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Understanding the protective effect of social support on depression symptomatology from a longitudinal network perspective
Li, Gen1; Li, Yifan1; Lam, Agnes Iok Fong2,3; Tang, Weiming1,4; Seedat, Soraya5; Barbui, Corrado6; Papola, Davide7; Panter-Brick, Catherine8; van der Waerden, Judith9; Bryant, Richard10; Mittendorfer-Rutz, Ellenor11; Gémes, Katalin11; Purba, Fredrick D.12; Setyowibowo, Hari12; Pinucci, Irene13; Palantza, Christina13; Acarturk, Ceren14; Kurt, Gülşah15; Tarsitani, Lorenzo13; Morina, Naser16; Burchert, Sebastian17; Patanè, Martina18; Quero, Soledad19,20; Campos, Daniel21,22; Huizink, Anja C.18; Fuhr, Daniela C.23; Spiller, Tobias24; Sijbrandij, Marit18; Hall, Brian J.1
2023-11
Source PublicationBMJ Mental Health
ISSN2755-9734
Volume26Issue:1Pages:1-7
Abstract

Background Higher social support protects people from developing mental disorders. Limited evidence is available on the mechanism through which social support plays this protective role. Objective To investigate the stress-buffering process of social support on depressive symptoms using a novel longitudinal dynamic symptom network approach. Methods A total of 4242 adult participants who completed the first two waves (from May to October 2020) of the International Covid Mental Health Survey were included in the study. Cross-lagged panel network modelling was used to estimate a longitudinal network of self-reported social support, loneliness and depressive symptoms. Standardised regression coefficients from regularised cross-lagged regressions were estimated as edge weights of the network. Findings The results support a unidirectional protective effect of social support on key depressive symptoms, partly mediated through loneliness: A higher number of close confidants and accessible practical help was associated with decreased anhedonia (weight=−0.033) and negative self-appraisal symptoms (weight=−0.038). Support from others was also negatively associated with loneliness, which in turn associated with decreased depressed mood (weight=0.086) and negative self-appraisal (weight=0.077). We identified a greater number of direct relationships from social support to depressive symptoms among men compared with women. Also, the edge weights from social support to depression were generally stronger in the men’s network. Conclusions Reductions in negative self-appraisal might function as a bridge between social support and other depressive symptoms, and, thus, it may have amplified the protective effect of social support. Men appear to benefit more from social support than women. Clinical implications Building community-based support networks to deliver practical support, and loneliness reduction components are critical for depression prevention interventions after stressful experiences.

KeywordGender-differences Resources Suicide Stress
DOI10.1136/bmjment-2023-300802
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:001174211900001
PublisherBMJ PUBLISHING GROUPBRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND
Scopus ID2-s2.0-85178651697
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionCENTRE FOR MACAU STUDIES
DEPARTMENT OF COMMUNICATION
Corresponding AuthorHall, Brian J.
Affiliation1.Center for Global Health Equity, New York University Shanghai, Shanghai, China
2.Centre for Macau Studies, University of Macau, Macao
3.Department of Communications, University of Macau, Macao
4.University of North Carolina Project-China, Guangzhou, China
5.SAMRC Genomics of Brain Disorders Research Unit, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
6.Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, United Kingdom
7.WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
8.Department of Anthropology, Yale University, New Haven, United States
9.Institut Pierre Louis d’Épidémiologie et de Santé Publique (iPLesp), Sorbonne Université and INSERM, Paris, Île-de- France, France
10.School of Psychology, UNSW, Sydney, Australia
11.Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
12.Faculty of Psychology, Universitas Padjadjaran, Bandung, Indonesia
13.Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy
14.Department of Psychology, Koc University, Istanbul, Turkey
15.School of Clinical Medicine, University of New South Wales, Sydney, Australia
16.Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, Zurich, Switzerland
17.Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
18.Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health research institute, WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
19.Department of Basic, Clinical Psychology and Psychobiology, Universitat Jaume I, Castellón, Castello de la Plana, Spain
20.CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Carlos III Institute of Health, Madrid, Spain
21.Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain
22.Instituto de Investigación Sanitaria Aragón, Zaragoza, Spain
23.Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom
24.Department of Psychiatry, Yale University School of Medicine, New Haven, United States
Recommended Citation
GB/T 7714
Li, Gen,Li, Yifan,Lam, Agnes Iok Fong,et al. Understanding the protective effect of social support on depression symptomatology from a longitudinal network perspective[J]. BMJ Mental Health, 2023, 26(1), 1-7.
APA Li, Gen., Li, Yifan., Lam, Agnes Iok Fong., Tang, Weiming., Seedat, Soraya., Barbui, Corrado., Papola, Davide., Panter-Brick, Catherine., van der Waerden, Judith., Bryant, Richard., Mittendorfer-Rutz, Ellenor., Gémes, Katalin., Purba, Fredrick D.., Setyowibowo, Hari., Pinucci, Irene., Palantza, Christina., Acarturk, Ceren., Kurt, Gülşah., Tarsitani, Lorenzo., ...& Hall, Brian J. (2023). Understanding the protective effect of social support on depression symptomatology from a longitudinal network perspective. BMJ Mental Health, 26(1), 1-7.
MLA Li, Gen,et al."Understanding the protective effect of social support on depression symptomatology from a longitudinal network perspective".BMJ Mental Health 26.1(2023):1-7.
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