Abstract
Objectives
Little is known on long-term consequences of poor social relationships in adulthood. The study aimed to examine associations between social relationships at age 30 and internalising symptoms at age 42.
Methods
Data was drawn from four waves of the Northern Swedish cohort (n = 1001, 94 % response rate). The outcome internalising symptoms was measured by a composite index of depressiveness and anxiety. A cumulative measure was constructed to reflect various aspects of social relationships. Multivariate ordinal logistic regressions were used, controlling for socioeconomic indicators and previous level of internalising symptoms.
Results
An accumulation of poor social relationships indicators at age 30 is related to internalising symptoms at age 42 in women (OR 1.30; CI 1.11–1.52) and men (OR 1.17; CI 1.02–1.36). The associations remained significant after adjustment for covariates.
Conclusions
Poor quality of social relationships at age 30 can predict internalising symptoms 12 years later in both men and women even when previous mental health as well as financial disadvantage is accounted for. More research is required to further examine pathways and mechanisms as well as suitable interventions.
Similar content being viewed by others
References
Aneshensel CS, Phelan JC (2006) Handbook of the sociology of mental health. Springer, New York
Barger SD, Messerli-Burgy N, Barth J (2014) Social relationship correlates of major depressive disorder and depressive symptoms in Switzerland: nationally representative cross sectional study. BMC Public Health 14:273. doi:10.1186/1471-2458-14-273
Beauregard N, Marchand A, Blanc ME (2011) What do we know about the non-work determinants of workers’ mental health? A systematic review of longitudinal studies. BMC Public Health 11:439. doi:10.1186/1471-2458-11-439
Brännlund A, Hammarström A (2014) Higher education and psychological distress: a 27-year prospective cohort study in Sweden. Scand J Public Health 42:155–162. doi:10.1177/1403494813511559
Bronfenbrenner U (1977) Toward an experimental ecology of human development. Am Psychol 32:513–531. doi:10.1037/0003-066X.32.7.513
Cacioppo JT, Hawkley LC, Thisted RA (2010) Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychol Aging 25:453–463. doi:10.1037/a0017216
Cohen S, Janicki-Deverts D (2009) Can we improve our physical health by altering our social networks? Perspect Psychol Sci 4:375–378. doi:10.1111/j.1745-6924.2009.01141.x
Copeland WE, Angold A, Shanahan L, Costello EJ (2014) Longitudinal patterns of anxiety from childhood to adulthood: the great smoky mountains study. J Am Acad Child Adolesc Psychiatry 53:21–33. doi:10.1016/j.jaac.2013.09.017
Cruwys T, Dingle GA, Haslam C, Haslam SA, Jetten J, Morton TA (2013) Social group memberships protect against future depression, alleviate depression symptoms and prevent depression relapse. Soc Sci Med 98:179–186. doi:10.1016/j.socscimed.2013.09.013
Dingle K, Alati R, Williams GM, Najman JM, Bor W, Clavarino A (2010) The ability of YSR DSM-oriented depression scales to predict DSM-IV depression in young adults: a longitudinal study. J Affect Disord 121:45–51. doi:10.1016/j.jad.2009.05.013
Egan M, Tannahill C, Petticrew M, Thomas S (2008) Psychosocial risk factors in home and community settings and their associations with population health and health inequalities: a systematic meta-review. BMC Public Health 8:239. doi:10.1186/1471-2458-8-239
Fergusson DM, Horwood LJ, Boden JM (2006) Structure of internalising symptoms in early adulthood. Br J Psychiatry 189:540–546. doi:10.1192/bjp.bp.106.022384
Fergusson DM, Boden JM, Horwood LJ (2007) Recurrence of major depression in adolescence and early adulthood, and later mental health, educational and economic outcomes. Br J Psychiatry 191:335–342. doi:10.1192/bjp.bp.107.036079
Fuhrer R, Stansfeld SA, Chemali J, Shipley MJ (1999) Gender, social relations and mental health: prospective findings from an occupational cohort (Whitehall II study). Soc Sci Med 48:77–87. doi:10.1016/S0277-9536(98)00290-1
Griffin JM, Fuhrer R, Stansfeld SA, Marmot M (2002) The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class? Soc Sci Med 54:783–798. doi:10.1016/S0277-9536(01)00109-5
Gustafsson PE, San Sebastian M, Janlert U, Theorell T, Westerlund H, Hammarström A (2013) Residential selection across the life course: adolescent contextual and individual determinants of neighborhood disadvantage in mid-adulthood. PLoS One 8:e80241. doi:10.1371/journal.pone.0080241
Gustafsson PE, Hammarström A, San Sebastian M (2014) Cumulative contextual and individual disadvantages over the life course and adult functional somatic symptoms in Sweden. Eur J Public Health. doi:10.1093/eurpub/cku213
Hammarström A, Janlert U (2005) Health selection in a 14-year follow-up study—a question of gendered discrimination? Soc Sci Med 61:2221–2232 S0277-9536(05)00173-5
Hammarström A, Janlert U (2012) Cohort profile: the northern Swedish cohort. Int J Epidemiol 41:1545–1552. doi:10.1093/ije/dyr118
Hammarström A, Phillips SP (2012) Gender inequity needs to be regarded as a social determinant of depressive symptoms: results from the Northern Swedish cohort. Scand J Public Health 40:746–752. doi:10.1177/1403494812464915
Heimberg RG, Hofmann SG, Liebowitz MR, Schneier FR, Smits JA, Stein MB, Hinton DE, Craske MG (2014) Social anxiety disorder in dsm-5. Depress Anxiety 31:472–479. doi:10.1002/da.22231
Henderson S, Duncan-Jones P, Byrne DG, Scott R (1980) Measuring social relationships. The interview schedule for social interaction. Psychol Med 10:723–734. doi:10.1017/S003329170005501X
Hill TD, Needham BL (2013) Rethinking gender and mental health: a critical analysis of three propositions. Soc Sci Med 92:83–91. doi:10.1016/j.socscimed.2013.05.025
Johansson S (1970) The adult population’s state of health [in Swedish]. Fritzes, Stockholm
Kawachi I, Berkman LF (2001) Social ties and mental health. J Urban Health 78:458–467. doi:10.1093/jurban/78.3.458
Lancee B, Ter Hoeven CL (2010) Self-rated health and sickness-related absence: the modifying role of civic participation. Soc Sci Med 70:570–574. doi:10.1016/j.socscimed.2009.10.032
Marchand A, Blanc ME (2010) The contribution of work and non-work factors to the onset of psychological distress: an eight-year prospective study of a representative sample of employees in Canada. J Occup Health 52:176–185. doi:10.1539/joh.L9140
Markon KE (2010) Modeling psychopathology structure: a symptom-level analysis of Axis I and II disorders. Psychol Med 40:273–288. doi:10.1017/s0033291709990183
Patel V, Flisher AJ, Hetrick S, McGorry P (2007) Mental health of young people: a global public-health challenge. Lancet 369:1302–1313 S0140-6736(07)60368-7
Stansfeld SA, Bosma H, Hemingway H, Marmot MG (1998a) Psychosocial work characteristics and social support as predictors of SF-36 health functioning: the Whitehall II study. Psychosom Med 60:247–255. doi:10.1097/00006842-199805000-00004
Stansfeld SA, Fuhrer R, Shipley MJ (1998b) Types of social support as predictors of psychiatric morbidity in a cohort of British Civil Servants (Whitehall II Study). Psychol Med 28:881–892. doi:10.1017/S0033291798006746
Stansfeld SA, Clark C, Caldwell T, Rodgers B, Power C (2008) Psychosocial work characteristics and anxiety and depressive disorders in midlife: the effects of prior psychological distress. Occup Environ Med 65:634–642. doi:10.1136/oem.2007.036640
Stansfeld SA, Clark C, Rodgers B, Caldwell T, Power C (2011) Repeated exposure to socioeconomic disadvantage and health selection as life course pathways to mid-life depressive and anxiety disorders. Soc Psychiatry Psychiatr Epidemiol 46:549–558. doi:10.1007/s00127-010-0221-3
Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, Silove D (2014) The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol 43:476–493. doi:10.1093/ije/dyu038
Streiner DL (2003) Being inconsistent about consistency: when coefficient alpha does and doesn’t matter. J Pers Assess 80:217–222. doi:10.1207/S15327752JPA8003_01
Teo AR, Choi H, Valenstein M (2013) Social relationships and depression: ten-year follow-up from a nationally representative study. PLoS One 8:e62396. doi:10.1371/journal.pone.0062396
Thoits PA (2010) Stress and health: major findings and policy implications. J Health Soc Behav 51:S41–S53. doi:10.1177/0022146510383499
Umberson D, Montez JK (2010) Social relationships and health: a flashpoint for health policy. J Health Soc Behav 51(Suppl):S54–S66. doi:10.1177/0022146510383501
Unden AL, Orth-Gomer K (1989) Development of a social support instrument for use in population surveys. Soc Sci Med 29:1387–1392. doi:10.1016/0277-9536(89)90240-2
Winefield H, Hammarström A, Nygren K, Högglöf B (2013) Internalized symptoms in adolescence as predictors of mental health in adulthood in the Northern Swedish cohort. Health 5:1164–1171. doi:10.4236/health.2013.57157
Acknowledgments
We thank the participants. The study was funded by The Swedish Research Council Formas dnr 259-2012-37 and The Swedish Research Council for Health, Working Life and Welfare, grant no 2012-1128.
Author information
Authors and Affiliations
Corresponding author
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Landstedt, E., Gustafsson, P.E., Johansson, K. et al. Longitudinal associations between social relationships at age 30 and internalising symptoms at age 42: findings from the Northern Swedish Cohort. Int J Public Health 61, 75–81 (2016). https://doi.org/10.1007/s00038-015-0691-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00038-015-0691-x