old-old Ss. Findings are consistent with the (role-theoretical) view that personality characteristics assume meaning only when they have interpersonal consequences, and with the notion that the very old often experience a less prescribed and less evaluative social environment, with fewer social opportunities or role functions. (43 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social ecological model of illness management in high-risk youths with type 1 diabetes.

In this study, the authors tested a social ecological model of illness management in high-risk, urban adolescents with Type 1 diabetes. It was hypothesized that management behaviors would be associated with individual adolescent characteristics as well as family, peer, and provider relationships. Questionnaires were collected from 96 adolescents in poor metabolic control and their primary caregivers. Variables in each system were correlated with illness management. Multiple regression demonstrated that higher externalizing symptoms, poorer family relationships, lower satisfaction with providers, and greater age contributed to the variance in illness management. Internalizing symptoms and peer relationships were no longer significant in the model. Results support a social ecological model of illness management in high-risk youths. Interventions grounded in social ecological theory are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress, social support, and the buffering hypothesis.

Examines whether the positive association between social support and well-being is attributable more to an overall beneficial effect of support (main- or direct-effect model) or to a process of support protecting persons from potentially adverse effects of stressful events (buffering model). The review of studies is organized according to (1) whether a measure assesses support structure (the existence of relationships) or function (the extent to which one's interpersonal relationships provide particular resources) and (2) the degree of specificity (vs globality) of the scale. Special attention is given to methodological characteristics that are requisite for a fair comparison of the models. It is concluded that there is evidence consistent with both models. Evidence for the buffering model is found when the social support measure assesses the perceived availability of interpersonal resources that are responsive to the needs elicited by stressful events. Evidence for a main effect model is found when the support measure assesses a person's degree of integration in a large social network. Both conceptualizations of social support are correct in some respects, but each represents a different process through which social support may affect well-being. Implications for theories of social support processes and for the design of preventive interventions are discussed. (4 p ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescent mothers' relationship with their children's biological fathers: Social support, social strain and relationship continuity.

Two-hundred and eighteen low-income, minority, adolescent mothers were interviewed during the perinatal period and 3 years later about their social networks, including their relationships with their children's fathers. Few adolescents were involved with fathers at both time points. Relationships with fathers were, in general, less supportive and less problematic over time. Moreover, although father support was not associated with adolescent mothers' psychological adjustment, father absence and father strain had negative associations with psychological adjustment. Maternal grandmother support buffered the negative effects of strain in the adolescents' relationships with biological fathers. Perceptions of less social support from maternal grandmothers and more social support from fathers during the perinatal period as well as less social support from a new male partner at 3 years postpartum predicted relationship continuity between adolescent mothers and fathers at 3 years postpartum. Implications for intervention and policy are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interaction between sex and social support in the control of Type II diabetes mellitus.

Investigated the role of social support in the control of Type II diabetes mellitus, a common metabolic disorder that is associated with obesity and does not usually require treatment with supplemental insulin. 19 male and 18 female Ss (mean age 52.97 yrs) who had Type II diabetes mellitus completed the Social Support Questionnaire and provided blood samples to assess glycosylated hemoglobins (an index of long-term diabetes control). Results show that for females, satisfaction with supportive relationships was associated with control of the diabetic state. Conversely, satisfaction with supportive relationships was negatively associated with control for males. (8 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Individual, family, and peer factors associated with the quality of sibling relationships in families of youths with spina bifida.

Based on a social-ecological theoretical framework, this study sought to identify key individual (attitude toward spina bifida), family (satisfaction with family functioning), and peer (peer support) factors associated with the quality of sibling relationships in families of youths with spina bifida. A cross-sectional sample of 224 siblings of youths with spina bifida, ages 11-18 years, and parents participated. Siblings completed self-report measures of attitude toward spina bifida, satisfaction with family functioning, peer support, and warmth and conflict in their relationships with brothers and sisters with spina bifida. The parent provided information on spina bifida severity and family demographics. Hierarchical regression analyses supported the overall model in explaining variance in sibling-reported relational warmth (Adjusted R2 = .29) and conflict (Adjusted R2 = .17). Satisfaction with family functioning was the only ecological factor consistently associated with warmth and conflict in the sibling relationship. Findings have clinical implications for pathways to support positive sibling interactions in families of youths with spina bifida. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived social support from friends and family and psychosocial functioning in bisexual young adult college students.

In this study, the authors investigated the degree to which perceived social support was associated with depression, life satisfaction, and internalized binegativity in a sample of 210 bisexual young adult college students. Two types of social support (general and sexuality specific) and 2 sources of social support (family and friends) were examined. Participants were recruited from the electronic mailing lists of organizations serving lesbian, gay, bisexual, and transgender students on 32 university campuses, and data were gathered via an Internet survey. Results indicated that general social support was most predictive of depression and life satisfaction, whereas sexuality-specific support was most predictive of internalized binegativity. Both family support and friend support contributed to the prediction of each of the outcome variables. Although it was expected that the link between friend support and positive adjustment would be strongest at low levels of family support, none of the interactions between friend and family support was statistically significant. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patterns of coping with cancer.

Data from 603 cancer patients (aged 21–88 yrs) identified 5 patterns of coping: seeking or using social support, focusing on the positive, distancing, cognitive escape-avoidance (EA), and behavioral EA. Relationships of the coping patterns to sociodemographic characteristics, medical factors, stress appraisals, psychotherapeutic experience, and emotional distress were tested using correlational and regression techniques. Type of cancer, time since diagnosis, and whether a person was currently in treatment had few relationships to coping. The specific cancer-related problem was not associated with how Ss coped. Perceptions of its stressfulness, however, were related to significantly more coping through social support and more of both forms of EA. Coping through social support, focusing on the positive, and distancing were associated with less emotional distress; use of cognitive and behavioral EA was associated with more emotional distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternal characteristics and social support across the transition to motherhood: Associations with maternal behavior.

This study examined associations among personality, mood, stress, and social support during the transition to motherhood and quality of maternal behavior at 3 months postpartum. Seventy primiparous, married women completed questionnaires during pregnancy and at 3 months postpartum. Mother-infant interactions were observed in the home. Maternal sensitivity and expressivity were differentially predicted by social support and mood. Women reported more life stress and less satisfaction with spousal support postpartum than prenatally. Women who reported feeling more anxious and worried prenatally were rated as less expressive in interactions with their infants. Surprisingly, prenatal satisfaction with support from the new mothers' parents was negatively associated with maternal sensitivity. Results highlight the importance of examining prenatal as well as postpartum experiences as possible antecedents of the quality of maternal behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Beyond initial attraction: Physical attractiveness in newlywed marriage.

Physical appearance plays a crucial role in shaping new relationships, but does it continue to affect established relationships, such as marriage? In the current study, the authors examined how observer ratings of each spouse's facial attractiveness and the difference between those ratings were associated with (a) observations of social support behavior and (b) reports of marital satisfaction. In contrast to the robust and almost universally positive effects of levels of attractiveness on new relationships, the only association between levels of attractiveness and the outcomes of these marriages was that attractive husbands were less satisfied. Further, in contrast to the importance of matched attractiveness to new relationships, similarity in attractiveness was unrelated to spouses' satisfaction and behavior. Instead, the relative difference between partners' levels of attractiveness appeared to be most important in predicting marital behavior, such that both spouses behaved more positively in relationships in which wives were more attractive than their husbands, but they behaved more negatively in relationships in which husbands were more attractive than their wives. These results highlight the importance of dyadic examinations of the effects of spouses' qualities on their marriages. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social support, problem solving, and the longitudinal course of newlywed marriage.

Married couples (N = 172) were observed as newlyweds and observed again 1 year later while engaging in 2 problem-solving and 2 personal support discussions. Microanalytic coding of these conversations was used to examine associations between problem-solving and social support behaviors for 1 year and their relative contributions to 10-year trajectories of self-reported relationship satisfaction and dissolution. Results demonstrated that initially lower levels of positive support behaviors and higher levels of negative support behaviors predicted 1-year increases in negative emotion displayed during problem-solving conversations. Emotions coded from the initial problem-solving conversations did not predict 1-year changes in social support behaviors. Controlling for emotions displayed during problem-solving interactions eliminated or reduced associations between initial social support behaviors and (a) later levels of satisfaction and (b) relationship dissolution. These findings corroborate models that prioritize empathy, validation, and caring as key elements in the development of intimacy (e.g., Reis & Shaver, 1988) and suggest that deficits in these domains foreshadow deterioration in problem solving and conflict management. Implications for integrating support and problem solving in models of relationship change are outlined, as are implications for incorporating social support in education programs for developing relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gendered Work Conditions, Health, and Work Outcomes.

This cross-sectional study of nonfaculty university employees examined associations among gendered work conditions (e.g., sexism and discrimination), job demands, and employee job satisfaction and health. Organizational responsiveness and social support were examined as effect modifiers. Comparisons were made by gender and by the male-female ratio in each job category. The relationship of gendered conditions of work to outcomes differed on the basis of respondents' sex and the job sex ratio. Although the same predictors were hypothesized for job satisfaction, physical health, and psychological distress, there were some differing results. The strongest correlate of job satisfaction was social support; perceived sexism in the workplace also contributed for both men and women. Organizational factors associated with psychological distress differed between female- and male-dominated jobs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)