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Structural and functional social network attributes moderate the association of self-rated health with mental health in midlife and older adults

Published online by Cambridge University Press:  24 July 2015

Tim D. Windsor*
Affiliation:
School of Psychology, Faculty of Social and Behavioral Sciences, Flinders University, GPO Box 2100 Adelaide, South Australia, 5001, Australia
Pilar Rioseco
Affiliation:
School of Psychology, Faculty of Social and Behavioral Sciences, Flinders University, GPO Box 2100 Adelaide, South Australia, 5001, Australia Australian Demographic and Social Research Institute, Australian National University, 9 Fellows Rd Acton, Australian Capital Territory, Australia
Katherine L. Fiori
Affiliation:
Gordon F. Derner Institute of Advanced Psychological Studies, Adelphi University, P.O. Box 701 Garden City, New York, 11530-0701, USA
Rachel G. Curtis
Affiliation:
School of Psychology, Faculty of Social and Behavioral Sciences, Flinders University, GPO Box 2100 Adelaide, South Australia, 5001, Australia
Heather Booth
Affiliation:
Australian Demographic and Social Research Institute, Australian National University, 9 Fellows Rd Acton, Australian Capital Territory, Australia
*
Correspondence should be addressed to: Tim Windsor, School of Psychology, Faculty of Social and Behavioral Sciences, Flinders University, GPO Box 2100 Adelaide, South Australia, 5001, Australia. Phone: +61 8 8201 7588; Fax: +61 8 8201 3877. Email: [email protected].
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Abstract

Background:

Social relationships are multifaceted, and different social network components can operate via different processes to influence well-being. This study examined associations of social network structure and relationship quality (positive and negative social exchanges) with mental health in midlife and older adults. The focus was on both direct associations of network structure and relationship quality with mental health, and whether these social network attributes moderated the association of self-rated health (SRH) with mental health.

Methods:

Analyses were based on survey data provided by 2001 (Mean age = 65, SD = 8.07) midlife and older adults. We used Latent Class Analysis (LCA) to classify participants into network types based on network structure (partner status, network size, contact frequency, and activity engagement), and used continuous measures of positive and negative social exchanges to operationalize relationship quality. Regression analysis was used to test moderation.

Results:

LCA revealed network types generally consistent with those reported in previous studies. Participants in more diverse networks reported better mental health than those categorized into a restricted network type after adjustment for age, sex, education, and employment status. Analysis of moderation indicated that those with poorer SRH were less likely to report poorer mental health if they were classified into more diverse networks. A similar moderation effect was also evident for positive exchanges.

Conclusions:

The findings suggest that both quantity and quality of social relationships can play a role in buffering against the negative implications of physical health decline for mental health.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2015 

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References

Antonucci, T. C. and Akiyama, H. (1987). An examination of sex differences in social support among older men and women. Sex Roles, 17, 737749. doi:10.1007/BF00287685.Google Scholar
Antonucci, T. C., Fiori, K. L., Birditt, K. and Jackey, L. M. H. (2010). Convoys of social relations: integrating life-span and life-course perspectives. In Lamb, M. E. and Freund, A. M. (eds.), The Handbook of Life-Span Development (Vol. 1, pp. 434473). New Jersey: John Wiley & Sons.Google Scholar
Antonucci, T. C. et al. (2001). Widowhood and illness: a comparison of social network characteristics in France, Germany, Japan, and the United States. Psychology and Aging, 16, 655665. doi: 10.1037/0882-7974.16.4.655.Google Scholar
August, K. J., Rook, K. S. and Newsom, J. T. (2007). The joint effects of life stress and negative social exchanges on emotional distress. Journals of Gerontology: Social Sciences, 62, S304S314.Google Scholar
Berkman, L. F., Glass, T., Brissette, I. and Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51, 843857. doi: 10.1016/S0277-9536(00)00065-4.CrossRefGoogle ScholarPubMed
Booth, H. and the Social Networks and Ageing Project (SNAP) Team (2013). Staying Connected: Social Engagement and Wellbeing among Mature Age Australians. Melbourne: National Seniors Productive Ageing Centre.Google Scholar
Carstensen, L. L. and Lockenhoff, C. E. (2003). Aging, emotion, and evolution: the bigger picture. Annals of the New York Academy of Sciences, 1000, 152179. doi:10.1196/annals.1280.008.Google Scholar
Charles, S. and Carstensen, L. L. (2009). Social and emotional aging. Annual Review of Psychology, 61, 383409. doi:10.1146/annurev.psych.093008.100448.CrossRefGoogle Scholar
Cohen, J. (1983). The cost of dichotomization. Applied Psychological Measurement, 7, 249253. doi:10.1177/014662168300700301.CrossRefGoogle Scholar
Cohen, S. (2004). Social relationships and health. American Psychologist, 59 (8), 676684. doi: 10.1037/0003-066X.59.8.676.CrossRefGoogle ScholarPubMed
Cohen, S. and Pressman, S. D. (2006). Positive affect and health. Current Directions in Psychological Science, 15, 122125. doi:10.1111/j.0963-7214.2006.00420.x.Google Scholar
Cohen, S. and Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310357. doi:10.1037/0033-2909.98.2.310.Google Scholar
Doubova, S. V., Perez-Cuevas, R., Espinosa-Alarcon, P. and Flores-Hernandez, S. (2010). Social network types and functional dependency in older adults in Mexico. BMC Public Health, 10, 104. doi:10.1186/1471-2458-10-104.Google Scholar
Fingerman, K. L. and Charles, S. T. (2010). It takes two to tango: why older people have the best relationships. Current Directions in Psychological Science, 19, 172176. doi:10.1177/0963721410370297.Google Scholar
Fiori, K. L., Antonucci, T. C. and Cortina, K. S. (2006). Social network typologies and mental health among older adults. Journal of Gerontology: Psychological Sciences, 61B, P25P32. doi:10.1093/geronb/61.1.P25.CrossRefGoogle Scholar
Fiori, K. L., Smith, J. and Antonucci, T. C. (2007). Social network types among older adults: a multidimensional approach. Journal of Gerontology: Psychological Sciences, 62B, P322P330. doi:10.1093/geronb/62.6.P322.Google Scholar
Jylhä, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science & Medicine, 69, 307316. doi:10.1016/j.socscimed.2009.05.013.Google Scholar
Kaplan, G. A. et al. (1996). Perceived health status and morbidity and mortality: evidence from the Kuopio Ischemic Heart Disease Risk Factor Study. International Journal of Epidemiology, 25, 259265. doi: 10.1093/ije/25.2.259.CrossRefGoogle Scholar
Kawachi, I. and Berkman, L. F. (2001). Social ties and mental health. Journal of Urban Health, 78, 458467. doi: 10.1093/jurban/78.3.458.CrossRefGoogle ScholarPubMed
Lindenberger, U., Singer, T. and Baltes, P. B. (2002). Longitudinal selectivity in aging populations: separating mortality-associated versus experimental components in the Berlin Aging Study (BASE). Journal of Gerontology: Psychological Sciences, 57B, P474P482. doi:10.1093/geronb/57.6.P474.CrossRefGoogle Scholar
Little, R. J. A. and Rubin, D. B. (1987). Statistical Analysis with Missing Data. New York: John Wiley & Sons.Google Scholar
Litwin, H. (2001). Social network type and morale in old age. The Gerontologist, 41, 516524. doi:10.1093/geront/41.4.516.Google Scholar
Litwin, H. (2011). The association between social network relationships and depressive symptoms among older Americans: what matters most? International Psychogeriatrics, 23, 930940. doi:10.1017/S1041610211000251.Google Scholar
Litwin, H. and Shiovitz-Ezra, S. (2011). Social network type and subjective well-being in a national sample of older Americans. The Gerontologist, 51, 379388. doi:10.1093/geront/gnq094.Google Scholar
Mulsant, B. H., Ganguli, M. and Seaberg, E. C. (1997). The relationship between self-rated health and depressive symptoms in an epidemiological sample of community-dwelling older adults. Journal of the American Geriatrics Society, 45, 954958.Google Scholar
Muthén, L. K. and Muthén, B. (2006). Mplus User's Guide (Version 4). Los Angeles, CA: Muthén & Muthén.Google Scholar
Newsom, J. T., Nishishiba, M., Morgan, D. L. and Rook, K. S. (2003). The relative importance of three domains of positive and negative social exchanges: a longitudinal model with comparable measures. Psychology and Aging, 18, 746754. doi:10.1037/0882-7974.18.4.746.CrossRefGoogle ScholarPubMed
Nylund, K. L., Asparouhov, T. and Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14, 535569. doi:10.1080/10705510701575396.Google Scholar
Okun, M. A. and Keith, V. M. (1998). Effects of positive and negative social exchanges with various sources on depressive symptoms in younger and older adults. Journals of Gerontology: Psychological Sciences, 53B, P4P20. doi:10.1093/geronb/53B.1.P4.Google Scholar
Pinquart, M. and Sorensen, S. (2000). Influences of socioeconomic status, social network, and competence on subjective well-being in later life: a meta-analysis. Psychology and Aging, 15, 187224. doi:10.1037/0882-7974.15.2.187.Google Scholar
Ram, N. and Grimm, K. J. (2009). Growth mixture modeling: a method for identifying differences in longitudinal change among unobserved groups. International Journal of Behavioral Development, 33, 565576. doi:10.1177/0165025409343765.Google Scholar
Rindfussl, R. R., Choe, M. K., Tsuya, N. O., Bumpass, L. L. and Tamaki, E. (2015). Do low survey response rates bias results? Evidence from Japan. Demographic Research, 32, 797828. doi: 10.4054/DemRes.2015.32.26.Google Scholar
Rook, K. S., Luong, G., Sorkin, D. H., Newsom, J. T. and Krause, N. (2012). Ambivalent versus problematic social ties: implications for psychological health, functional health, and interpersonal coping. Psychology and Aging, 27, 912923. doi:10.1037/a0029246.Google Scholar
Schuster, T. L., Kessler, R. C. and Aseltine, R. H. (1990). Supportive interactions, negative interactions and depressed mood. American Journal of Community Psychology, 18, 423437. doi:10.1007/BF00938116.Google Scholar
Stevens, N. L. and Van Tilburg, T. G. (2011). Cohort differences in having and retaining friends in personal networks in later life. Journal of Social and Personal Relationships, 28, 2443. doi:10.1177/0265407510386191.Google Scholar
Takahashi, K., Tamura, J. and Tokoro, M. (1997). Patterns of social relationships and psychological well-being among the elderly. International Journal of Behavioral Development, 21, 417430. doi:10.1080/016502597384721.Google Scholar
Thoits, P. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journa of Health and Social Behavior, 52, 145161. doi:10.1177/0022146510395592.Google Scholar
Uchino, B. N., Cacioppo, J. T. and Kiecolt-Glaser, J. K. (1996). The relationship between social support and physiological processes: a review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin, 119, 488531. doi: 10.1037/0033-2909.119.3.488.CrossRefGoogle ScholarPubMed
Vermunt, J. K. and Magidson, J. (2002). Latent class cluster analysis. In Hagenaars, J. A. and McCutcheon, A. L. (eds.), Advances in Latent Class Analysis (pp. 89106). Cambridge, UK: Cambridge University Press.Google Scholar
Ware, J. E. and Sherbourne, C. D. (1992). The MOS 36-Item short-form health survey (SF-36). Medical Care, 30, 473483.Google Scholar