Social support, social strain and inflammation: Evidence from a national longitudinal study of U.S. adults

Yang, Yang Claire; Schorpp, Kristen M.; Harris, Kathleen Mullan

doi:10.1016/j.socscimed.2014.02.013

Cited by 140 publications

(124 citation statements)

References 53 publications

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“…It has been shown that family support significantly influences the health and welfare of people (15). Equally, family and friends provide emotional and material support and share knowledge for welfare and health (29,30).…”

Section: Discussionmentioning

confidence: 99%

Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans

Mendoza-Núñez¹,

Flores-Bello²,

Correa-Muñoz³

et al. 2016

Nutr Hosp

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Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans ResumenObjetivo: determinar la relación entre las redes de apoyo social y control de la diabetes, y su impacto en la calidad de vida en adultos mayores mexicanos. Métodos: se llevó a cabo un estudio transversal en una muestra de 182 adultos mayores diabéticos que estaban participando en grupos comunitarios de autocuidado y ayuda mutua en la Ciudad de México durante más de un año. Todos eran independientes y tenían diagnóstico médico de diabetes mellitus sin complicaciones durante un año o más. Medimos parámetros bioquímicos, incluyendo hemoglobina glucosilada (HbA1c), y antropométricos, las redes de apoyo social para adultos mayores (RAS-mayores) y calidad de vida percibida. Se consideró como diabetes mellitus descontrolada cuando los pacientes tenían HbA1c (%) ≥ 8. Resultados: se encontró que el 65% (118/182) de los diabéticos participantes estaban controlados. Se observó una puntuación media signifi cativamente mayor en la escala RAS-mayores en la subescala de apoyo social extra-familiar en el grupo de diabéticos controlados en comparación con el grupo de descontrolados (57 ± 25 vs. 49 ± 30, p < 0,05). Asimismo, la puntuación media de satisfacción de las redes de apoyo social fue signifi cativamente mayor en el grupo de diabéticos controlados (51 ± 21 frente a 42 ± 22, p = 0,01). Del mismo modo, en el análisis de la calidad de vida, se observó que el 81% de los diabéticos controlados percibe una calidad de vida alta en comparación con el 19% del grupo de diabéticos descontrolados (p < 0,001). Conclusiones: nuestros resultados sugieren que las redes de apoyo social extra-familiar, en particular los grupos de autoayuda de la comunidad, representan un capital social relevante por el control de la diabetes mellitus de las personas mayores de la comunidad. AbstractObjective: To determine the relationship between social support networks and diabetes control and its impact on quality of life in older community-dwelling Mexicans. Methods: A cross-sectional study was carried out on a convenience sample of 182 older diabetic people who were active participants in community self-care and mutual help groups in Mexico City for more than one year. All were independents and had medical diagnostics determining that they had diabetes without complications for one year or more. We measured biochemical and anthropometric parameters, social support networks for older people (SSN-Older) and perceived quality of life. Patients with uncontrolled diabetes mellitus had HbA1c (%) ≥ 8. Results: It was found that 65% (118/182) of the elderly diabetics in the study were controlled. We observed a signifi cantly higher average score in the SSN-Older scale on the extra-familial support subscale in the controlled diabetic group compared with the uncontrolled group (57 ± 25 vs. 49 ± 30, p < 0.05). Additionally, the average satisfaction score, as observed from SSN-Older scale data, was signifi cantly high...

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Section: Discussionmentioning

confidence: 99%

Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans

Mendoza-Núñez¹,

Flores-Bello²,

Correa-Muñoz³

et al. 2016

Nutr Hosp

View full text Add to dashboard Cite

show abstract

“…Relationship deficits-such as social isolation, lack of support, or high strain-are alternative forms of social adversity that can create chronic stress by continuous exposure to chains of risk that accumulate over the life course (27,28). Individuals who experienced early adversity are subject to multiple and longer durations of stress exposures and more prone to inflammatory and stress-related diseases as they age.…”

Section: Significancementioning

confidence: 99%

Social relationships and physiological determinants of longevity across the human life span

Yang

Boen

Gerken

et al. 2016

Proc. Natl. Acad. Sci. U.S.A.

Self Cite

559

378

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Two decades of research indicate causal associations between social relationships and mortality, but important questions remain as to how social relationships affect health, when effects emerge, and how long they last. Drawing on data from four nationally representative longitudinal samples of the US population, we implemented an innovative life course design to assess the prospective association of both structural and functional dimensions of social relationships (social integration, social support, and social strain) with objectively measured biomarkers of physical health (C-reactive protein, systolic and diastolic blood pressure, waist circumference, and body mass index) within each life stage, including adolescence and young, middle, and late adulthood, and compare such associations across life stages. We found that a higher degree of social integration was associated with lower risk of physiological dysregulation in a doseresponse manner in both early and later life. Conversely, lack of social connections was associated with vastly elevated risk in specific life stages. For example, social isolation increased the risk of inflammation by the same magnitude as physical inactivity in adolescence, and the effect of social isolation on hypertension exceeded that of clinical risk factors such as diabetes in old age. Analyses of multiple dimensions of social relationships within multiple samples across the life course produced consistent and robust associations with health. Physiological impacts of structural and functional dimensions of social relationships emerge uniquely in adolescence and midlife and persist into old age.social relationships | physiological dysregulation | longevity | life course | biomarker

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“…Healthy individuals who reported receiving less support from their friends, families, and spouses had higher levels of several inflammatory markers over the course of 5 years than those who reported more support [51]. In the MESA study, adults with lower social support had higher levels of CRP than those with higher social support [52].…”

Section: Biopsychosocial Risk Factors For Elevated Inflammationmentioning

confidence: 99%

Sex Differences in Depression: Does Inflammation Play a Role?

Derry

Padin

Kuo

et al. 2015

Curr Psychiatry Rep

146

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Women become depressed more frequently than men, a consistent pattern across cultures. Inflammation plays a key role in initiating depression among a subset of individuals, and depression also has inflammatory consequences. Notably, women experience higher levels of inflammation and greater autoimmune disease risk compared to men. In the current review, we explore the bidirectional relationship between inflammation and depression and describe how this link may be particularly relevant for women. Compared to men, women may be more vulnerable to inflammation-induced mood and behavior changes. For example, transient elevations in inflammation prompt greater feelings of loneliness and social disconnection for women than for men, which can contribute to the onset of depression. Women also appear to be disproportionately affected by several factors that elevate inflammation, including prior depression, somatic symptomatology, interpersonal stressors, childhood adversity, obesity, and physical inactivity. Relationship distress and obesity, both of which elevate depression risk, are also more strongly tied to inflammation for women than for men. Taken together, these findings suggest that women’s susceptibility to inflammation and its mood effects may contribute to sex differences in depression. Depression continues to be a leading cause of disability worldwide, with women experiencing greater risk than men. Due to the depression-inflammation connection, these patterns may promote additional health risks for women. Considering the impact of inflammation on women’s mental health may foster a better understanding of sex differences in depression, as well as the selection of effective depression treatments.

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Social support, social strain and inflammation: Evidence from a national longitudinal study of U.S. adults

Cited by 140 publications

References 53 publications

Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans

Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans

Social relationships and physiological determinants of longevity across the human life span

Sex Differences in Depression: Does Inflammation Play a Role?

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