Examination of Gender Differences in the Influence of Social Support on Psychological Distress in Canadian Adults with Bipolar Disorder

Warren, Christie D.; Fowler, Ken

doi:10.1007/s11126-021-09898-8

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Comparable to other rates reported in the literature [e.g., 5 , 6 ], it was observed that 3.3% of Canadians between 20 and 64 years of age in the CCHS-MH were assessed as having a lifetime prevalence of BD. In terms of social functioning, research indicates that individuals with BD tend to have difficulties navigating and maintaining social relationships [e.g., 57 , 58 ], and not surprisingly, our results are consistent in this regard [e.g., 19 ]. Specifically, respondents with BD reported less overall social support, and for each subtype (i.e., ‘attachment’, ‘guidance’, ‘reliable alliance’, ‘social integration’, and ‘reassurance of worth’) compared with that reported by non-BD matched sample.…”

Section: Discussionsupporting

confidence: 85%

Positive mental health in adults with bipolar disorder: exploring social support subtypes, negative social interactions and potential to flourish

Fowler,

Dooley

2023

BMC Psychiatry

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Background Bipolar disorder (BD) (i.e., BD-I or BD-II) is a serious mental illness (SMI) that can cause significant life challenges, but its impact and management may be mediated by psychosocial factors. This study’s primary objectives were to investigate whether adults with BD differ from those without in terms of social support, negative social interactions (NSIs), and positive mental health (PMH). Secondly, examine whether gender differences exist in terms of these variables, as well as whether specific social support subscales and NSI predict PMH for those with BD. Methods Using data extracted from a national Canadian survey, 563 adults reporting a lifetime BD diagnosis were compared to a matched, non-BD sample using the Social Provisions Scale 10 Items (SPS-10), the NSI Scale, and the Mental Health Continuum – Short Form (MHC-SF) Scale. For the BD sample, males and females were compared based on study variables, and hierarchical regressions were subsequently performed to assess whether SPS-10 subscales and NSIs predicted PMH. Results Respondents with BD reported significantly lower SPS-10 and PMH scores, and significantly higher NSI scores. Within the BD sample, females reported significantly higher SPS-10 and NSIs scores, and ‘social integration’ and ‘reassurance of worth’ positively predicted PMH, while NSI uniquely predicted lower PMH levels for both males and females. Conclusions The results implicate specific psychosocial factors and gender in the degree to which adults with BD might flourish, particularly in terms negative relationships. The implications of social erosion and the bi-directionality of social support are also considered.

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Section: Discussionsupporting

confidence: 85%

Positive mental health in adults with bipolar disorder: exploring social support subtypes, negative social interactions and potential to flourish

Fowler,

Dooley

2023

BMC Psychiatry

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“…Social support is often heralded as a protective factor due to its association with better mental health outcomes (Bjørlykhaug et al, 2022;Harandi et al, 2017). However, in comparison to the general population, those with BD experience lower levels of social support (Uygun et al, 2020;Warren and Fowler, 2021), and those with a combination of BD and trauma report even lower perceptions of social support (Zhou et al, 2019). Studies examining social support in BD have focused primarily on the severity of or recurrence of mania and depression (Eidelman et al, 2012;Koenders et al, 2015;Wang et al, 2018) where it has been found that lower levels of perceived social support significantly predicted greater depression scores over time, lower levels of functioning and, among those with BD-I, a greater risk of manic or depressive recurrence.…”

Section: Introductionmentioning

confidence: 99%

Childhood cumulative trauma, social support and stress as predictors of illness outcomes and quality of life in bipolar disorder

Rowe,

Perich,

Meade

2023

Aust N Z J Psychiatry

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Objective: Trauma, social support and stress have been identified as factors which may be associated with the bipolar disorder illness course. However, these are yet to be examined in prospective studies as predictors of illness outcomes and overall quality of life in bipolar disorder. Method: One hundred and fourteen participants ( N = 97; 85.1% female) living with bipolar disorder I (41.2%) or II (58.8%) completed a semi-structured interview and a range of self-report measures assessing trauma history, social support, perceived stress, depression, anxiety, mania, suicidality, number of mood episodes and quality of life, at baseline and 6-month follow-up. Results: Childhood cumulative trauma, social support and perceived stress accounted for a substantial and significant portion of the variance in quality of life (62%; 23.6%), anxiety severity (34.6%; 24.5%) and depression severity (49.6%; 26.7%), at both baseline and 6-month follow-up. Perceived stress made significant unique contributions to the prediction of all outcomes, and social support made significant unique contributions to depression and quality of life in bipolar disorder. Conclusion: Stress and social support play an important role in bipolar disorder and in quality of life for people living with this condition. Given that stress and social support are modifiable risk factors, this provides a promising direction for future intervention-based research.

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Factors associated with psychological distress among college students under COVID-19 pandemic: the moderating role of coping styles and social support

Mao,

Qin,

Fan

et al. 2023

Curr Psychol

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Examination of Gender Differences in the Influence of Social Support on Psychological Distress in Canadian Adults with Bipolar Disorder

Cited by 3 publications

References 28 publications

Positive mental health in adults with bipolar disorder: exploring social support subtypes, negative social interactions and potential to flourish

Positive mental health in adults with bipolar disorder: exploring social support subtypes, negative social interactions and potential to flourish

Childhood cumulative trauma, social support and stress as predictors of illness outcomes and quality of life in bipolar disorder

Factors associated with psychological distress among college students under COVID-19 pandemic: the moderating role of coping styles and social support

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