scholarly journals Increases in social support co-occur with decreases in depressive symptoms and substance use problems among adults in permanent supportive housing: an 18-month longitudinal study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Zhengqi Tan ◽  
Eun-Young Mun ◽  
Uyen-Sa D. T. Nguyen ◽  
Scott T. Walters
Keyword(s):  
Social Support ◽  
Substance Use ◽  
Depressive Symptoms ◽  
Protective Factor ◽  
Growth Models ◽  
Parallel Process ◽  
Supportive Housing ◽  
Permanent Supportive Housing ◽  
Substance Use Problems ◽  
Over Time

Abstract Background Social support is a well-known protective factor against depressive symptoms and substance use problems, but very few studies have examined its protective effects among residents of permanent supportive housing (PSH), a housing program for people with a history of chronic homelessness. We utilized unconditional latent growth curve models (LGCMs) and parallel process growth models to describe univariate trajectories of social support, depressive symptoms, and substance use problems and to examine their longitudinal associations in a large sample of adults residing in PSH. Methods Participants were 653 adult PSH residents in North Texas (56% female; 57% Black; mean age: 51 years) who participated in a monthly health coaching program from 2014 to 2017. Their health behaviors were assessed at baseline and tracked every six months at three follow-up visits. Results Unconditional LGCMs indicated that over time, social support increased, whereas depressive symptoms and substance use problems decreased. However, their rates of change slowed over time. Further, in parallel process growth models, we found that at baseline, individuals with greater social support tended to have less severe depressive symptoms and substance use problems (coefficients: − 0.67, p < 0.01; − 0.52, p < 0.01, respectively). Individuals with a faster increase in social support tended to have steeper rates of reduction in both depressive symptoms (coefficient: − 0.99, p < 0.01) and substance use problems (coefficient: − 0.98, p < 0.01), respectively. Conclusions This study suggests that plausibly, increases in social support, though slowing over time, still positively impact depressive symptoms and substance use problems among PSH residents. Future PSH programs could emphasize social support as an early component as it may contribute to clients’ overall health.

scholarly journals Increases in Social Support Co-Occur with Decreases in Depression and Substance Use Problems Among Adults in Permanent Supportive Housing: An 18-Month Longitudinal Study

2020 ◽  
Author(s):  
Zhengqi Tan ◽  
Eun-Young Mun ◽  
Uyen-Sa D. T. Nguyen ◽  
Scott T. Walters
Keyword(s):  
Social Support ◽  
Substance Use ◽  
Protective Factor ◽  
Growth Models ◽  
Parallel Process ◽  
Supportive Housing ◽  
Protective Effects ◽  
Permanent Supportive Housing ◽  
Substance Use Problems ◽  
Over Time

Abstract Background: Social support is a well-known protective factor against depression and substance use problems, but very few studies have examined its protective effects among Permanent Supportive Housing (PSH) residents. We utilized unconditional latent growth curve models (LGCMs) and parallel process growth models to describe univariate trajectories of social support, depression, and substance use problems, and to examine their longitudinal associations in a large sample of adults residing in PSH.Methods: Participants were 653 adult PSH residents in North Texas (56% female; 57% Black, 35% White, 8% other; mean age: 51 years) who participated in a monthly health coaching program from 2014 to 2017. Their health behaviors were assessed at baseline and tracked every six months at three follow-up visits.Results: Unconditional LGCMs indicated that over time, social support increased, whereas depressive symptoms and substance use problems decreased. However, their rates of change slowed over time. Further, in parallel process growth models, we found that at baseline, individuals with greater social support tended to have less severe depression and substance use problems (coefficients: –0.67, p<0.01; –0.52, p<0.01, respectively). Individuals with a faster increase in social support tended to have steeper rates of reduction in both depression (coefficient: –0.99, p<0.01) and substance use problems (coefficient: –0.98, p<0.01), respectively.Conclusions: This study suggests that increases in social support, though slowing over time, still positively impact depression and substance use problems among PSH residents. Future PSH programs could emphasize social support as an early component as it may contribute to clients’ overall health.

scholarly journals Joint Trajectories of Spousal Social Support and Depressive Symptoms in Older Age

2017 ◽  
Vol 31 (5) ◽  
pp. 760-782 ◽  
Author(s):  
Mai Stafford ◽  
Toni C. Antonucci ◽  
Paola Zaninotto
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Growth Models ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
And Gender ◽  
Bidirectional Associations ◽  
Negative Support ◽  
Positive Support ◽  
Over Time

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.

scholarly journals Moderate Alcohol Consumption and Depressive Symptoms Among Permanent Supportive Housing Residents

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 527-527
Author(s):  
Esther Holmes ◽  
Scott Walters
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Alcohol Consumption ◽  
Leisure Activities ◽  
Supportive Housing ◽  
Moderate Alcohol Consumption ◽  
Lifestyle Behaviors ◽  
Permanent Supportive Housing ◽  
Significant Difference ◽  
Patient Health

Abstract Objectives The objective of this analysis was to evaluate the influence of alcohol consumption on depressive symptoms among permanent supportive housing (PSH) residents within the context of other lifestyle factors. Methods A longitudinal analysis was conducted among 420 PSH residents participating in a technology-assisted health coaching program. Three timepoints were included: baseline, six-month, and twelve-month assessment visits. The independent variable was alcohol use, measured by the Timeline Follow-Back (TLFB). The dependent variable was depressive symptoms, measured by the 9-item Patient Health Questionnaire (PHQ-9). Covariates included total vegetable and fruit intake, tobacco use, social support, satisfaction with leisure activities, race, sex, age, and visit. The interaction of social support with the lifestyle behaviors was evaluated. Results Heavy alcohol consumers had greater depressive symptoms compared with moderate alcohol consumers (b = 1.54, P = 0.01). However, there was not a statistically significant difference in depressive symptoms between non-consumers of alcohol and moderate alcohol consumers (b = 0.77, P = 0.19). Social support was not a statistically significant effect modifier. Conclusions Moderate alcohol consumption may reduce the risk of having depressive symptoms among PSH residents. Funding Sources Funding for the program was provided through a Medicaid 1115 Waiver to the State of Texas.

A Comparison of Psychosocial Factors, Substance Use Behaviors, and Sexual Behaviors by Self-Reported HIV Status Among Middle-Aged Hispanic Men Who Have Sex With Men

2020 ◽  
pp. 154041532092356
Author(s):  
Beatriz Valdes ◽  
Deborah Salani ◽  
Joseph P. De Santis
Keyword(s):  
Social Support ◽  
Substance Use ◽  
Depressive Symptoms ◽  
Psychosocial Factors ◽  
Sexual Behaviors ◽  
Hiv Status ◽  
Illicit Substance Use ◽  
Immunodeficiency Virus ◽  
Hispanic Men ◽  
Sex With Men

Introduction: Human immunodeficiency virus (HIV) is a significant health issue among Hispanic men who have sex with men (MSM). Despite existing research, no studies have compared psychosocial factors by self-reported HIV antibody status. Method: Participants ( n = 150) completed measures of social support, loneliness, depressive symptoms, substance use, and sexual behaviors. Results: Participants with a self-reported HIV-antibody positive status reported lower levels of social support and higher levels of illicit substance use. Hispanic MSM with an unknown HIV antibody status reported more sexual partners. Conclusion: More research is needed to address psychosocial factors (social support, loneliness, depressive symptoms), substance use, and sexual behaviors among Hispanic MSM.

scholarly journals Differences in Health and Social Support between Homeless Men and Women Entering Permanent Supportive Housing

2017 ◽  
Vol 27 (3) ◽  
pp. 286-293 ◽  
Author(s):  
Hailey Winetrobe ◽  
Suzanne Wenzel ◽  
Harmony Rhoades ◽  
Benjamin Henwood ◽  
Eric Rice ◽  
...  
Keyword(s):  
Social Support ◽  
Supportive Housing ◽  
Men And Women ◽  
Permanent Supportive Housing ◽  
Homeless Men

scholarly journals Social capital and health among participants in the cachibol league in Israel

2020 ◽  
pp. 101269022096811 ◽  
Author(s):  
Orna Baron-Epel ◽  
Deborah Kadish ◽  
Yuval Paldi ◽  
Daniel S Moran ◽  
Riki Tesler ◽  
...  
Keyword(s):  
Social Support ◽  
Social Capital ◽  
Depressive Symptoms ◽  
Professional Community ◽  
Control Group ◽  
Social Involvement ◽  
Sports Clubs ◽  
Group Participation ◽  
Community Sports ◽  
Over Time

The Israeli cachibol league, Mamanet, is a grass roots non-professional community sports club for mothers. Our aim was to assess if participants in the Mamanet League have higher levels of social capital and if social capital and wellbeing improve with time. Two groups were interviewed: a control group not participating in the league and a group of Mamanet participants. The women were interviewed within 3 months of joining (T1) and 13–15 months later (T2). The questionnaire included questions on sociodemographic characteristics, social capital (social support, social involvement, trust) and wellbeing (self-reported health (SRH), psychosomatic symptoms, depressive symptoms). At T1 the participants had higher social capital and SRH scores than the control group and lower psychosomatic and depressive symptoms compared with the control group. Participation in the Mamanet League seems to improve two of the three social capital measures: social support and social involvement, showing an increase among the Mamanet group over time and no change in the control group. Participation in the league had no significant effect on wellbeing during this period. Women that participate in sports clubs may initially have higher social capital; in addition, participation may increase levels of social capital over time.

scholarly journals Do HIV risk and prevention behaviors change over time among adults in permanent supportive housing?

AIDS Care ◽  
2019 ◽  
Vol 31 (9) ◽  
pp. 1172-1177 ◽  
Author(s):  
Suzanne L. Wenzel ◽  
Harmony Rhoades ◽  
Wichada La Motte-Kerr ◽  
Lei Duan ◽  
Taylor Harris ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Supportive Housing ◽  
Change Over Time ◽  
Permanent Supportive Housing ◽  
Over Time

scholarly journals Predictors of change over time in subjective daytime sleepiness among older adult recipients of long-term services and supports

2020 ◽  
Vol 32 (7) ◽  
pp. 849-861
Author(s):  
Darina V. Petrovsky ◽  
Karen B. Hirschman ◽  
Miranda Varrasse McPhillips ◽  
Justine S. Sefcik ◽  
Alexandra L. Hanlon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Daytime Sleepiness ◽  
Daily Living ◽  
Services And Supports ◽  
Over Time

ABSTRACTObjectives:Daytime sleepiness is associated with multiple negative outcomes in older adults receiving long-term services and supports (LTSS) including reduced cognitive performance, need for greater assistance with activities of daily living and decreased social engagement. The purpose of this study was to identify predictors of change in subjective daytime sleepiness among older adults during their first 2 years of receiving LTSS.Design and Setting:Secondary analysis of data from a prospective longitudinal study of older adults who received LTSS in their homes, assisted living communities or nursing homes interviewed at baseline and every 3 months for 24 months.Participants:470 older adults (60 years and older) newly enrolled in LTSS (mean = 81, SD = 8.7; range 60–98; 71% women).Measurements:Subjective daytime sleepiness was assessed every 3 months through 2 years using the Epworth Sleepiness Scale. Multiple validated measures were used to capture health-related quality of life characteristics of enrollees and their environment, including symptom status (Symptom Bother Scale), cognition (Mini Mental Status Exam), physical function (Basic Activities of Daily Living), physical and mental general health, quality of life (Dementia Quality of Life, D-QoL), depressive symptoms (Geriatric Depression Scale) and social support (Medical Outcomes Survey-Social Support).Results:Longitudinal mixed effects modeling was used to examine the relationship between independent variables and continuous measure of daytime sleepiness. Increased feelings of belonging, subscale of the D-QoL (effect size = −0.006, 95% CI: −0.013 to −0.0001, p = 0.045) and higher number of depressive symptoms (effect size = −0.002, 95% CI: −0.004 to −0.001, p = 0.001) at baseline were associated with slower rates of increase in daytime sleepiness over time.Conclusions:Comprehensive baseline and longitudinal screening for changes in daytime sleepiness along with depression and perceived quality of life should be used to inform interventions aimed at reducing daytime sleepiness among older adults receiving LTSS.

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