The Relational Context of Social Support: Relationship Satisfaction Moderates the Relations between Enacted Support and Distress

Frazier, Patricia A.; Tix, Andrew P.; Barnett, Cecil L.

doi:10.1177/0146167203254545

Cited by 74 publications

(43 citation statements)

References 53 publications

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“…Furthermore symptoms of depression, anxiety, and fears about the recurrence of cancer can be subsumed under the same latent variable. The SEM analyses support previous research indicating that increased marital satisfaction is directly and indirectly (Frazier et al, 2003). Although the precise mechanisms still require identification, it may manifest through supportive instrumental responses, conversational intimacy, humor, and self-disclosure which is related to reduced psychological distress (Manne et al, 1997).…”

Section: Discussionsupporting

confidence: 81%

“…The marital relationship is a broad predictor of social support (Hagedoorn et al, 2000), and it moderates the relationship between social support and distress (Frazier, Tix, & Barnett, 2003). There is some evidence that marital relationship is unaffected by mastectomy (Morris, Greer, & White, 1977), however there is also evidence to the contrary.…”

Section: Marital Satisfactionmentioning

confidence: 99%

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The Association of Perceived Partner-related Social Support with Self-reported Outcomes in Women Post-mastectomy

et al. 2008

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Marital satisfaction is an important indicator of adaptation in patients with cancer; however, its relationship to medium-to-long-term health-related outcomes is less well understood. Married women (N = 152) at least six months post-mastectomy were surveyed to determine whether marital satisfaction predicted non-weight-related body image distress (BID), pain impact, and mood, or whether the directionality of this association operated in reverse. Structural equation modeling indicated that the model predicting medium-to-long-term health-related outcomes from satisfaction better fit the data and that time influences mood.

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Section: Discussionsupporting

confidence: 81%

Section: Marital Satisfactionmentioning

confidence: 99%

The Association of Perceived Partner-related Social Support with Self-reported Outcomes in Women Post-mastectomy

et al. 2008

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“…65 We used the xtmixed command in Stata, modelling surgery as a random effect, to account for nested structure of the data (patients nested within surgeries). Trial site location was modelled as a fixed effect rather than the top random-effects level to reduce model complexity and avoid non-convergence issues.…”

Section: Discussionmentioning

confidence: 99%

Clinical effectiveness and cost-effectiveness of collaborative care for depression in UK primary care (CADET): a cluster randomised controlled trial

Richards

Bower

Chew‐Graham

et al. 2016

Health Technol Assess

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BackgroundCollaborative care is effective for depression management in the USA. There is little UK evidence on its clinical effectiveness and cost-effectiveness.ObjectiveTo determine the clinical effectiveness and cost-effectiveness of collaborative care compared with usual care in the management of patients with moderate to severe depression.DesignCluster randomised controlled trial.SettingUK primary care practices (n = 51) in three UK primary care districts.ParticipantsA total of 581 adults aged ≥ 18 years in general practice with a currentInternational Classification of Diseases, Tenth Edition depressive episode, excluding acutely suicidal people, those with psychosis, bipolar disorder or low mood associated with bereavement, those whose primary presentation was substance abuse and those receiving psychological treatment.InterventionsCollaborative care: 14 weeks of 6–12 telephone contacts by care managers; mental health specialist supervision, including depression education, medication management, behavioural activation, relapse prevention and primary care liaison. Usual care was general practitioner standard practice.Main outcome measuresBlinded researchers collected depression [Patient Health Questionnaire-9 (PHQ-9)], anxiety (General Anxiety Disorder-7) and quality of life (European Quality of Life-5 Dimensions three-level version), Short Form questionnaire-36 items) outcomes at 4, 12 and 36 months, satisfaction (Client Satisfaction Questionnaire-8) outcomes at 4 months and treatment and service use costs at 12 months.ResultsIn total, 276 and 305 participants were randomised to collaborative care and usual care respectively. Collaborative care participants had a mean depression score that was 1.33 PHQ-9 points lower [n = 230; 95% confidence interval (CI) 0.35 to 2.31;p = 0.009] than that of participants in usual care at 4 months and 1.36 PHQ-9 points lower (n = 275; 95% CI 0.07 to 2.64;p = 0.04) at 12 months after adjustment for baseline depression (effect size 0.28, 95% CI 0.01 to 0.52; odds ratio for recovery 1.88, 95% CI 1.28 to 2.75; number needed to treat 6.5). Quality of mental health but not physical health was significantly better for collaborative care at 4 months but not at 12 months. There was no difference for anxiety. Participants receiving collaborative care were significantly more satisfied with treatment. Differences between groups had disappeared at 36 months. Collaborative care had a mean cost of £272.50 per participant with similar health and social care service use between collaborative care and usual care. Collaborative care offered a mean incremental gain of 0.02 (95% CI –0.02 to 0.06) quality-adjusted life-years (QALYs) over 12 months at a mean incremental cost of £270.72 (95% CI –£202.98 to £886.04) and had an estimated mean cost per QALY of £14,248, which is below current UK willingness-to-pay thresholds. Sensitivity analyses including informal care costs indicated that collaborative care is expected to be less costly and more effective. The amount of participant behavioural activation was the only effect mediator.ConclusionsCollaborative care improves depression up to 12 months after initiation of the intervention, is preferred by patients over usual care, offers health gains at a relatively low cost, is cost-effective compared with usual care and is mediated by patient activation. Supervision was by expert clinicians and of short duration and more intensive therapy may have improved outcomes. In addition, one participant requiring inpatient treatment incurred very significant costs and substantially inflated our cost per QALY estimate. Future work should test enhanced intervention content not collaborative care per se.Trial registrationCurrent Controlled Trials ISRCTN32829227.FundingThis project was funded by the Medical Research Council (MRC) (G0701013) and managed by the National Institute for Health Research (NIHR) on behalf of the MRC–NIHR partnership.

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“…We hypothesise that relationship quality is not only a variable significantly related to relevant aspects of QoL but also a key factor in the perception of actual social support. Evidence from studies devoted to other conditions seems to support such a hypothesis, 18 and specific aspects of SCI make such an investigation worthwhile. Indeed, chronic disease conditions characterised by physical limitations can threaten couple relationships, as they can have a negative impact on intimacy and they can foster patterns of distancing or, at the opposite, symbiotic relationships rigidly characterised by the roles of patient and caregiver.…”

Section: Introductionmentioning

confidence: 95%

Relationship quality and perceived social support in persons with spinal cord injury

2014

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Study design: This is a cross-sectional study. Objectives: The objective of this study was to examine the associations among the quality of couple relationship, perceived social support and health-related quality of life (HRQoL) in persons with spinal cord injury (SCI). Setting: The study was conducted in Italy. Methods: Forty-three persons with SCI were administered questionnaires for the evaluation of relationship quality (Dyadic Adjustment Scale), perceived social support (Multidimensional Scale of Perceived Social Support) and HRQoL (Short Form 36). Results: Many significant correlations between the scores of relationship quality and social support were detected. Relationship quality also correlated with relevant measures of HRQoL, such as Mental Health and Vitality. No correlation between spousal support and HRQoL was found, whereas friends' support correlated with Physical Role Functioning. Conclusions: Data suggest that the perception of social support is strictly related to relationship quality and that marital satisfaction might be related to relevant aspects of HRQoL more likely than social support itself.

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The Relational Context of Social Support: Relationship Satisfaction Moderates the Relations between Enacted Support and Distress

Cited by 74 publications

References 53 publications

The Association of Perceived Partner-related Social Support with Self-reported Outcomes in Women Post-mastectomy

The Association of Perceived Partner-related Social Support with Self-reported Outcomes in Women Post-mastectomy

Clinical effectiveness and cost-effectiveness of collaborative care for depression in UK primary care (CADET): a cluster randomised controlled trial

Relationship quality and perceived social support in persons with spinal cord injury

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