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Chen J, Shi L, Xiao S, Zheng X, Xue Y, Xue B, Zhang J, Li X, Chen Y, Wu Y, Zhang C. The impact of intimate partner violence on depressive symptoms among college students: A moderated mediation model of the big five personality traits and perceived social support. J Affect Disord 2024; 350:203-213. [PMID: 38218253 DOI: 10.1016/j.jad.2024.01.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 01/04/2024] [Accepted: 01/08/2024] [Indexed: 01/15/2024]
Abstract
BACKGROUND Previous study has identified a connection between intimate partner violence (IPV) and depressive symptoms. However, the underlying mechanisms of this connection have not yet been well understood. The aim of this study was to investigate the roles of big five personality traits and perceived social support on the association between IPV and depressive symptoms among Chinese college students. METHODS A cross-sectional questionnaire survey was conducted among college students in 23 provinces, 5 autonomous regions, and 4 municipalities in China from June to August 2022. Intimate Partner Violence Questionnaire was used to measure the frequency of exposure to IPV. The big five personality traits were measured by 10-item Big Five Inventory, Perceptive Social Support Scale-3 items was used to estimate the degree of perceived social support and the data on depressive symptoms were collected by Patient Health Questionnaire-9 items. We used data from the "Psychology and Behavior Investigation of Chinese Residents in 2022", which includes 6686 valid questionnaires of college students. The PROCESS macro developed by Hayes was utilized to perform moderated mediation analysis. RESULTS Among college students, IPV had a significant direct impact on depressive symptoms. Extroversion, agreeableness, conscientiousness and neuroticism mediated the association between IPV and depressive symptoms (β = -0.08, P < 0.001; β = -0.08, P < 0.001; β = -0.14, P < 0.001; β = 0.20, P < 0.001). Perceived social support significantly moderated the mediating role of the big five personality traits between IPV and depressive symptoms. Furthermore, perceived social support moderated the direct relationship between IPV and depressive symptoms (β = 0.34, P < 0.001), as well as the indirect path of extroversion, agreeableness, neuroticism and the first half of the mediating role of conscientiousness. Moreover, perceived social support was one of the preventive factors that could effectively mitigate the harmful effects of IPV, neuroticism and depressive symptoms. LIMITATIONS As this was a cross-sectional study, we were unable to investigate causal relationships between variables. The prevalence of IPV and depressive symptoms were self-reported by the college students, and there may be reporting bias. Additionally, this study only explored the influence and mechanism from the integrated dimension of IPV and PSSS, due to spatial constraints. CONCLUSIONS The findings contribute to the existing understanding by clarifying the fundamental mechanisms linking IPV and depressive symptoms. These results may serve as a valuable reference for the Chinese government to improve mental health among college students.
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Affiliation(s)
- Jingwen Chen
- School of Public Health, Southern Medical University, Guangzhou, China; School of Health Management, Southern Medical University, Guangzhou, China; Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Lei Shi
- School of Health Management, Guangzhou Medical University, Guangzhou, China
| | - Shujuan Xiao
- School of Public Health, Southern Medical University, Guangzhou, China; School of Health Management, Southern Medical University, Guangzhou, China
| | - Xiao Zheng
- School of Health Management, Southern Medical University, Guangzhou, China; Shunde Hospital, Southern Medical University, Foshan, China
| | - Yaqing Xue
- Northwest Women's and Children's Hospital, Xi'an, China
| | - Benli Xue
- School of Public Health, Southern Medical University, Guangzhou, China; School of Health Management, Southern Medical University, Guangzhou, China
| | - Jiachi Zhang
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Xinru Li
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Yiming Chen
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Yibo Wu
- School of Public Health, Peking University, Beijing, China.
| | - Chichen Zhang
- School of Public Health, Southern Medical University, Guangzhou, China; School of Health Management, Southern Medical University, Guangzhou, China.
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Kruisdijk F, Hopman-Rock M, Beekman ATF, Hendriksen IJM. Personality traits as predictors of exercise treatment adherence in major depressive disorder: lessons from a randomised clinical trial. Int J Psychiatry Clin Pract 2020; 24:380-386. [PMID: 32657194 DOI: 10.1080/13651501.2020.1787452] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
OBJECTIVE The objective of this study was to explore the determinants of adherence in the EFFORT-D (EFFect Of Running Therapy) study in a specialised mental health care hospital setting. METHODS Patients with major depressive disorder (MDD) were given treatment as usual and half were randomised to an exercise intervention. Adherence was measured at 3 months (T3) and 6 months (T6) and was defined as participation in the overall study protocol (total n = 42, adhered n = 28) or intervention (total n = 24, adhered n = 9). Potential determinants were age, BMI, tobacco and alcohol use, severity of depression, anxiety, fitness (VO2max kg-1 and Wmax kg-1) and personality traits at baseline. ANOVA, Chi-square tests and block-wise logistic regression were performed, and reliability of the scales was determined. RESULTS Numbers were found too low for analyses on smoking, drinking and anxiety. Higher agreeableness was significantly associated with better adherence to the overall study protocol (OR 1.2; p = 0.03; 95% CI: 1.01-1.4) and severity of depression was negatively associated with adherence in the intervention group (OR 0.70; p = 0.046;95% CI: 0.49-0.99). CONCLUSIONS To adhere to a study protocol involving exercise or to a clinical exercise programme, MDD patients need substantial personal support. Measurement of personality traits and the severity of depression as potential predictors of adherence could be considered for this purpose. Keypoints Adherence to exercise and study protocols in a randomised controlled trial was low Patients with severe major depressive disorder need substantial personal support Measurement of personality traits could be considered.
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Affiliation(s)
- Frank Kruisdijk
- GGz Centraal Innova, Amersfoort, The Netherlands.,Body@Work, TNO-VU University Amsterdam Medical Center, Amsterdam, The Netherlands.,Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Amsterdam, The Netherlands
| | - Marijke Hopman-Rock
- Body@Work, TNO-VU University Amsterdam Medical Center, Amsterdam, The Netherlands.,Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Amsterdam, The Netherlands.,The Netherlands Organisation for Applied Scientific Research TNO, Leiden, The Netherlands
| | - Aartjan T F Beekman
- Department of Psychiatry, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands
| | - Ingrid J M Hendriksen
- Body@Work, TNO-VU University Amsterdam Medical Center, Amsterdam, The Netherlands.,The Netherlands Organisation for Applied Scientific Research TNO, Leiden, The Netherlands
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3
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Roeh A, Engel RR, Lembeck M, Pross B, Papazova I, Schoenfeld J, Halle M, Falkai P, Scherr J, Hasan A. Personality Traits in Marathon Runners and Sedentary Controls With MMPI-2-RF. Front Psychol 2020; 11:886. [PMID: 32457686 PMCID: PMC7225272 DOI: 10.3389/fpsyg.2020.00886] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Accepted: 04/09/2020] [Indexed: 12/27/2022] Open
Abstract
Background Endurance exercise in general and marathon running in particular have become increasingly popular over the past decades. Recent investigations about personality structures in this cohort and comparisons to non-active cohorts are lacking. Methods In the ReCaP study (Running effects on Cognition and Plasticity), a total of 100 marathon runners and 46 sedentary controls were recruited. After elimination of Minnesota Multiphasic Personality Inventory 2 Restructured Form (MMPI-2-RF) profiles with insufficient validity, 79 marathon runners (MA) and 27 sedentary controls (SC) remained for final analyses. Depressive symptoms were evaluated with Beck Depression Inventory (BDI) and Hamilton Depression Scale (HAMD). Results Marathon runners had lower scores in scales measuring somatic and cognitive complaints, stress, demoralization, hopelessness and distrust. Within the marathon group, committed runners exhibited hypomanic traits compared to regular runners. Discussion and Conclusion Personality differences could be summarized as (sub-)depressive personality traits in SC compared to MA rather than typical (sub-) depressive symptoms in the meaning of depressive disorders. Future studies should further evaluate cause and consequence of endurance training and hypomanic or euthymic symptoms, as a two-way interaction exists. Trial Registration http://apps.who.int/trialsearch/Trial2.aspx?TrialID=DRKS00012496.
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Affiliation(s)
- Astrid Roeh
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Rolf R Engel
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Moritz Lembeck
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Benjamin Pross
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Irina Papazova
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Julia Schoenfeld
- Department of Prevention and Sports Medicine, Klinikum Rechts der Isar, Technischen Universität München, Munich, Germany
| | - Martin Halle
- Department of Prevention and Sports Medicine, Klinikum Rechts der Isar, Technischen Universität München, Munich, Germany
| | - Peter Falkai
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Johannes Scherr
- Department of Prevention and Sports Medicine, Klinikum Rechts der Isar, Technischen Universität München, Munich, Germany.,University Center for Preventive and Sports Medicine, Balgrist University Hospital, University of Zurich, Zurich, Switzerland
| | - Alkomiet Hasan
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.,Department of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Bezirkskrankenhaus Augsburg, University of Augsburg, Augsburg, Germany
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4
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Sellbom M, Carragher N, Sunderland M, Calear AL, Batterham PJ. The role of maladaptive personality domains across multiple levels of the HiTOP structure. Personal Ment Health 2020; 14:30-50. [PMID: 31397079 DOI: 10.1002/pmh.1461] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Revised: 06/05/2019] [Accepted: 06/10/2019] [Indexed: 11/11/2022]
Abstract
This study aimed to examine associations between maladaptive personality traits and psychopathology from the perspective of the hierarchical taxonomy of psychopathology (HiTOP). We tested hierarchical structural models to further validate a portion of the structural components of HiTOP. We also tested a priori personality and psychopathology associations with three levels of the HiTOP hierarchy: general psychopathology, spectra and syndromes/disorders. We used a large sample from the general Australian population who completed a large set of personality and psychopathology inventories online. Confirmatory factor analyses indicated that internalizing, externalizing and thought dysfunction spectra emerged structurally, as expected per HiTOP, but also revealed that obsessive-compulsive disorder loaded on both internalizing and thought dysfunction and attention deficit hyperactivity disorder on both externalizing and internalizing. Furthermore, results indicated that almost all personality and psychopathology hypotheses were supported, although trait antagonism did not predict externalizing to the degree initially expected. Implications for personality and psychopathology are discussed. © 2019 John Wiley & Sons, Ltd.
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Affiliation(s)
- Martin Sellbom
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Natacha Carragher
- Prince of Wales Clinical School, University of New South Wales, Sydney, Australia
| | - Matthew Sunderland
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - Alison L Calear
- Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia
| | - Philip J Batterham
- Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia
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Törnroos M, Elovainio M, Hintsa T, Hintsanen M, Pulkki‐Råback L, Jokela M, Lehtimäki T, Raitakari OT, Keltikangas‐Järvinen L. Personality traits and perceptions of organisational justice. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2018; 54:414-422. [DOI: 10.1002/ijop.12472] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Accepted: 11/29/2017] [Indexed: 11/09/2022]
Affiliation(s)
- Maria Törnroos
- Department of Management and OrganizationHanken School of Economics Helsinki Finland
- Department of Psychology and Logopedics, Faculty of MedicineUniversity of Helsinki Helsinki Finland
| | - Marko Elovainio
- Department of Psychology and Logopedics, Faculty of MedicineUniversity of Helsinki Helsinki Finland
- National Institute for Health and Welfare Helsinki Finland
| | - Taina Hintsa
- Department of Psychology and Logopedics, Faculty of MedicineUniversity of Helsinki Helsinki Finland
- Educational Sciences and Psychology, Philosophical FacultyJoensuu University of Eastern Finland Finland
| | - Mirka Hintsanen
- Department of Psychology and Logopedics, Faculty of MedicineUniversity of Helsinki Helsinki Finland
- Unit of Psychology, Faculty of EducationUniversity of Oulu Oulu Finland
| | - Laura Pulkki‐Råback
- Department of Psychology and Logopedics, Faculty of MedicineUniversity of Helsinki Helsinki Finland
| | - Markus Jokela
- Department of Psychology and Logopedics, Faculty of MedicineUniversity of Helsinki Helsinki Finland
| | - Terho Lehtimäki
- Department of Clinical Chemistry, Fimlab LaboratoriesUniversity of Tampere School of Medicine Tampere Finland
| | - Olli T. Raitakari
- Research Centre of Applied and Preventive Cardiovascular MedicineUniversity of Turku Turku Finland
- Department of Clinical Physiology and Nuclear MedicineTurku University Hospital Turku Finland
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Stafford M, Antonucci TC, Zaninotto P. Joint Trajectories of Spousal Social Support and Depressive Symptoms in Older Age. J Aging Health 2017; 31:760-782. [PMID: 29254428 PMCID: PMC6495403 DOI: 10.1177/0898264317747077] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: We describe changes in depressive symptoms and positive
and negative social support from the spouse/partner in a representative sample
of older people in England. Method: Men and women aged 50+
(N = 7,171) from the English Longitudinal Study of Ageing
reported social support and depressive symptoms (Center for Epidemiologic
Studies Depression Scale) on up to five occasions between 2002-2003 and
2010-2011. Parallel process latent growth models estimated their bidirectional
associations, adjusted for gender, wealth, education, and limiting illness.
Results: In age- and gender-adjusted models, positive spousal
support decreased and negative support increased over time, especially among
women. Greater increases over time in depressive symptoms were seen in those
with lower positive support or higher negative support at baseline. More
baseline depressive symptoms predicted greater declines in positive support and
greater increases in negative support from the spouse. Discussion:
Improving older couple’s relationship quality may help reduce depressive
symptoms.
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7
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Assessing the relationships among spiritual social support, stress, and anxiety: Does extraversion also play a role in the coping process? CURRENT PSYCHOLOGY 2017. [DOI: 10.1007/s12144-017-9764-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Abstract
Introduction Perceptions of social standing have increasingly well-documented relationships with health. Higher subjective social status (SSS) is associated with better psychological well-being among women, and mothers of newborns. The relationship between SSS and psychological distress among mothers of young children, however, is largely unknown. SSS may provide insight into aspects of maternal functioning that are relevant to parenting capacity, as well as insight into future health; in addition, SSS is brief, and may be perceived as less intrusive than other measures of socioeconomic status or mental health. We evaluated the relationship between SSS and psychological distress among mothers of 5-year-old children from diverse socioeconomic backgrounds. Methods One hundred and sixty-two mothers of 5-year old children, who participated in a study of child self-regulation, completed surveys that assessed sociodemographics, mental health, and perceived social support. The MacArthur Scale of SSS used pictures of ten-rung ladders to assess respondents' social position in relation to the US (SES ladder) and their community (community ladder). Quantile regression models were used to assess the relationship between maternal psychological distress (perceived social support, depressive symptoms, anxiety) and the ladders (individually and together), adjusting for maternal age, race, education, and number of children. To examine whether the SSS-health relationships differed by race, the models were also stratified by race. Results Community ladder ranking was positively associated with social support (β = 1.34, SE = 0.33, p < .001), and negatively associated with depressive symptoms (β = -1.34, SE = 0.52, p < .05). SES ladder ranking was positively associated with social support (β = 1.17, SE = 0.52, p < .05). Findings in the full sample were driven by more robust relationships between psychological distress and community SSS among Black/African-American mothers. Discussion The findings suggest that perceived social standing in one's community is associated with maternal psychological well-being. Community SSS may be particularly influential for Black/African-American mothers' well-being.
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9
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Cheng ST. Self-Perception of Aging and Satisfaction With Children's Support. J Gerontol B Psychol Sci Soc Sci 2017; 72:782-791. [PMID: 26773312 DOI: 10.1093/geronb/gbv113] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2015] [Accepted: 11/10/2015] [Indexed: 11/14/2022] Open
Abstract
Objectives Those with self-beliefs in negative aging may desire a stronger support network to buffer against potential threats and may hence see their current network as less than adequate. This study investigated whether negative self-perception of aging is associated with increased dissatisfaction with children's support. Method Six hundred and forty Chinese older adults with at least one child and a total of 2,108 adult children rated the degree of support received from each child individually and the degree to which it met their expectation. Additionally, the participants responded to measures of self-perception of aging (both positive and negative), neuroticism, instrumental activities of daily living, chronic illnesses, financial strain, and living status. The multilevel dataset was analyzed using mixed-effects regression. Results Individuals who had a more negative self-perception of aging, who were younger, who lived alone, and who had fewer children provided lower support satisfaction ratings after support received from children was controlled for. Positive self-perception of aging was unrelated to support satisfaction. Neuroticism did not account for the relationship between negative self-perception of aging and support satisfaction. Discussion A negative self-perception of aging may create vulnerability to intergenerational tension that puts older people at risk of adverse psychological and physical health outcomes.
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Affiliation(s)
- Sheung-Tak Cheng
- Department of Health and Physical Education, Hong Kong Institute of Education, Tai Po, Hong Kong.,Department of Clinical Psychology, Norwich Medical School, University of East Anglia
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10
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Saritas-Atalar D, Altan-Atalay A. Maternal availability and adolescent dependency as moderators on the relation between personality and ER strategies in a Turkish sample. PERSONALITY AND INDIVIDUAL DIFFERENCES 2017. [DOI: 10.1016/j.paid.2016.11.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Fles E, Lakey B. The personality traits of consensually supportive people. PERSONALITY AND INDIVIDUAL DIFFERENCES 2017. [DOI: 10.1016/j.paid.2016.07.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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12
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Gariépy G, Honkaniemi H, Quesnel-Vallée A. Social support and protection from depression: systematic review of current findings in Western countries. Br J Psychiatry 2016; 209:284-293. [PMID: 27445355 DOI: 10.1192/bjp.bp.115.169094] [Citation(s) in RCA: 570] [Impact Index Per Article: 71.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2014] [Accepted: 02/27/2016] [Indexed: 12/21/2022]
Abstract
BACKGROUND Numerous studies report an association between social support and protection from depression, but no systematic review or meta-analysis exists on this topic. AIMS To review systematically the characteristics of social support (types and source) associated with protection from depression across life periods (childhood and adolescence; adulthood; older age) and by study design (cross-sectional v cohort studies). METHOD A systematic literature search conducted in February 2015 yielded 100 eligible studies. Study quality was assessed using a critical appraisal checklist, followed by meta-analyses. RESULTS Sources of support varied across life periods, with parental support being most important among children and adolescents, whereas adults and older adults relied more on spouses, followed by family and then friends. Significant heterogeneity in social support measurement was noted. Effects were weaker in both magnitude and significance in cohort studies. CONCLUSIONS Knowledge gaps remain due to social support measurement heterogeneity and to evidence of reverse causality bias.
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Affiliation(s)
- Geneviève Gariépy
- Geneviève Gariépy, PhD, Institute for Health and Social Policy, McGill University, Montreal, Canada; Helena Honkaniemi, BSc, International Research Infrastructure on Social Inequalities in Health, McGill University, Montreal, Canada; Amélie Quesnel-Vallée, MSc, PhD, International Research Infrastructure on Social Inequalities in Health, Department of Epidemiology, Biostatistics and Occupational Health, and Department of Sociology, McGill University, Montreal, Quebec, Canada
| | - Helena Honkaniemi
- Geneviève Gariépy, PhD, Institute for Health and Social Policy, McGill University, Montreal, Canada; Helena Honkaniemi, BSc, International Research Infrastructure on Social Inequalities in Health, McGill University, Montreal, Canada; Amélie Quesnel-Vallée, MSc, PhD, International Research Infrastructure on Social Inequalities in Health, Department of Epidemiology, Biostatistics and Occupational Health, and Department of Sociology, McGill University, Montreal, Quebec, Canada
| | - Amélie Quesnel-Vallée
- Geneviève Gariépy, PhD, Institute for Health and Social Policy, McGill University, Montreal, Canada; Helena Honkaniemi, BSc, International Research Infrastructure on Social Inequalities in Health, McGill University, Montreal, Canada; Amélie Quesnel-Vallée, MSc, PhD, International Research Infrastructure on Social Inequalities in Health, Department of Epidemiology, Biostatistics and Occupational Health, and Department of Sociology, McGill University, Montreal, Quebec, Canada
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Woods WC, Lakey B, Sain T. The role of ordinary conversation and shared activity in the main effect between perceived support and affect. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2015. [DOI: 10.1002/ejsp.2149] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
| | - Brian Lakey
- Grand Valley State University; Allendale USA
| | - Travis Sain
- Grand Valley State University; Allendale USA
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