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Social support, self-esteem and depression

Published online by Cambridge University Press:  09 July 2009

G. W. Brown*
Affiliation:
Department of Social Science and Social Policy, Royal Holloway and Bedford New College, London
B. Andrews
Affiliation:
Department of Social Science and Social Policy, Royal Holloway and Bedford New College, London
T. Harris
Affiliation:
Department of Social Science and Social Policy, Royal Holloway and Bedford New College, London
Z. Adler
Affiliation:
Department of Social Science and Social Policy, Royal Holloway and Bedford New College, London
L. Bridge
Affiliation:
Department of Social Science and Social Policy, Royal Holloway and Bedford New College, London
*
1Address for correspondence: Professor G. W. Brown, Department of Social Science and Social Policy, Royal Holloway and Bedford New College, 11 Bedford Square, London WC1B 3RA.

Synopsis

A prospective study of 400 largely working-class women with children living at home has used measures of self-esteem and ‘social support’ to predict the risk of depression in the following year once a stressor had occurred. Actual support received at the time of any crisis in the follow-up year was also measured. Self-esteem was correlated quite highly with some of the measures of support.

A core tie was defined as a husband, lover or someone named as very close at first contact. Negative evaluation of self (i.e. low self-esteem), and various indices of lack of support from a core tie at the first interview, were associated with a greatly increased risk of subsequent depression once stressor occurred. Lack of support from a core tie at the time of the crisis was particularly highly associated with an increased risk. There was also a high risk among those who were ‘let down’ - that is, for those who did not receive the support which they might have expected in terms of the first interview material. It is concluded that it is essential for prospective enquiries to take account of the actual mobilization of support in the follow-up period.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1986

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References

Andrews, B. & Brown, G. W. (1985). Social support and onset of depression: the role of personality. (MS)Google Scholar
Bebbington, P., Sturt, E., Tennant, C. & Hurry, J. (1984). Misfortune and resilience: a community study of women. Psychological Medicine 14, 347363.CrossRefGoogle ScholarPubMed
Brown, G. W. (1974). Meaning, measurement and stress of life events. In Stressful Life Events: Their Nature and Effects (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 217244. John Wiley: New York.Google Scholar
Brown, G. W. (1981). Contextual measures of life events. In Stressful Life Events: Their Contexts (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 187201. Neale Watson Academic Publications: New York.Google Scholar
Brown, G. W. (1983). Accounts, meaning and causality. In Accounts and Action (ed. Gilbert, G. N. and Abell, P.), pp. 3568. Gower: Aldershot.Google Scholar
Brown, G. W. (1986 a). Depression. In Life Events and Illness: Studies of Psychiatric and Physical Disorder (ed. Brown, G. W. and Harris, T. O.). Guilford Press: New York (in the press).Google Scholar
Brown, G. W. (1986 b). Statistical interaction and the role of social factors in the aetiology of clinical depression. Sociology 20 (in the press).CrossRefGoogle Scholar
Brown, G. W. & Harris, T. O. (1978 a). Social Origins of Depression: A Study of Psychiatric Disorder in Women. Tavistock Publications: London.Google Scholar
Brown, G. W. & Harris, T. O. (1978 b). Social origins of depression: a reply. Psychological Medicine 8, 577588.CrossRefGoogle ScholarPubMed
Brown, G. W. & Harris, T. O. (1982). Fall-off in the reporting of life events. Social Psychiatry 17, 2328.CrossRefGoogle Scholar
Brown, G. W. & Harris, T. O. (1986). Establishing causal links: the Bedford College studies of depression. In Life Events and Psychiatric Disorders (ed. Katschnig, H.). Cambridge University Press: Cambridge (in the press).Google Scholar
Brown, G. W. & Prudo, R. (1981). Psychiatric disorder in a rural and an urban population: 1. Aetiology of depression. Psychological Medicine 11, 581599.CrossRefGoogle Scholar
Brown, G. W. & Rutter, M. (1966). The measurement of family activities and relationships: a methodological study. Human Relations 19, 241263.CrossRefGoogle Scholar
Brown, G. W., Craig, T. K. J. & Harris, T. (1985). Depression: disease or distress. British Journal of Psychiatry 147, 612622.CrossRefGoogle ScholarPubMed
Brown, G. W., Andrews, B. & Harris, T. O. (1986 a). The confounding of life events and social support. Results from a prospective study. (MS)Google Scholar
Brown, G. W., Bifulco, A., Harris, T. & Bridge, L. (1986 b). Life stress, chronic psychiatric symptoms and vulnerability to subclinical depression. Journal of Affective Disorders (in the press).CrossRefGoogle Scholar
Campbell, E. A., Cope, S. J. & Teasdale, J. D. (1983). Social factors and affective disorder: an investigation of Brown & Harris's Model. British Journal of Psychiatry 143, 548553.CrossRefGoogle ScholarPubMed
Cleary, P. D. & Kessler, R. C. (1982). The estimation and interpretation of modifier effects. Journal of Health and Social Behaviour 23, 159169.CrossRefGoogle ScholarPubMed
Cobb, S. & Jones, J. M. (1984). Social support, support groups and marital relationships. In Personal Relationships, Vol. 5: Repairing Personal Relationships (ed. Duck, S.), pp. 4766. Academic Press: London.Google Scholar
Cooper, J., Copeland, J., Brown, G. W., Harris, T. & Gourlay, A. J. (1977). Further studies of interview training and inter-rater reliability of the PSE. Psychological Medicine 7, 517523.CrossRefGoogle ScholarPubMed
Costello, C. G. (1982). Social factors associated with depression: a retrospective community study. Psychological Medicine 12, 329339.CrossRefGoogle ScholarPubMed
Dean, C., Surtees, P. G. & Sashidharan, S. P. (1983). Comparison of research diagnostic systems in an Edinburgh community sample. British Journal of Psychiatry 142, 247256.CrossRefGoogle Scholar
Eckenrode, J. (1983). The mobilization of social support: some individual constraints. American Journal of Community Psychology 11, 509528.CrossRefGoogle ScholarPubMed
Eckenrode, J. & Gore, S. (1981). Stressful life events and social supports: the significance of context. In Social Networks and Social Support in Community Mental Health (ed. Gottlieb, B. H.), pp. 4369. Sage: Beverly Hills.Google Scholar
Everitt, B. S. & Smith, A. M. R. (1979). Interactions in contingency tables: a brief discussion of alternative definitions. Psychological Medicine 9, 581583.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. A. (1981). Showing that life events are a cause of depression - a review. Australian and New Zealand Journal of Psychiatry 15, 229238.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. A., Brown, G. W., Duncan-Jones, P., Harris, T. O., Murphy, E. & Prudo, R. (1981). Depression and anxiety in the community: replicating the diagnosis of a case. Psychological Medicine 10, 445454.CrossRefGoogle Scholar
Ginsberg, S. M. & Brown, G. W. (1982). No time for depression: a study of help-seeking among mothers of preschool children. In Symptoms, Illness Behaviour and Help-Seeking (ed. Mechanic, D.), pp. 87114. Prodist: New York.Google Scholar
Goldthorpe, J. H. & Hope, K. (1974). The Social Grading of Occupations: A New Approach and Scale. Oxford University Press: London.Google Scholar
Gore, S. (1981). Stress-buffering functions of social supports: an appraisal and clarification of research models. In Stressful Life Events and their Contexts (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 202221. Neale Watson Academic Publications: New York.Google Scholar
Gore, S. (1985). Social support and styles of coping with stress. In Social Support and Health (ed. Cohen, S. and Syme, L.), pp. 263278. Academic Press: New York.Google Scholar
Gottlieb, B. (ed.) (1981). Social Networks and Social Support. Sage Publications: Beverly Hills.Google Scholar
Grizzle, J. E., Starmer, C. F. & Koch, G. G. (1969). Analysis of categorical data by linear models. Biometrics 25, 489504.CrossRefGoogle ScholarPubMed
Henderson, S., Byrne, D. G. & Duncan-Jones, P. (1981). Neurosis and the Social Environment. Academic Press: London.Google Scholar
Hobfoll, S. E. & Walfisch, S. (1984). Coping with a threat to life: a longitudinal study of self-concept, social support and psychological distress. American Journal of Community Psychology 12, 1.CrossRefGoogle ScholarPubMed
Kessler, R. & McLeod, J. (1985). Social support and mental health in community samples. In Social Support and Health (ed. Cohen, S. and Syme, L.), pp. 219240. Academic Press: New York.Google Scholar
Lewinsohn, P. M., Steinmetz, J. L., Larson, D. W. & Franklin, J. L. (1981). Depression-related cognitions: antecedent or consequence? Journal of Abnormal Psychology 90, 213219.CrossRefGoogle ScholarPubMed
Lowenthal, M. & Haven, C. (1968). Interaction and adaptation: intimacy as a critical variable. American Sociological Review 33, 390400.CrossRefGoogle ScholarPubMed
Martin, C. J. (1985). Stress in the puerperium. Ph.D. dissertation: University of Manchester.Google Scholar
Miller, P. & Ingham, J. (1976). Friends, confidants and symptoms. Social Psychiatry 11, 5158.CrossRefGoogle Scholar
Moss, P. & Plewis, I. (1977). Mental distress in mothers of pre-school children in Inner London. Psychological Medicine 7, 641652.CrossRefGoogle ScholarPubMed
Neilson, E. & Brown, G. W. (1984). Psycho-social factors in physical disorders: a preliminary report to the ESRC.Google Scholar
O'Connor, P. & Brown, G. W. (1984). Supportive relationships: fact or fancy? Journal of Social and Personal Relationships 1, 159195.CrossRefGoogle Scholar
Parry, G. & Shapiro, D. A. (1986). Life events and social support in working class mothers: stress-buffering or independent effects? Archives of General Psychiatry 43, 315323.CrossRefGoogle ScholarPubMed
Paykel, E. S., Emms, E. M., Fletcher, J. & Rassaby, E. S. (1980). Life events and social support in puerperal depression. British Journal of Psychiatry 136, 339346.CrossRefGoogle ScholarPubMed
Pearlin, L. I., Lieberman, M. A., Menaghan, E. G. & Mullen, J. T. (1981). The Stress process. Journal of Health and Social Behaviour 22, 337356.CrossRefGoogle ScholarPubMed
Quinton, D., Rutter, M. & Rowlands, O. (1976). An evaluation of an interview assessment of marriage. Psychological Medicine 6, 577586.CrossRefGoogle ScholarPubMed
Rahe, R. H. (1981). Developments in life change measurement: subjective life change unit scaling. In Stressful Life Events and Their Contexts (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 4862. Neale Watson Academic Publications: New York.Google Scholar
Rutter, M. & Brown, G. W. (1966). The reliability of family life and relationships in families containing a psychiatric patient. Social Psychiatry 1, 3853.CrossRefGoogle Scholar
Sashidharan, S. P. (1985). Definitions of psychiatric syndromes – comparisons in hospital and patients and general population. British Journal of Psychiatry 147, 547551.CrossRefGoogle ScholarPubMed
Spitzer, R. L., Endicott, J. & Robins, E. (1978). Research Diagnostic Criteria; rationale and reliability. Archives of General Psychiatry 35, 773782.CrossRefGoogle ScholarPubMed
Surtees, P. G. (1980). Social support, residual adversity and depressive outcome. Social Psychiatry 15, 7180.CrossRefGoogle Scholar
Surtees, P. G., Dean, C., Ingham, J. G., Kreitman, N. B., Miller, P. McC. & Sashidharan, S. P. (1983). Psychiatric disorder in women from an Edinburgh community: associations with demographic factors. British Journal of Psychiatry 142, 238246.CrossRefGoogle ScholarPubMed
Tennant, C. & Bebbington, P. (1978). The social causation of depression: a critique of the work of Brown and his colleagues. Psychological Medicine 8, 565575.CrossRefGoogle Scholar
Thoits, P. A. (1982). Conceptual, methodological and theoretical problems in studying social support as a buffer against life stress. Journal of Health and Social Behaviour 23, 145158.CrossRefGoogle ScholarPubMed
Turner, R. J. (1983). Direct, indirect and moderating effects of social support upon psychological distress and associated conditions. In Psychosocial Stress: Trends in Theory and Research (ed. Kaplan, H. B.), pp. 105155. Academic Press: New York.CrossRefGoogle Scholar
Vadher, A. & Ndetei, D. M. (1981). Life events and depression in a Kenyan setting. British Journal of Psychiatry 139, 134137.CrossRefGoogle Scholar
Wing, J. K. & Sturt, E. (1978). The PSE-ID-CATEGO System - A Supplementary Manual. Institute of Psychiatry: London (mimeo).Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar
Wing, J. K., Nixon, J. M., Mann, S. A. & Leff, J. P. (1977). Reliability of the PSE (ninth edition) used in a population study. Psychological Medicine 7, 505516.CrossRefGoogle ScholarPubMed