scholarly journals The association of mental disorders with perceived social support, and the role of marital status: results from a national cross-sectional survey

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Janhavi Ajit Vaingankar ◽  
Edimansyah Abdin ◽  
Siow Ann Chong ◽  
Saleha Shafie ◽  
Rajeswari Sambasivam ◽  
...  

Abstract Background This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) ‘Married’ status influenced the relationship between mental state and perceived social support. Methods Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. Results All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder (β = - 0.299, 95% CI: -0.484 – -0.113, p = 002) and having any of the five mental disorders (β = - 0.133, 95% CI: -0.254 – -0.012, p = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by ‘Married’ status. Conclusion Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship.

2016 ◽  
Vol 13 (9) ◽  
pp. 957-963 ◽  
Author(s):  
Jeanette M. Garcia ◽  
John R. Sirard ◽  
Ross Larsen ◽  
Meg Bruening ◽  
Melanie Wall ◽  
...  

Objective:The purpose of this study was to examine, using structural equation modeling, the associations between nominated friend physical activity (PA), friend social support with individual PA-related psychological factors, and adolescent PA.Methods:Data were obtained from EAT 2010 (Eating and Activity Among Teens), a large cross-sectional study conducted in 20 middle and high schools. The sample consisted of 1951 adolescents (mean age: 14.25 ± 1.96, 54% female, 68% ethnic minorities). PA, parent and friend social support (perceived social support for PA from parents and friends), and psychological measures (PA enjoyment, PA self-efficacy, and PA barriers) were assessed by self-report questionnaires. The SEM analysis consisted of 1 observed variable: friend PA, and 2 latent constructs: psychological factors, perceived social support.Results:The model was a good fit, indicating that there were significant direct effects of both friend PA (P < .01) and psychological factors (P < .0001) on adolescent PA. In addition, psychological factors mediated the association between friend PA and adolescent PA.Conclusion:The results of this model suggest that psychological factors and friend PA are associated with adolescent PA, and that psychological factors may play an important role. Future studies should further examine the association of both friend PA and psychological variables with adolescent PA.


2019 ◽  
Author(s):  
MARK JOHNUEL MATABILAS DUAVIS1

Abstract Background Tuberculosis remains a major public health dilemma in the Philippines. While free and effective TB diagnosis and treatment have been made available since 1996, a number of patients still delay accessing them re­sulting to increased TB mortality and community transmission. This study is aimed at determining the significant variables that can predict a TB patient’s pace in seeking appropriate health care. Methods A descriptive, correlational cross-sectional survey was done to 127 newly-diagnosed TB patients from 10 government-owned TB DOTS facilities in Cebu City. Participants were categorically grouped into Prompt Health Seekers and Delayed Health Seekers using a norm-referenced median dichotomy. Descriptive and inferential analysis utilized included Chi-square Test, Pearson’s Correlation and Discriminant Analysis. Results A mean health care seeking delay of 59 days (median=49) was recorded. Most of the participants experienced unexplained cough which they perceived as only slightly dangerous. 38% of them reported not knowing any symptom related to TB while 39% were not aware of the free public TB services. Most patients have made 2-3 prior health recourses, mostly through self-medication, before finally contacting a DOTS facility. Marital status (p=0.004), the number of symptoms experienced (p=0.000), first symptom experienced (p=0.016), perceived dangerousness of all symptoms experienced (p=0.009), perceived dangerousness of the first symptom experienced (p=0.001), perceived social stigma (p=0.035) and, perceived social support (p=0.002) were found to be significantly associated with the patients’ health care seeking pace. Extending to multivariate analysis, five independent variables namely marital status (p=0.037), number of symptoms experienced (p=0.018), perceived dangerousness of all the symptoms experienced (p=0.028), perceived social stigma (p=0.026) and, perceived social support (p=0.001) can significantly predict the patients’ health care seeking pace. Conclusion A considerable health care seeking delay of 59 days was documented, especially among those with lower perception of social support, higher perception of social stigma and those who do not currently have partners. Patients who experienced more symptoms and those who view these symptoms as less dangerous were, however, likely to seek immediate health care. Reducing health care seeking delays through intensified health information campaigns, strengthening social support systems and reducing social stigma is recommended.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huosheng Yan ◽  
Lingzhi Sang ◽  
Hongzhang Liu ◽  
Cancan Li ◽  
Zijing Wang ◽  
...  

Abstract Background Turnover intention is a major cause of reduced team morale and low work efficiency. It hinders work performance and reduces the quality of medical services. This study aimed to investigate the relationship between financial satisfaction and turnover intention and its mediators among primary care providers. Methods Multi-stage random cluster sampling was used to select 1241 participants from four counties and three districts in Anhui province, China. Data were collected using a self-administered questionnaire. Turnover intention was assessed with a turnover intention assessment scale. Perceived social support and burnout were measured with the 12-item Perceived Social Support Scale and the Chinese version of the Maslach Burnout Inventory, respectively. Structural equation modeling was used for data analysis. Results The findings showed high turnover intention among primary care providers (mean score 14.16 ± 4.337), and most providers reported low financial satisfaction (mean score 2.49 ± 0.990). The mean perceived social support score was 64.93 ± 13.229, and only 6.1% of primary care providers reported no burnout. Compared with participants with high financial satisfaction, those with low financial satisfaction were more likely to report higher turnover intention (β = − 0.216, p < 0.001), less perceived social support (β = 0.181, p < 0.001), and more severe burnout (β = − 0.123, p < 0.05). Turnover intention may be related to perceived social support (β = − 0.147, p < 0.001) and burnout (β = 0.239, p < 0.001). Furthermore, the effect of financial satisfaction on turnover intention was significantly mediated by perceived social support (β = − 0.027, p < 0.001) and burnout (β = − 0.029, p < 0.05). Conclusions Turnover intention is associated with financial satisfaction, with this association mediated by perceived social support and burnout. A reasonable mechanism needs to be established to improve financial satisfaction and perceived social support and reduce burnout among primary care providers.


2020 ◽  
pp. 002085232094231
Author(s):  
Koen Migchelbrink ◽  
Steven Van de Walle

Red tape is seen as a destructive organizational force that reduces public officials’ motivation and curtails organizational performance. By increasing the time, cost, and effort required to inform the public and coordinate participation, red tape has also been said to reduce public officials’ positive attitudes toward public participation. However, research on the effects of red tape on public officials’ attitudes toward public participation remains inconclusive. This study examines how the lack of functionality and compliance burden of rules affect public officials’ attitudes toward public participation. Using cross-sectional survey data of n = 862 municipal public officials and a structural equation modeling approach, this study finds that public officials’ perceptions of the lack of functionality of rules are positively associated with attitudes toward public participation, and that perceptions of the compliance burden of rules are negatively associated with attitudes toward public participation. Points for practitioners • Red tape affects public officials’ attitudes toward public participation. • The compliance burden of rules is negatively associated with public officials’ attitudes toward public participation. • The perceived lack of functionality of rules is positively associated with public officials’ attitudes toward public participation. • The effects of red tape are multifaceted and should be examined from a multidimensional point of view.


2020 ◽  
Author(s):  
Dian-Jeng Li ◽  
Nai-Ying Ko ◽  
Yu-Ping Chang ◽  
Cheng-Fang Yen ◽  
Yi-Lung Chen

Abstract Backgrounds:This study aimed to develop a model for estimating the mediating effects of risk perception and confidence on the association between perceived social support and active coping with the coronavirus disease 2019 (COVID-19) pandemic among people in Taiwan. Methods:The data of 1,970 participants recruited from a Facebook advertisement was analyzed. Perceived social support, active coping with COVID-19, risk perception and confidence were evaluated using self-administered questionnaires.Results:The structural equation modeling was applied to verify the direct and indirect effects between variables. The mediation model demonstrated that lower perceived social support was significantly associated with a higher level of active coping with COVID-19, and this was mediated by a higher level of risk perception. Conclusions:The present study identified the importance of risk perception on the public’s coping strategies during the COVID-19 pandemic.


2021 ◽  
Vol 6 (2) ◽  
pp. 141-153
Author(s):  
Yazeed Muhammed ◽  
Mohammed Dantsoho ◽  
Adamu Abubakar

Despite the usefulness of the theory of planned behavior in predicting intention and behavior in different domains, the sufficiency of its use in predicting and determining intention has been debated by many scholars. This paper extended the theory of planned behavior by including social support as a possible determinant of intention in the entrepreneurship domain while looking at one of the largest universities in Nigeria. Data were collected from 432 final year students of Ahmadu Bello University in Zaria using a simple random sampling technique. Structural equation modeling was adopted using partial least square technique for data analysis. Perceived social support, attitude towards entrepreneurship, and perceived behavioral control all were found to have a significant effect on entrepreneurial intention, while subjective norms had an insignificant effect. The study found perceived social support to be an important social influence factor in the theory of planned behavior because of its influence on entrepreneurial intention. Hence, perceived social support is recommended to be included as a major construct in the theory of planned behavior.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1578-1578 ◽  
Author(s):  
A. Bowers ◽  
A. Sochos

BackgroundBurnout is known to be higher in doctors than in the general population and is associated with adverse patient outcomes. By identifying factors that can lead to burnout, interventions can be implemented to support the health of the workforce and improve patient care.AimThe aim of this study is to (1) look at whether psychiatric trainees differ from medical trainees in the work−related stress they experience and the social support they perceive, within and outside the workplace. It also aims to (2) look at whether social support can mediate the stressor-burnout relationship in trainees.MethodThe sample consisted of 184 London based trainees. Participants were administered the Maslach Burnout Inventory (strain), the Specialist Doctors’ Stress Inventory (stressors) and the House and Wells social support scale. To explore the pathways and potential mediating effect of social support within the stressor-burnout relationship structural equation modeling was applied to the data.Results42% of all doctors exhibited high levels of emotional exhaustion and depersonalization. Medical trainees were significantly more burnt out than psychiatric trainees (p < .01). Occupational stressors were significantly correlated with the core burnout dimensions. Family, consultant and top management support demonstrated significant correlations with burnout dimensions whereas co-worker support failed to reach significance. Direct, indirect and mediational pathways between study variables were found.ConclusionPsychological distress is still prevalent amongst our junior workforce. Medical trainees appear to exhibit more severe levels of burnout and suggestions to improve psychological wellbeing are discussed.


2021 ◽  
Author(s):  
Laura Nohr ◽  
Paul - Christian Bürkner ◽  
Alexis Lorenzo Ruiz ◽  
Juan Emilio Sandoval Ferrer ◽  
Davide Capponi ◽  
...  

Social support is an important determinant of help-seeking in the context of mental health. Previous evidence shows differences in the relation between social support and help-seeking between more collectivistic vs. more individualistic cultures. Especially the cultural informed role of the family might play a key role in help-seeking decisions. Still, many studies have been conducted with minority groups in Western societies which have to face additional struggles due to immigration. The current study investigates help-seeking, social support, cultural values, and help-seeking intentions in the Cuban and German general populations. A cross-sectional questionnaire survey was applied to n = 340 Cuban and n = 340 German adults. Multiple-group structural equation modeling was used to examine measurement invariance between the groups and to explore relationships between the concepts under study in both cultural groups. No measurement invariance could be established for the overall model and most of the measures separately which impedes cross-cultural comparisons. Using plausible values, the structural model was estimated in both samples separately. Not all hypotheses could be supported for the Cuban and German samples. Yet, social support and the importance of family predicted informal and formal help-seeking significantly but differently in both samples. In the light of methodological limitations, their potential to support or to prevent different forms of help-seeking are discussed and possible practical implications derived.


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