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Published in: Psychiatric Quarterly 1/2020

01-03-2020 | Manic Episode | Original Paper

Examining the Influence of Social Support on Psychological Distress in a Canadian Population with Symptoms of Mania

Authors: Anna Walsh, Ken Fowler

Published in: Psychiatric Quarterly | Issue 1/2020

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Abstract

Individuals who experience symptoms of mania in the form of a manic episode (ME) are at a greater risk of experiencing psychological distress. Given that a ME is a period during which one can become extremely socially dysfunctional, the potential influence of social support is especially important to explore. The primary objective of this study was to examine whether perceived social support predicts psychological distress in a sample of Canadian adults who have self-reported ME symptoms within the last 12-months. Using a cross-sectional, national datafile, 220 Canadians between 20 and 64 years who met the criteria for a ME within the last 12-months were investigated using the Social Provisions Scale (SPS), and the Kessler Psychological Distress Scale (K10). Results indicated that the ME sample experienced significantly higher distress and significantly lower perceived social support than the adult Canadian population. Further, social support in the form of reassurance of worth was associated with lower levels of psychological distress, but only for the male ME sample, and the overall (male and female combined) ME sample. Despite some limitations, this study adds to the research on mania as its own experience outside of comorbidities and indicates the important and specific role social support plays in terms of psychological well-being.
Literature
2.
go back to reference Berry RB. Psychiatry and sleep. In: Fundamentals of sleep medicine. Philadelphia: Saunders, Elsevier; 2012. p. 593–613.CrossRef Berry RB. Psychiatry and sleep. In: Fundamentals of sleep medicine. Philadelphia: Saunders, Elsevier; 2012. p. 593–613.CrossRef
4.
go back to reference McGrath J, Chapple B, Wright M. Working memory in schizophrenia and mania: correlation with symptoms during the acute and subacute phases. Acta Psychiatr Scand. 2008;103:181–8.CrossRef McGrath J, Chapple B, Wright M. Working memory in schizophrenia and mania: correlation with symptoms during the acute and subacute phases. Acta Psychiatr Scand. 2008;103:181–8.CrossRef
5.
go back to reference Johnson SL, Jones S. Cognitive correlates of mania risk: are responses to success, positive moods, and manic symptoms distinct or overlapping? J Clin Psychol. 2009;65:891–905.CrossRef Johnson SL, Jones S. Cognitive correlates of mania risk: are responses to success, positive moods, and manic symptoms distinct or overlapping? J Clin Psychol. 2009;65:891–905.CrossRef
6.
go back to reference Kim E, Ku J, Kim JJ, Lee H, Han K, Kim S, et al. Nonverbal social behaviors of patients with bipolar mania during interactions with virtual humans. J Nerv Ment Dis. 2009;197:412–8.CrossRef Kim E, Ku J, Kim JJ, Lee H, Han K, Kim S, et al. Nonverbal social behaviors of patients with bipolar mania during interactions with virtual humans. J Nerv Ment Dis. 2009;197:412–8.CrossRef
7.
go back to reference Vojta C, Kinosian B, Glick H, Altshuler L, Bauer MS. Self-reported quality of life across mood states in bipolar disorder. Compr Psychiatry. 2001;42:190–5.CrossRef Vojta C, Kinosian B, Glick H, Altshuler L, Bauer MS. Self-reported quality of life across mood states in bipolar disorder. Compr Psychiatry. 2001;42:190–5.CrossRef
8.
go back to reference Arnold L, Witzeman K, Swank M, McElroy S, Keck P. Health-related quality of life using the SF-36 in patients with bipolar disorder compared with patients with chronic back pain and the general population. J Affect Disord. 2000;57:235–9.CrossRef Arnold L, Witzeman K, Swank M, McElroy S, Keck P. Health-related quality of life using the SF-36 in patients with bipolar disorder compared with patients with chronic back pain and the general population. J Affect Disord. 2000;57:235–9.CrossRef
9.
go back to reference Gitlin MG, Sokolski K, Hammen C, Altshuler LL. Subsyndromal depressive symptoms after symptomatic recovery from mania are associated with delayed functional recovery. J Clin Psychiatry. 2010;72:692–7.CrossRef Gitlin MG, Sokolski K, Hammen C, Altshuler LL. Subsyndromal depressive symptoms after symptomatic recovery from mania are associated with delayed functional recovery. J Clin Psychiatry. 2010;72:692–7.CrossRef
10.
go back to reference Cutting J, Murphy D. Impaired ability of schizophrenics, relative to manics or depressives, to appreciate social knowledge about their culture. Br J Psychiatry. 1990;157:355–8.CrossRef Cutting J, Murphy D. Impaired ability of schizophrenics, relative to manics or depressives, to appreciate social knowledge about their culture. Br J Psychiatry. 1990;157:355–8.CrossRef
11.
go back to reference Badcock JC, Shah S, Mackinnon A, Stain HJ, Galletly S, Jablensky A, et al. Loneliness in psychotic disorders and its association with cognitive function and symptom profile. Schizophr Res. 2015;169:268–73.CrossRef Badcock JC, Shah S, Mackinnon A, Stain HJ, Galletly S, Jablensky A, et al. Loneliness in psychotic disorders and its association with cognitive function and symptom profile. Schizophr Res. 2015;169:268–73.CrossRef
12.
go back to reference American Psychiatric Association [APA]. Diagnostic and statistical manual of mental disorders. 5th ed. Washington: American Psychiatric Association; 2013.CrossRef American Psychiatric Association [APA]. Diagnostic and statistical manual of mental disorders. 5th ed. Washington: American Psychiatric Association; 2013.CrossRef
13.
go back to reference Serretti A, Olgiati P. Profiles of “manic” symptoms in bipolar I, bipolar II, and major depressive disorders. J Affect Disord. 2005;84:159–66.CrossRef Serretti A, Olgiati P. Profiles of “manic” symptoms in bipolar I, bipolar II, and major depressive disorders. J Affect Disord. 2005;84:159–66.CrossRef
14.
go back to reference van den Berg B, Penninx BWJH, Zitman FG, Nolen WA. Manic symptoms in patients with depressive and/or anxiety disorders. J Affect Disord. 2010;126:252–6.CrossRef van den Berg B, Penninx BWJH, Zitman FG, Nolen WA. Manic symptoms in patients with depressive and/or anxiety disorders. J Affect Disord. 2010;126:252–6.CrossRef
15.
go back to reference Sato A, Hashimoto T, Kimura A, Niitsu T, Iyo M. Psychological distress symptoms associated with life events in patients with bipolar disorder: a cross-sectional study. Front Psych. 2018;9:200.CrossRef Sato A, Hashimoto T, Kimura A, Niitsu T, Iyo M. Psychological distress symptoms associated with life events in patients with bipolar disorder: a cross-sectional study. Front Psych. 2018;9:200.CrossRef
16.
go back to reference Cerit C, Filizer A, Tural Ü, Evren Tufan A. Stigma: a core factor on predicting functionality in bipolar disorder. Compr Psychiatry. 2012;53:484–9.CrossRef Cerit C, Filizer A, Tural Ü, Evren Tufan A. Stigma: a core factor on predicting functionality in bipolar disorder. Compr Psychiatry. 2012;53:484–9.CrossRef
17.
go back to reference Singh NK, Kishore AA. Comparative study of perceived social support among persons with schizophrenia and mania. IJSP. 2018;9:24–8. Singh NK, Kishore AA. Comparative study of perceived social support among persons with schizophrenia and mania. IJSP. 2018;9:24–8.
18.
go back to reference Strakowski SM, Williams JR, Fleck DE, Delbello MP. Eight-month functional outcome from mania following a first psychiatric hospitalization. J Psychiatr Res. 2000;34:193–200.CrossRef Strakowski SM, Williams JR, Fleck DE, Delbello MP. Eight-month functional outcome from mania following a first psychiatric hospitalization. J Psychiatr Res. 2000;34:193–200.CrossRef
19.
go back to reference Munikanan T, Midin M, Daud TIM, Rahim RA, Bakar AKA, Jaafar NRN, et al. Association of social support and quality of life among people with schizophrenia receiving community psychiatric service: a cross-sectional study. Compr Psychiatry. 2017;75:94–102.CrossRef Munikanan T, Midin M, Daud TIM, Rahim RA, Bakar AKA, Jaafar NRN, et al. Association of social support and quality of life among people with schizophrenia receiving community psychiatric service: a cross-sectional study. Compr Psychiatry. 2017;75:94–102.CrossRef
20.
go back to reference Stefos G, Bauwens F, Staner L, Pardoen D, Mendlewicz J. Psychosocial predictors of major affective recurrences in bipolar disorder: a 4-year longitudinal study of patients on prophylactic treatment. Acta Psychiatr Scand. 1996;93:420–6.CrossRef Stefos G, Bauwens F, Staner L, Pardoen D, Mendlewicz J. Psychosocial predictors of major affective recurrences in bipolar disorder: a 4-year longitudinal study of patients on prophylactic treatment. Acta Psychiatr Scand. 1996;93:420–6.CrossRef
21.
go back to reference Warren CD, Fowler K, Speed D, Walsh A. The influence of social support on psychological distress in Canadian adults with bipolar disorder. Soc Psychiatry Psychiatr Epidemiol. 2018;53:815–21.CrossRef Warren CD, Fowler K, Speed D, Walsh A. The influence of social support on psychological distress in Canadian adults with bipolar disorder. Soc Psychiatry Psychiatr Epidemiol. 2018;53:815–21.CrossRef
22.
go back to reference Grootens KP, van Thiel V, Hartong EGTM. “How harmful is your mania to you or others?” sharing decisions about antidepressant treatment in bipolar depression. Bipolar Disord. 2018;20:504–5.CrossRef Grootens KP, van Thiel V, Hartong EGTM. “How harmful is your mania to you or others?” sharing decisions about antidepressant treatment in bipolar depression. Bipolar Disord. 2018;20:504–5.CrossRef
23.
go back to reference Statistics Canada. Canadian community health survey (CCHS)-mental health. Ottawa: Statistics Canada; 2013. Statistics Canada. Canadian community health survey (CCHS)-mental health. Ottawa: Statistics Canada; 2013.
24.
go back to reference Watson A, Corrigan P, Larson G, Sells M. Self-stigma in people with mental illness. Schizophr Bull. 2007;33:1312–8.CrossRef Watson A, Corrigan P, Larson G, Sells M. Self-stigma in people with mental illness. Schizophr Bull. 2007;33:1312–8.CrossRef
25.
go back to reference American Psychiatric Association [APA]. Diagnostic and statistical manual of mental disorders. 4th ed. Washington: American Psychiatric Association; 1994. American Psychiatric Association [APA]. Diagnostic and statistical manual of mental disorders. 4th ed. Washington: American Psychiatric Association; 1994.
26.
go back to reference World Health Organization [WHO]. International classification of diseases and related health problems (10th rev). Geneva: World Health Organization; 1992. World Health Organization [WHO]. International classification of diseases and related health problems (10th rev). Geneva: World Health Organization; 1992.
27.
go back to reference Kessler RC, Barker P, Colpe L, Epstein J, Gfroerer J, Hiripi E, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60:184–9.CrossRef Kessler RC, Barker P, Colpe L, Epstein J, Gfroerer J, Hiripi E, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60:184–9.CrossRef
28.
go back to reference Caron J. A validation of the social provisions scale: the SPS-10 items. Sante Ment Que. 2013;38:297–318.CrossRef Caron J. A validation of the social provisions scale: the SPS-10 items. Sante Ment Que. 2013;38:297–318.CrossRef
29.
go back to reference Cutrona CE, Russell DW. The provisions of social relationships and adaptation to stress. In: Jones WH, Perlman D, editors. Advances in personal relationships. Greenwich: JAI Press; 1987. p. 37–67. Cutrona CE, Russell DW. The provisions of social relationships and adaptation to stress. In: Jones WH, Perlman D, editors. Advances in personal relationships. Greenwich: JAI Press; 1987. p. 37–67.
30.
go back to reference Kessler RC, McLeod JD. Social support and mental health in community samples. In: Cohen S, Syme SL, editors. Social support and health. San Diego: Academic Press; 1985. p. 219–40. Kessler RC, McLeod JD. Social support and mental health in community samples. In: Cohen S, Syme SL, editors. Social support and health. San Diego: Academic Press; 1985. p. 219–40.
31.
go back to reference Kwag KH, Martin P, Russell D, Franke W, Kohut M. The impact of perceived stress, social support, and home-based physical activity on mental health among older adults. Int J Aging Hum Dev. 2011;72:137–54.CrossRef Kwag KH, Martin P, Russell D, Franke W, Kohut M. The impact of perceived stress, social support, and home-based physical activity on mental health among older adults. Int J Aging Hum Dev. 2011;72:137–54.CrossRef
32.
go back to reference Watson RJ, Grossman AH, Russell ST. Sources of social support and mental health among LGB youth. Youth Soc. 2019;51:30–48.CrossRef Watson RJ, Grossman AH, Russell ST. Sources of social support and mental health among LGB youth. Youth Soc. 2019;51:30–48.CrossRef
34.
go back to reference Afifi TO, McTavish J, Turner S, MacMillan HL, Wathen CN. The relationship between child protection contact and mental health outcomes among Canadian adults with a child abuse history. Child Abuse Negl. 2018;79:22–30.CrossRef Afifi TO, McTavish J, Turner S, MacMillan HL, Wathen CN. The relationship between child protection contact and mental health outcomes among Canadian adults with a child abuse history. Child Abuse Negl. 2018;79:22–30.CrossRef
35.
go back to reference Hooley JM. Social factors in schizophrenia. Curr Dir Psychol Sci. 2010;19:238–42.CrossRef Hooley JM. Social factors in schizophrenia. Curr Dir Psychol Sci. 2010;19:238–42.CrossRef
36.
go back to reference Link BG, Mirotznik J, Cullen FT. The effectiveness of stigma coping orientations: can negative consequences of mental illness labeling be avoided? J Health Soc Behav. 1991;32:302–20.CrossRef Link BG, Mirotznik J, Cullen FT. The effectiveness of stigma coping orientations: can negative consequences of mental illness labeling be avoided? J Health Soc Behav. 1991;32:302–20.CrossRef
37.
go back to reference Link BG, Struening EL, Neese-Todd S, Asumssen S, Phelan JC. Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses. Psychiatr Serv. 2001;52:1621–6.CrossRef Link BG, Struening EL, Neese-Todd S, Asumssen S, Phelan JC. Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses. Psychiatr Serv. 2001;52:1621–6.CrossRef
38.
go back to reference Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982;37:122–47.CrossRef Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982;37:122–47.CrossRef
39.
go back to reference Graves JS. Living with mania: a study of outpatient group psychotherapy for bipolar patients. Am J Psychother. 1993;47:1–165.CrossRef Graves JS. Living with mania: a study of outpatient group psychotherapy for bipolar patients. Am J Psychother. 1993;47:1–165.CrossRef
40.
go back to reference Rosenfield S. Gender and mental health: do women have more psychopathology, men more, or both the same (and why)? In: Horwitz AV, Scheid TL, editors. A handbook for the study of mental health: social contexts, theories, and systems. New York: Cambridge University Press; 1999. p. 348–60. Rosenfield S. Gender and mental health: do women have more psychopathology, men more, or both the same (and why)? In: Horwitz AV, Scheid TL, editors. A handbook for the study of mental health: social contexts, theories, and systems. New York: Cambridge University Press; 1999. p. 348–60.
41.
go back to reference McDonough P, Walters V. Gender and health: reassessing patterns and explanations. Soc Sci Med. 2001;52:547–59.CrossRef McDonough P, Walters V. Gender and health: reassessing patterns and explanations. Soc Sci Med. 2001;52:547–59.CrossRef
Metadata
Title
Examining the Influence of Social Support on Psychological Distress in a Canadian Population with Symptoms of Mania
Authors
Anna Walsh
Ken Fowler
Publication date
01-03-2020
Publisher
Springer US
Keyword
Manic Episode
Published in
Psychiatric Quarterly / Issue 1/2020
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-019-09674-9

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