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PubMed1994

The role of social support in the pathogenesis of coronary heart disease. A literature review.

A possible effect of social support on the pathogenesis of coronary heart disease (CHD) would have practical implications, especially from a general practitioner's point of view. This paper reviews studies on the relationship between social support and CHD/CHD risk factors. Several prospective studies show a negative correlation between the level of social support and CHD mortality/CHD morbidity. These associations may be due to a protective effect of social support. This conclusion is supported by several investigations indicating that social support is capable of moderating potentially harmful negative emotions and the potentially harmful cardiovascular response to psychological challenge. However, a lack of control with personality factors in most of the studies makes this conclusion uncertain.

Arousal↗

PubMed2026

Social support and cognitive function in postmenopausal women.

OBJECTIVE: An active social lifestyle may protect against cognitive decline in older adults, but few studies have examined specific social support dimensions in relation to specific cognitive domains. This study examines associations between social support dimensions and cognitive function in older women. METHODS: The Early versus Late Intervention Trial with Estradiol (ELITE) was a randomized, double-blinded, placebo-controlled trial of oral 17β-estradiol versus placebo in postmenopausal women, designed primarily to evaluate the timing hypothesis on atherosclerosis progression and cognitive decline; the present analysis is a secondary, hypothesis-generating examination of the psychosocial substudy data (2009-2012). A total of 448 women completed psychosocial assessments every 6 months. Cognitive function was assessed at baseline, 2.5, and 5 years using composite scores for executive function, verbal memory, visual memory, and global cognition derived from 14 standardized tests. Perceived social support was assessed using the Medical Outcomes Study-Social Support Survey (MOS-SSS; 0-100 scale). Paired cognitive-psychosocial assessments were analyzed using linear mixed-effects models adjusted for age, marital status, blood pressure medication, BMI, education, income, race, and randomized treatment (hormone therapy or placebo). RESULTS: A total of 298 women (mean age 60.3 y) provided 322 paired visits. Positive associations were observed between instrumental social support and visual memory (β(SE)=0.0044(0.0022), 95% CI: -0.00002 to 0.0088, P=0.051) and between positive social interaction and global cognition (β(SE)=0.0092(0.0046), 95% CI: 0.0001-0.0182, P=0.047). In age-stratified analyses, the positive social interaction-global cognition association was significant among women <65 years (P=0.042) but not women ≥65 years (P=0.34). No association survived false discovery rate (FDR) correction for multiple comparisons. CONCLUSIONS: In this sample of healthy middle- to older-aged women, no association between specific dimensions of social support and cognitive domains was statistically significant after correction for multiple comparisons. These hypothesis-generating findings suggest any association is modest at best and warrant confirmation in studies designed specifically for this question.

Cognitive function↗

PubMed2003

Turning points and protective processes in the lives of people with chronic disabilities.

In this qualitative study, the authors examined the nature of resilience in people with chronic disabilities. Fifteen people with disabilities identified the factors that helped or hindered them at major turning points, and the triggers and resolutions to these turning points. Turning points were emotionally compelling experiences and realizations that involved meaning acquired through the routes of belonging, doing, or understanding the self or the world. The major protective factors were social support, traits such as perseverance and determination, and spiritual beliefs. Three new protective processes were identified: replacing a loss with a gain (transcending), recognizing new things about oneself (self-understanding), and making decisions about relinquishing something in life (accommodating). These protective factors, processes, and ways in which people with disabilities draw sense and meaning in life have important implications for service delivery.

Adaptation, Psychological↗

PubMed1998

The intention to give up smoking: disease versus social dimensions.

An expanded protection motivation model was used to investigate the intention to give up smoking. Because smoking has both physiological and social-psychological foundations, the model was expanded to include the social dimensions as well as the original disease dimensions as predictors of health behavior. The participants were 96 current smokers (35 male and 61 female) in Australia; 44 were young adults (age < 22 years), and 52 were adults (age > 34 years). Data were analyzed by multiple regression with hierarchical entry, first of disease dimensions, then of social dimensions. For both the young and the adult smokers, the disease dimensions contributed significantly to the results of the regression equations. Addition of the social dimensions yielded a significant F change only for young smokers and increased the amount of variance explained from 23% to 38%.

Adult↗

PubMed1984

Workers' compensation: 1976-80 benchmark revisions.

Because the two systems directly affect each other, the Social Security Administration (SSA) has had a long-standing interest in workers' compensation. In some cases, workers' compensation fills the gaps in protection not covered by Social Security and, in others, it may duplicate such protection. Since 1965, Social Security disability benefits have been subject to reduction if the beneficiary also receives workers' compensation and the combined benefits exceed 80 percent of previous earnings. SSA has also been directly involved in providing income maintenance for disability from work-related diseases since 1969, when the Federal Black Lung program was established. Every 4 years, SSA prepares a new set of benchmark figures to serve as a basis for its series on national workers' compensation benefits and program operations. The 1980 benchmark figures, presented here, provide an opportunity to review program operations during the decade of the 1970's.

Cost-Benefit Analysis↗

PubMed2005

Conceptualizing and identifying cumulative adversity and protective resources: implications for understanding health inequalities.

This article focuses on cumulative adversity and protective resources, both social and biological, that interrupt or deflect individuals from optimal life-course trajectories and contribute to widening gaps in health. Under the guiding framework of cumulative adversity and/or advantage, this narrative discusses the theoretical framework of cumulative adversity, presents identified sources of cumulative adversity and protective resources, and highlights the utilization of the life-course approach. Numerous social and biological adverse conditions are identified across multiple domains. Utilizing the life-course perspective in identifying early life determinants and the paucity of information regarding identified protective factors are discussed. Understanding health inequalities requires attention paid to heterogeneity in the impact of social statuses as well as sources of cumulative adversity and protective resources within diverging trajectories across the life course. Intervention implications are discussed, and suggestions for future research are made.

Disease Susceptibility↗

PubMed2005

Association between social relationships and survival of Swiss octogenarians. A five-year prospective, population-based study.

BACKGROUND AND AIMS: Data from the literature reveal the contrasting influences of family members and friends on the survival of old adults. On one hand, numerous studies have reported a positive association between social relationships and survival. On the other, ties with children may be associated with an increased risk of disability, whereas ties with friends or other relatives tend to improve survival. A five-year prospective, population-based study of 295 Swiss octogenarians tested the hypothesis that having a spouse, siblings or close friends, and regular contacts with relatives or friends are associated with longer survival, even at a very old age. METHODS: Data were collected through individual interviews, and a Cox regression model was applied to assess the effects of kinship and friendship networks on survival, after adjusting for socio-demographic and health-related variables. RESULTS: Our analyses indicate that the presence of a spouse in the household is not significantly related to survival, whereas the presence of siblings at baseline improves the oldest old's chances of surviving five years later. Moreover, the existence of close friends is a central component in the patterns of social relationships of oldest adults, and one which is significantly associated with survival. Overall, the protective effect of social relationships on survival is more related to the quality of those relationships (close friends) than to the frequency of relationships (regular contacts). CONCLUSIONS: We hypothesize that the existence of siblings or close friends may beneficially affect survival, due to the potential influence on the attitudes of octogenarians regarding health practices and adaptive strategies.

Aged, 80 and over↗

PubMed2003

Age and motives for volunteering: testing hypotheses derived from socioemotional selectivity theory.

Following a meta-analysis of the relations between age and volunteer motives (career, understanding, enhancement, protective, making friends, social, and values), the authors tested hypotheses derived from socioemotional selectivity theory regarding the effects of age on these volunteer motives. The Volunteer Functions Inventory was completed by 523 volunteers from 2 affiliates of the International Habitat for Humanity. Multiple regression analyses revealed, as predicted, that as age increases, career and understanding volunteer motivation decrease and social volunteer motivation increases. Contrary to expectations, age did not contribute to the prediction of enhancement, protective, and values volunteer motivations and the relation between age and making friends volunteer motivation was nonlinear. The results were discussed in the context of age-differential and age-similarity perspectives on volunteer motivation.

Adult↗

PubMed2005

Social environments and the genetics of aging: advancing knowledge of protective health mechanisms.

We selectively review the literature in behavioral and molecular genetics, including both laboratory and epidemiologic studies, with emphasis on how social environments, particularly emotion in significant social relationships, influence gene expression. Attention is given to cross-talk between human and animal studies. Environments are pivotal in understanding phenotypic outcomes, and this demands research on gene-environment interactions. Illustrative interactions, involving both behavioral and molecular genetics, are provided. Many people with susceptibility genes for diverse diseases never proceed to disease status. Substantial associational evidence implicates social environmental factors as protective agents. Mechanistic understanding of these linkages is quite advanced in some animal populations and suggests new lines of inquiry in human studies. Developing the interface between genetics, social environments, and health will require close collaboration between those well versed in molecular biology and biochemistry and persons with expertise in genetic epidemiology and social psychology. Particularly important is the identification of environmental influences that protect susceptible persons from disease incidence.

Aged↗

PubMed2006

Theory-based active ingredients of effective treatments for substance use disorders.

This paper describes four related theories that specify common social processes that protect individuals from developing substance use disorders and may underlie effective psychosocial treatments for these disorders: social control theory, behavioral economics and behavioral choice theory, social learning theory, and stress and coping theory. It then provides an overview of the rationale and evidence for four effective psychosocial treatments for substance use disorders: motivational interviewing and motivational enhancement therapy, 12-step facilitation treatment, cognitive-behavioral treatment and behavioral family counseling, and contingency management and community reinforcement approaches. The presumed active ingredients of these treatments are described in terms of how they exemplify the social processes highlighted by the four theories. The identified common components of effective treatment include support, goal direction, and structure; an emphasis on rewards that compete with substance use, a focus on abstinence-oriented norms and models, and attempts to develop self-efficacy and coping skills. Several issues that need to be addressed to enhance our understanding of the active ingredients involved in effective treatment are discussed, including how to develop measures of these ingredients, how well the ingredients predict outcomes and influence conceptually comparable aspects of clients' life contexts, and how much their influence varies depending upon clients' demographic and personal characteristics.

Cognitive Behavioral Therapy↗

PubMed2005

The limits of social capital: Durkheim, suicide, and social cohesion.

Recent applications of social capital theories to population health often draw on classic sociological theories for validation of the protective features of social cohesion and social integration. Durkheim's work on suicide has been cited as evidence that modern life disrupts social cohesion and results in a greater risk of morbidity and mortality-including self-destructive behaviors and suicide. We argue that a close reading of Durkheim's evidence supports the opposite conclusion and that the incidence of self-destructive behaviors such as suicide is often greatest among those with high levels of social integration. A reexamination of Durkheim's data on female suicide and suicide in the military suggests that we should be skeptical about recent studies connecting improved population health to social capital.

Female↗

PubMed2026

Navigating Social Media: Balancing Connectivity With Media Literacy to Combat Misinformation and Protect Mental Well-Being.

BACKGROUND: The pervasive use of social media has created a complex digital ecosystem where high connectivity coexists with significant challenges, including the rapid spread of misinformation, particularly regarding mental health, and documented negative impacts on psychological well-being. Platform architectures designed for engagement maximization have been identified as central factors in both issues. OBJECTIVE: This paper critically analyzes the interconnected relationships between social media use, misinformation dissemination, and mental health impacts, with particular attention to psychiatric misinformation across diagnostic categories (e.g., depression, anxiety, ADHD). A primary objective is to evaluate the potential of advanced critical digital literacy frameworks to serve as protective mechanisms against these dual threats. METHODS: A systematic search was conducted following PRISMA 2020 guidelines across APA PsycInfo, PubMed, JSTOR, and Google Scholar for literature published between January 2018 and March 2026 (updated from the original 2023 search). The search yielded 2672 records. After removing 624 duplicates, 2048 records underwent title and abstract screening, with 1802 excluded. The remaining 246 full-text articles were assessed for eligibility, resulting in 86 studies included in the final qualitative synthesis. Inter-rater reliability was established (Cohen's κ = 0.82). Quality assessment was conducted using the Joanna Briggs Institute Checklist, AXIS, and CASP tools, with findings weighted by methodological quality. A thematic analysis was undertaken to synthesize findings. RESULTS: The analysis reveals that core architectural features of social media platforms, algorithmic curation and engagement-based metrics, simultaneously foster environments ripe for misinformation spread and contribute to psychological distress, including anxiety, depression, and harmful social comparison. Psychiatric misinformation specifically (e.g., inaccurate claims about treatment effectiveness, diagnostic criteria, and medication side effects) represents a growing concern, particularly on image- and video-based platforms. The findings indicate that conventional media literacy approaches focused solely on fact-checking are insufficient. Instead, a critical digital literacy framework encompassing algorithmic awareness, data literacy, and emotional awareness is essential for building user resilience, with evidence from high-quality systematic reviews supporting this approach. CONCLUSIONS: Navigating the complexities of modern social media requires an integrated approach combining "pedagogies of play" for experiential skill development with advocacy for structural change (e.g., algorithmic transparency, well being by design principles). This dual strategy empowers individual users to critically engage with digital content while advocating for ethical platform design, thereby safeguarding both mental well-being and democratic discourse. Implications for educators, mental health professionals (including competencies for addressing patient encounters with psychiatric misinformation), policymakers, and platform designers are discussed.

Humans↗

PubMed1989

[The Children's Rights convention].

A Convention project about Children Rights will be soon submitted for ratification to all member states of the United Nations. It is the continuation of several anterior declarations which principles it recalls in its preamble: fundamental responsibility of the family for the care and the protection of the child, necessity of a social and juridical child protection depending on the state, vital role of an international cooperation so that the children rights will become a reality. After having largely analysed the needs of the child in the world, the project proposes the creation, inside the United Nations, of a Committee of the Children Rights with 10 members. Though a progress in comparison with the anterior declarations, many articles won't be easy to apply immediately: furthermore, the problems differ from the industrialized countries to the most disfavored countries. Nevertheless the Convention constitutes an engagement and a line of conduct for the future.

Child↗

PubMed2005

Commodity fetichismo, the Holy Spirit, and the turn to Pentecostal and African Independent Churches in Central Mozambique.

Pentecostal and African Independent Churches have rapidly spread throughout central Mozambique in the aftermath of war and in the midst of a recent structural adjustment program that has hastened commoditization of community life and intensified local inequalities. This extraordinary expansion signals a shift away from reliance on "traditional" healers to treat persistent afflictions believed to have spiritual causes. Survey data and illness narratives collected from recent church recruits and local residents during research in 2002 and 2003 in the city of Chimoio reveal that healers have increased fees and tailored treatments to clients searching for good fortune in ways that have alienated many other help seekers in this changing social environment. While traditional healing has been celebrated in the international health world, community attitudes are less generous; many healers are increasingly viewed with suspicion because of their engagement with malevolent occult forces to foment social conflict, competition, and confrontation for high fees. Church healing approaches offer free and less divisive spiritual protection reinforced by social support in a new collectivity. One vital source of church popularity derives from pastors' efforts to tap the already considerable community anxiety over rising healer fees and their socially divisive treatments in an insecure environment.

Capitalism↗

PubMed1998

Income protection and the elderly: an examination of social security policy in Singapore.

This article examines the impact of the aging population on social security policy in Singapore. The adequacies of public policy responses, specifically the Public Assistance Program and the Central Provident Fund (CPF), are explored. The Singapore government's strategy of minimal approach to social security is challenged. Poverty among the elderly is on the rise. Members from the working poor, a group that disproportionately consists of women and Malays, have inadequate retirement income protection and are most likely to slip into poverty as they age.

Journal Article↗

PubMed2006

Protective and risk factors in health-enhancing behavior among adolescents in China and the United States: does social context matter?

An explanatory model of adolescent health-enhancing behavior based on protective and risk factors at the individual level and in 4 social contexts was used in a study of school-based samples from the People's Republic of China (n = 1,739) and the United States (n = 1,596). A substantial account of variation in health-enhancing behavior--and of its developmental change over time--was provided by the model for boys and girls, and for the 3 grade cohorts, in both samples. In both samples, social context protective and risk factors accounted for more unique variance than did individual-level protective and risk factors, and context protection moderated both contextual and individual-level risk. Models protection and controls protection were of particular importance in the explanatory account.

Adolescent↗

PubMed1988

Royal Decree No. 727/1988 on the restructuring of ministerial departments, 11 July 1988.

This Decree restructures the Central Administration of Spain to include the Ministry of Social Affairs. Among the functions of the Ministry are the following: 1) the preparation and execution of the Government's policy for the promotion and encouragement of conditions that make possible the social equality of both sexes, and the participation of women in political, cultural, economic, and social life; and 2) the legal protection of minors and, in a general fashion, the analysis, formulation, and coordination of programs of action relating to the prevention of juvenile delinquency; the promotion of institutions for adoption and foster care; and the evaluation and inspection of organizations of family integration. Royal Decree No. 791/1988 of the Ministry of Social Affairs of 20 July 1988 sets forth the organic structure of the Ministry of Social Affairs. Among the departments of the Ministry is the General Directorate for the Protection of Minors, whose general objective is the analysis, formulation, coordination, and supervision of programs of action relating to the legal and social protection of minors and the prevention of the marginalization of infants and youth. Attached to the Ministry as an autonomous organization is the Women's Institute.

Adolescent↗

PubMed1990

Life stress and social supports in depressed inpatients.

The presence of adequate social supports has been associated with a reduced incidence of psychological symptoms. It is unclear, however, whether the protective influence of social supports is because of a direct positive effect on psychological functioning or a stress-buffering effect. Furthermore, most research on life stress and social supports has focused on community-based rather than clinical samples. The present study attempts to clarify the relationship between life stress and social supports related to psychological symptoms in 84 adult, nonpsychotic, depressed inpatients. Subjects were categorized according to their responses on the Life Experiences Survey and the Social Supports Inventory. Subjects were then assessed using both structured interviews and self-report measures of depression and suicide potential, as well as other psychological symptoms. Although both life stress and social supports were significantly related to a variety of psychological symptoms, the interaction between these variables was not significantly related to psychological symptomatology. Life events and social supports were found to exert their effects independently. This argues against the stress-buffering theory in favor of the direct-effects theory of social supports, at least when applied to inpatient samples.

Adaptation, Psychological↗