Location of Repository

Social support networks and type of neurotic symptom among adults in British households

By Traolach S. Brugha, Z. Morgan, Paul E. Bebbington, Rachel Jenkins, Glyn Lewis, Martin Farrell and Howard Meltzer

Abstract

Background. Current knowledge about associations between psychosocial factors and nonpsychotic symptoms provide little information about their relationship to specific types of neurotic symptoms such as symptoms of fatigue, worry, phobic anxiety and obsessional symptoms.\ud \ud Method. The British National Survey of Psychiatric Morbidity was based on a cross-sectional random sample of 10 108 householders. Neurotic symptoms were established by lay interviewers using the revised fully structured Clinical Interview Schedule (CIS-R). Subjects were asked about\ud perceived social support, the size of their close primary social network and sociodemographic attributes. To assess possible associations between specific types of neurotic symptoms and\ud psychosocial risk factors multivariate Huber logistic models (a modified form of repeated measures design modelling) was used taking account of correlation between symptom types and sampling design including clustering.\ud \ud Results. After controlling for sociodemographic factors the risk of having a high total CIS-R score (>=12) was approximately doubled for both types of poor social functioning. Specific types\ud of neurotic symptoms were associated both with a small primary group and with inadequate perceived social support. Depression, depressive ideas and panic symptoms had a higher prevalence in multivariate models. Poverty was associated with low support.\ud \ud Conclusions. Associations with deficiencies in social support and self-reported neurotic symptoms are better explained by symptom type and in particular by depression than by the total number\ud of symptoms. If confirmed by longitudinal study findings this knowledge could be used to inform the development of interventions to improve social support in order to reduce specific neurotic symptom types

Publisher: Cambridge University Press
Year: 2003
OAI identifier: oai:lra.le.ac.uk:2381/142

Suggested articles

Preview

Citations

  1. (1995). A developmental perspective on social support networks. doi
  2. (1992). A dimensional model for neurosis.
  3. (1970). A standardised psychiatric interview for use in community surveys. doi
  4. (1999). a). Cross validation of a household population survey diagnostic interview: a comparison of CIS-R with SCAN ICD-10 diagnostic categories. doi
  5. (1997). a). The national psychiatric morbidity surveys of Great Britain – initial findings from the household survey. doi
  6. (1990). a). The relation between life events and social support networks in a clinically depressed cohort. Social Psychiatry and Psychiatric Epidemiology doi
  7. (1987). An evaluation of the Postcode Address File as a sampling frame and its use within OPCS. doi
  8. (1999). b). A difference that matters : comparisons of structured and semi-structured diagnostic interviews of adults in the general population. doi
  9. (1990). b). Gender, social support and recovery from depressive disorders : a prospective clinical study. doi
  10. (1997). b). The national psychiatric morbidity surveys of Great Britain – strategy and methods. doi
  11. (1999). Befriending as an intervention for chronic depression among women in an inner city. 1: Randomised controlled trial. doi
  12. (1995). c).
  13. (1985). Categories of depression: reported life events in a controlled design. doi
  14. (1995). Cognitive aspects of social support processes. doi
  15. (1997). Factors associated with mental health, general health, and school-based service use for child psychopathology. doi
  16. (2001). Genetic and environmental risk factors for depression assessed by subject-rated Symptom Check List versus Structured Clinical Interview. doi
  17. (1999). Goodness-of-fit for GEE: an example with mental health service utilization. doi
  18. (1995). Loss, humiliation and entrapment among women developing depression: a patient and non patient sample. doi
  19. (1992). Measuring psychiatric disorder in the community : a standardized assessment for use by lay interviewers. doi
  20. (1993). Office of Population Censuses & Surveys Social Survey Division. OPCS Surveys of Psychiatric Morbidity in Great Britain. Report of a pilot study conducted among adults living in private households.
  21. (2000). Pragmatic randomized trial of antenatal intervention to prevent postnatal depression by reducing psychosocial risk factors. doi
  22. (1997). Predicting the short-term outcome of first episodes and recurrences of clinical depression: a prospective study of life events, difficulties, and social support networks. doi
  23. (2000). Psychiatric disorder and dysfunction in the UK national survey of psychiatric morbidity. doi
  24. (1994). Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research. National Academy of Medicine: doi
  25. (1993). Self-esteem and vulnerability to depression: the concurrent validity of interview and questionnaire measures. doi
  26. (1992). Social factors and recovery from anxiety and depressive disorders : a test of specificity. doi
  27. (1982). Social networks, attachments and support in minor affective disorders : a replication. doi
  28. (1976). Social networks, support and coping: an exploratory study. doi
  29. (1988). Social Psychiatry. doi
  30. (1988). Social relationship and health. doi
  31. (1995). Social support and psychiatric disorder : overview of evidence. doi
  32. (1976). Social support as a moderator of life stress. doi
  33. (2000). Social support, personality and depressive symptoms over 7 years: the Health and Lifestyle cohort. Social Psychiatry and Psychiatric Epidemiology doi
  34. (1986). Social Support, self-esteem and depression. doi
  35. (1998). Socioeconomic status, standard of living and neurotic disorder. doi
  36. (1965). Survey Sampling. doi
  37. (1988). The Camberwell Collaborative Depression Study. I. Depressed probands: adversity and the form of depression. doi
  38. (1976). The contribution of the social environment to host resistance.
  39. (1987). The Health and Lifestyle Survey. Health Promotion Research Trust : London.
  40. (1987). The Interview Measure of Social Relationships: the description and evaluation of a survey instrument for assessing personal social resources. doi
  41. (1998). The Leicester 500 Project. Social support and the development of postnatal depressive symptoms, a prospective cohort survey. doi
  42. (1985). The List of Threatening Experiences : a subset of 12 life event categories with considerable long-term contextual threat. doi
  43. (1978). The patient’s primary group.
  44. (1993). The relationship of social network deficits with deficits in social functioning in long-term psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology
  45. (1977). The social network, support and neurosis. doi
  46. (1981). Types of stressful life event and the onset on anxiety and depressive disorders. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.