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Published in: Social Psychiatry and Psychiatric Epidemiology 8/2018

01-08-2018 | Original Paper

The influence of social support on psychological distress in Canadian adults with bipolar disorder

Authors: Christie D. Warren, Ken Fowler, David Speed, Anna Walsh

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 8/2018

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Abstract

Introduction

Individuals with bipolar I disorder (BD-I) and bipolar II disorder (BD-II) are at higher risk for experiencing high levels of psychological distress and low levels of social support.

Objectives

The primary objectives of this study were to examine perceived social support and psychological distress among Canadian adults with self-reported BD-I or BD-II as diagnosed by a health professional and explore the relationship between types of social support and psychological distress within this sample.

Methods

Using a cross-sectional, national datafile, 563 Canadian male and female adults (20–64 years) who reported being diagnosed with BD-I or BD-II were investigated using the Social Provisions Scale (SPS), and the Kessler Psychological Distress Scale (K10).

Results

It was observed that while the BD-I or BD-II sample had significantly lower SPS scores and significantly higher K10 scores than the overall Canadian sample, age and support in the form of reassurance of worth and social integration were associated with decreased psychological distress. Further, a diagnosis of BD-I and BD-II was found to moderate the effect of social support on psychological distress.

Conclusions

Despite the limitations, which include self-reported diagnosis of BD-I and BD-II and potential exclusion of those who are not diagnosed but have BD-I or BD-II, these findings suggest that reassurance of worth and social integration may act as protective factors for psychological distress among individuals with BD-I or BD-II.
Literature
3.
go back to reference Kessler R, Andrews G, Colpe L, Hiripi E, Mroczek D, Normand S, Zaslavsky A (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32(6):959–976CrossRefPubMed Kessler R, Andrews G, Colpe L, Hiripi E, Mroczek D, Normand S, Zaslavsky A (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32(6):959–976CrossRefPubMed
4.
go back to reference Caron J, Liu A (2011) Factors associated with psychological distress in the Canadian population: a comparison of low-Income and non low-income sub-groups. Commun Ment Health J 47(3):318–330CrossRef Caron J, Liu A (2011) Factors associated with psychological distress in the Canadian population: a comparison of low-Income and non low-income sub-groups. Commun Ment Health J 47(3):318–330CrossRef
5.
go back to reference Oakley Browne M, Wells J, Scott K, McGee M (2010) The Kessler psychological distress scale in Te Rau Hinengaro: the New Zealand mental health survey. Aust N Z J Psychiatry 44(4):314–322CrossRefPubMed Oakley Browne M, Wells J, Scott K, McGee M (2010) The Kessler psychological distress scale in Te Rau Hinengaro: the New Zealand mental health survey. Aust N Z J Psychiatry 44(4):314–322CrossRefPubMed
8.
go back to reference Stefos G, Bauwens F, Staner L, Pardoen D, Mendlewicz J (1996) Psychosocial predictors of major affective recurrences in bipolar disorder: a 4-year longitudinal study of patients on prophylactic treatment. Acta Psychiatr Scand 93(6):420–426CrossRefPubMed Stefos G, Bauwens F, Staner L, Pardoen D, Mendlewicz J (1996) Psychosocial predictors of major affective recurrences in bipolar disorder: a 4-year longitudinal study of patients on prophylactic treatment. Acta Psychiatr Scand 93(6):420–426CrossRefPubMed
9.
go back to reference Romans, Mcpherson (1992) The social networks of bipolar affective disorder patients. J Affect Disord 25(4):221–228CrossRefPubMed Romans, Mcpherson (1992) The social networks of bipolar affective disorder patients. J Affect Disord 25(4):221–228CrossRefPubMed
10.
go back to reference Sierra P, Livianos L, Rojo L (2005) Quality of life for patients with bipolar disorder: Relationship with clinical and demographic variables. Bipolar Disord 7(2):159–165CrossRefPubMed Sierra P, Livianos L, Rojo L (2005) Quality of life for patients with bipolar disorder: Relationship with clinical and demographic variables. Bipolar Disord 7(2):159–165CrossRefPubMed
11.
go back to reference Gruber J, Culver J, Johnson S, Nam J, Keller K, Ketter T (2009) Do positive emotions predict symptomatic change in bipolar disorder? Bipolar Disord 11(3):330–336CrossRefPubMedPubMedCentral Gruber J, Culver J, Johnson S, Nam J, Keller K, Ketter T (2009) Do positive emotions predict symptomatic change in bipolar disorder? Bipolar Disord 11(3):330–336CrossRefPubMedPubMedCentral
12.
go back to reference Perlick D, Miklowitz D, Kaczynski R, Hernandez M, Rosenheck R, Culver J, Bowden C (2007). Factors associated with stigma among caregivers of patients with bipolar disorder in the STEP-BD study. Psychiatry Serv 58(1):41–48 Perlick D, Miklowitz D, Kaczynski R, Hernandez M, Rosenheck R, Culver J, Bowden C (2007). Factors associated with stigma among caregivers of patients with bipolar disorder in the STEP-BD study. Psychiatry Serv 58(1):41–48
14.
go back to reference Fowler K, Wareham-Fowler S, Barnes C (2013) Social context and depression severity and duration in Canadian men and women: exploring the influence of social support and sense of community belongingness. J Appl Soc Psychol 43(S1):E85–E96CrossRef Fowler K, Wareham-Fowler S, Barnes C (2013) Social context and depression severity and duration in Canadian men and women: exploring the influence of social support and sense of community belongingness. J Appl Soc Psychol 43(S1):E85–E96CrossRef
16.
go back to reference Statistics Canada (2013). Canadian Community Health Survey (CCHS)–Mental Health. Statistics Canada, Ottawa Statistics Canada (2013). Canadian Community Health Survey (CCHS)–Mental Health. Statistics Canada, Ottawa
17.
go back to reference American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th edn). American Psychiatric Association, Washington American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th edn). American Psychiatric Association, Washington
18.
go back to reference World Health Organization (1992) International classification of diseases and related health problems (10th rev.) World Health Organization, Geneva World Health Organization (1992) International classification of diseases and related health problems (10th rev.) World Health Organization, Geneva
19.
go back to reference McDonald K, Bulloch A, Duffy A, Bresee L, Williams J, Lavorato D, Patten S (2015) Prevalence of bipolar I and II disorder in Canada. Can J Psychiatry 60(3):151–156CrossRefPubMedPubMedCentral McDonald K, Bulloch A, Duffy A, Bresee L, Williams J, Lavorato D, Patten S (2015) Prevalence of bipolar I and II disorder in Canada. Can J Psychiatry 60(3):151–156CrossRefPubMedPubMedCentral
20.
go back to reference Kessler R, Barker P, Colpe L, Epstein J, Gfroerer J, Hiripi E, Zaslavsky A (2003) Screening for serious mental illness in the general population. Arch Gen Psychiatry 60(2):184–189CrossRefPubMed Kessler R, Barker P, Colpe L, Epstein J, Gfroerer J, Hiripi E, Zaslavsky A (2003) Screening for serious mental illness in the general population. Arch Gen Psychiatry 60(2):184–189CrossRefPubMed
21.
go back to reference Weiss RS (1974) The provisions of social relationships. In: Rubin Z (ed) Doing unto others. Prentice Hall, Englewood Cliffs, NJ, pp 17–26 Weiss RS (1974) The provisions of social relationships. In: Rubin Z (ed) Doing unto others. Prentice Hall, Englewood Cliffs, NJ, pp 17–26
22.
go back to reference Suto M, Livingston JD, Hole R, Lapsley S, Hinshaw SP, Hale SP, Michalak EE (2012) Stigma shrinks my bubble: a qualitative study of understandings and experiences of stigma and bipolar disorder. Sigma Res Action 2(2):85–92 Suto M, Livingston JD, Hole R, Lapsley S, Hinshaw SP, Hale SP, Michalak EE (2012) Stigma shrinks my bubble: a qualitative study of understandings and experiences of stigma and bipolar disorder. Sigma Res Action 2(2):85–92
24.
go back to reference Sani F, Herrera M, Wakefield J, Boroch O, Gulyas C (2012) Comparing social contact and group identification as predictors of mental health. Br J Soc Psychol 51(4):781–790CrossRefPubMed Sani F, Herrera M, Wakefield J, Boroch O, Gulyas C (2012) Comparing social contact and group identification as predictors of mental health. Br J Soc Psychol 51(4):781–790CrossRefPubMed
Metadata
Title
The influence of social support on psychological distress in Canadian adults with bipolar disorder
Authors
Christie D. Warren
Ken Fowler
David Speed
Anna Walsh
Publication date
01-08-2018
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 8/2018
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-018-1529-7

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