Skip to main content
Top
Published in: Child and Adolescent Psychiatry and Mental Health 1/2016

Open Access 01-12-2016 | Research article

Social support and gender differences in coping with depression among emerging adults: a mixed-methods study

Authors: Angel Martínez-Hernáez, Natàlia Carceller-Maicas, Susan M. DiGiacomo, Santiago Ariste

Published in: Child and Adolescent Psychiatry and Mental Health | Issue 1/2016

Login to get access

Abstract

Background

Depression affects a considerable proportion (12–25 %) of adolescents and so-called emerging adults (ages of 18 and 25). The aims of this study were to explore the relationship between perceived social support and depression in a sample of emerging adults, and subsequently to identify the type of social support young people consider most helpful in dealing with this type of emotional distress.

Methods

A sample of 105 young persons (17–21 years of age) was selected from a previous longitudinal study to create three groups of participants: subjects with a previous diagnosis of depression; subjects with self-perceived but undiagnosed distress compatible with depression; and a group of controls. Qualitative and validated instruments for measuring depressive symptoms (the BDI-II, Beck depression inventory) and social support (the Mannheim interview on social support) were administered.

Results

Loss of friendships over time and dissatisfaction with social and psychological support are variables associated with depression in emerging adulthood. Qualitative analysis revealed gender differences both in strategies for managing distress, and in how social support was understood to mitigate depressive symptoms. Male study participants prioritized support that helped them achieve self-control as a first step toward awareness of their emotional distress, while female study participants prioritized support that helped them achieve awareness of the problem as a first step toward self-control.

Conclusions

Treatment for emerging adults with depression should take into account not only the impact of social support, but also gender differences in what they consider to be the most appropriate form of social support for dealing with emotional distress.
Appendix
Available only for authorised users
Literature
1.
go back to reference Arnett FJ. Emerging adulthood: the winding road from the late teens through the 20s. New York: Oxford University Press; 2004. Arnett FJ. Emerging adulthood: the winding road from the late teens through the 20s. New York: Oxford University Press; 2004.
2.
go back to reference Kessler RC, Walters EE. Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey. Depress Anxiety. 1998;7(1):3–14.CrossRefPubMed Kessler RC, Walters EE. Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey. Depress Anxiety. 1998;7(1):3–14.CrossRefPubMed
4.
go back to reference Balázs J, Miklósi M, Keresztény A, et al. Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk. J Child Psychol Psychiatry. 2013;54(6):670–7. doi:10.1111/jcpp.12016.CrossRefPubMed Balázs J, Miklósi M, Keresztény A, et al. Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk. J Child Psychol Psychiatry. 2013;54(6):670–7. doi:10.​1111/​jcpp.​12016.CrossRefPubMed
7.
go back to reference Zachrisson HD, Rödje K, Mykletun A. Utilization of health services in relation to mental health problems in adolescents: a population based survey. BMC PublicHealth. 2006;16(6):34–8. Zachrisson HD, Rödje K, Mykletun A. Utilization of health services in relation to mental health problems in adolescents: a population based survey. BMC PublicHealth. 2006;16(6):34–8.
8.
go back to reference Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;30(10):113. doi:10.1186/1471-244X-10-113.CrossRef Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;30(10):113. doi:10.​1186/​1471-244X-10-113.CrossRef
11.
go back to reference Wilkinson R, Marmot M. The social determinants of health. The solid facts. Copenhaguen: WHO Regional Office for Europe; 2003. Wilkinson R, Marmot M. The social determinants of health. The solid facts. Copenhaguen: WHO Regional Office for Europe; 2003.
12.
13.
go back to reference Oxman TE, Berkman LF, Kasl S, et al. Social support and depressive symptoms in the elderly. Am J Epidemiol. 1992;135:356–68.PubMed Oxman TE, Berkman LF, Kasl S, et al. Social support and depressive symptoms in the elderly. Am J Epidemiol. 1992;135:356–68.PubMed
15.
go back to reference Leskelä U, Rytsälä H, Komulainen E, et al. The influence of adversity and perceived social support on the outcome of major depressive disorder in subjects with different levels of depressive symptoms. Psychol Med. 2006;36(6):779–88.CrossRefPubMed Leskelä U, Rytsälä H, Komulainen E, et al. The influence of adversity and perceived social support on the outcome of major depressive disorder in subjects with different levels of depressive symptoms. Psychol Med. 2006;36(6):779–88.CrossRefPubMed
16.
go back to reference Gladstone GL, Parker GB, Malhi GS, Wilhelm KA. Feeling unsupported? An investigation of depressed patients’ perceptions. J Affect Disord. 2007;103(1–3):147–54.CrossRefPubMed Gladstone GL, Parker GB, Malhi GS, Wilhelm KA. Feeling unsupported? An investigation of depressed patients’ perceptions. J Affect Disord. 2007;103(1–3):147–54.CrossRefPubMed
17.
go back to reference Lofors J, Sundquist K. Low-linking social capital as a predictor of mental disorders: a cohort study of 4.5 million Swedes. Soc Sci Med. 2007;64(1):21–34.CrossRefPubMed Lofors J, Sundquist K. Low-linking social capital as a predictor of mental disorders: a cohort study of 4.5 million Swedes. Soc Sci Med. 2007;64(1):21–34.CrossRefPubMed
19.
go back to reference Auerbach RP, Bigda-Peyton JS, Eberhart NK, Webb CA, Ho MH. Conceptualizing the prospective relationship between social support, stress, and depressive symptoms among adolescents. J Abnorm Child Psychol. 2011;39(4):475–87. doi:10.1007/s10802-010-9479-x.23.CrossRefPubMed Auerbach RP, Bigda-Peyton JS, Eberhart NK, Webb CA, Ho MH. Conceptualizing the prospective relationship between social support, stress, and depressive symptoms among adolescents. J Abnorm Child Psychol. 2011;39(4):475–87. doi:10.​1007/​s10802-010-9479-x.​23.CrossRefPubMed
20.
go back to reference Tandon SD, Dariotis JK, Tucker MG, Sonenstein FL. Coping, stress, and social support associations with internalizing and externalizing behavior among urban adolescents and young adults: revelations from a cluster analysis. J Adolesc Health. 2013;52(5):627–33. doi:10.1016/j.jadohealth.2012.10.001.CrossRefPubMed Tandon SD, Dariotis JK, Tucker MG, Sonenstein FL. Coping, stress, and social support associations with internalizing and externalizing behavior among urban adolescents and young adults: revelations from a cluster analysis. J Adolesc Health. 2013;52(5):627–33. doi:10.​1016/​j.​jadohealth.​2012.​10.​001.CrossRefPubMed
21.
go back to reference Belle D. Gender differences in the social moderators of stress. In: Barnett RC, Biener L, Baruch GK, editors. Gender and Stress. New York: The Free Press; 1987. p. 257–77. Belle D. Gender differences in the social moderators of stress. In: Barnett RC, Biener L, Baruch GK, editors. Gender and Stress. New York: The Free Press; 1987. p. 257–77.
22.
go back to reference Schraedley PK, Gotlib IH, Hayward C. Gender differences in correlates of depressive symptoms in adolescents. J Adolesc Health. 1999;25(2):98–108.CrossRefPubMed Schraedley PK, Gotlib IH, Hayward C. Gender differences in correlates of depressive symptoms in adolescents. J Adolesc Health. 1999;25(2):98–108.CrossRefPubMed
24.
go back to reference Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression Arch Gen Psychiatry. 1961;4:561–71.CrossRefPubMed Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression Arch Gen Psychiatry. 1961;4:561–71.CrossRefPubMed
25.
go back to reference Sanz J, Perdigón AL, Vázques C. Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): 2. Propiedades psicométricas en población general. Clínica y Salud. 2003;14:249–80. Sanz J, Perdigón AL, Vázques C. Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): 2. Propiedades psicométricas en población general. Clínica y Salud. 2003;14:249–80.
26.
go back to reference Krefetz DG, Steer RA, Gulab NA, Beck AT. Convergent validity of the Beck depression inventory-II with the reynolds adolescent depression scale inpsychiatric inpatients. J Pers Assess. 2002;78(3):451–60.CrossRefPubMed Krefetz DG, Steer RA, Gulab NA, Beck AT. Convergent validity of the Beck depression inventory-II with the reynolds adolescent depression scale inpsychiatric inpatients. J Pers Assess. 2002;78(3):451–60.CrossRefPubMed
27.
go back to reference Dolle K, Schulte-Körne G, O’Leary AM, von Hofacker N, Izat Y, Allgaier AK. The Beck depression inventory-II in adolescent mental health patients: cut-off scores for detecting depression and rating severity. Psychiatry Res. 2012;200(2–3):843–8. doi:10.1016/j.psychres.2012.05.011.CrossRefPubMed Dolle K, Schulte-Körne G, O’Leary AM, von Hofacker N, Izat Y, Allgaier AK. The Beck depression inventory-II in adolescent mental health patients: cut-off scores for detecting depression and rating severity. Psychiatry Res. 2012;200(2–3):843–8. doi:10.​1016/​j.​psychres.​2012.​05.​011.CrossRefPubMed
28.
go back to reference Veiel HO. The Mannheim Interview on Social Support. Reliability and validity data from three samples. Soc Psychiatry Psychiatr Epidemiol. 1990;25(5):250–9.CrossRefPubMed Veiel HO. The Mannheim Interview on Social Support. Reliability and validity data from three samples. Soc Psychiatry Psychiatr Epidemiol. 1990;25(5):250–9.CrossRefPubMed
29.
go back to reference Vázquez Morejón AJ, Garcia-Bóveda RJ. The Mannheim interview on social support psychometric characteristics of a Spanish version. Soc Psychiatry Psychiatr Epidemiol. 1997;32(4):208–14.CrossRefPubMed Vázquez Morejón AJ, Garcia-Bóveda RJ. The Mannheim interview on social support psychometric characteristics of a Spanish version. Soc Psychiatry Psychiatr Epidemiol. 1997;32(4):208–14.CrossRefPubMed
31.
go back to reference ATLAS.ti. Qualitative data analysis. Version 6.2.27. Berlin: Scientific Software Development; 2013. ATLAS.ti. Qualitative data analysis. Version 6.2.27. Berlin: Scientific Software Development; 2013.
32.
go back to reference Bogard KL. Affluent adolescents, depression, and drug use: the role of adults in their lives. Adolescence. 2005;40(158):281–306.PubMed Bogard KL. Affluent adolescents, depression, and drug use: the role of adults in their lives. Adolescence. 2005;40(158):281–306.PubMed
33.
go back to reference Allen JP, Insabella G, Porter MR, et al. A social-interactional model of the development of depressive symptoms in adolescence. J Consult Clin Psychol. 2006;74(1):55–65.CrossRefPubMedPubMedCentral Allen JP, Insabella G, Porter MR, et al. A social-interactional model of the development of depressive symptoms in adolescence. J Consult Clin Psychol. 2006;74(1):55–65.CrossRefPubMedPubMedCentral
36.
go back to reference Carceller-Maicas N, Ariste S, Martínez-Hernáez A, et al. Smoking as a form of self-medication for depression or anxiety in young adults: results of a mixed-methods study. Adicciones. 2014;26(1):34–45.PubMed Carceller-Maicas N, Ariste S, Martínez-Hernáez A, et al. Smoking as a form of self-medication for depression or anxiety in young adults: results of a mixed-methods study. Adicciones. 2014;26(1):34–45.PubMed
37.
go back to reference Ross CE, Mirowsky J. Explaining the social patterns of depression: control and problem-solving or support and talking. J Health Soc Behav. 1989;30:206–19.CrossRefPubMed Ross CE, Mirowsky J. Explaining the social patterns of depression: control and problem-solving or support and talking. J Health Soc Behav. 1989;30:206–19.CrossRefPubMed
38.
go back to reference Balkir N, Arens EA, Barnow S. Exploring the relevance of autonomy and relatedness for mental health in healthy and depressed women from two different cultures: when does culture matter? Int J Soc Psychiatry. 2013;59(5):482–92. doi:10.1177/0020764012441428.39.CrossRefPubMed Balkir N, Arens EA, Barnow S. Exploring the relevance of autonomy and relatedness for mental health in healthy and depressed women from two different cultures: when does culture matter? Int J Soc Psychiatry. 2013;59(5):482–92. doi:10.​1177/​0020764012441428​.​39.CrossRefPubMed
39.
go back to reference Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.40.CrossRef Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.40.CrossRef
Metadata
Title
Social support and gender differences in coping with depression among emerging adults: a mixed-methods study
Authors
Angel Martínez-Hernáez
Natàlia Carceller-Maicas
Susan M. DiGiacomo
Santiago Ariste
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Child and Adolescent Psychiatry and Mental Health / Issue 1/2016
Electronic ISSN: 1753-2000
DOI
https://doi.org/10.1186/s13034-015-0088-x

Other articles of this Issue 1/2016

Child and Adolescent Psychiatry and Mental Health 1/2016 Go to the issue