The association of mental disorders with perceived social support, and the role of marital status: results from a national cross-sectional survey

This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) 'Married' status influenced the relationship between mental state and perceived social su...

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Published inArchives of public health = Archives belges de santé publique Vol. 78; no. 1; p. 108
Main Authors Vaingankar, Janhavi Ajit, Abdin, Edimansyah, Chong, Siow Ann, Shafie, Saleha, Sambasivam, Rajeswari, Zhang, Yun Jue, Chang, Sherilyn, Chua, Boon Yiang, Shahwan, Shazana, Jeyagurunathan, Anitha, Kwok, Kian Woon, Subramaniam, Mythily
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Published England BioMed Central Ltd 28.10.2020
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Abstract This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) 'Married' status influenced the relationship between mental state and perceived social support. Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder (β = - 0.299, 95% CI: -0.484 - -0.113,  = 002) and having any of the five mental disorders (β = - 0.133, 95% CI: -0.254 - -0.012,  = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by 'Married' status. Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship.
AbstractList Background This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) ‘Married’ status influenced the relationship between mental state and perceived social support. Methods Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. Results All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder (β = - 0.299, 95% CI: -0.484 – -0.113, p = 002) and having any of the five mental disorders (β = - 0.133, 95% CI: -0.254 – -0.012, p = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by ‘Married’ status. Conclusion Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship.
Background This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) 'Married' status influenced the relationship between mental state and perceived social support. Methods Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. Results All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder ([beta] = - 0.299, 95% CI: -0.484 - -0.113, p = 002) and having any of the five mental disorders ([beta] = - 0.133, 95% CI: -0.254 - -0.012, p = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by 'Married' status. Conclusion Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship. Keywords: Marriage, Mediation, Multidimensional scale of perceived social support, Structural equation model, General population
BACKGROUNDThis study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) 'Married' status influenced the relationship between mental state and perceived social support. METHODSData from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. RESULTSAll mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder (β = - 0.299, 95% CI: -0.484 - -0.113, p = 002) and having any of the five mental disorders (β = - 0.133, 95% CI: -0.254 - -0.012, p = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by 'Married' status. CONCLUSIONHaving mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship.
This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) 'Married' status influenced the relationship between mental state and perceived social support. Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder (β = - 0.299, 95% CI: -0.484 - -0.113,  = 002) and having any of the five mental disorders (β = - 0.133, 95% CI: -0.254 - -0.012,  = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by 'Married' status. Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship.
Abstract Background This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) ‘Married’ status influenced the relationship between mental state and perceived social support. Methods Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. Results All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder (β = - 0.299, 95% CI: -0.484 – -0.113, p = 002) and having any of the five mental disorders (β = - 0.133, 95% CI: -0.254 – -0.012, p = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by ‘Married’ status. Conclusion Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship.
This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) 'Married' status influenced the relationship between mental state and perceived social support. Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder ([beta] = - 0.299, 95% CI: -0.484 - -0.113, p = 002) and having any of the five mental disorders ([beta] = - 0.133, 95% CI: -0.254 - -0.012, p = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by 'Married' status. Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship.
ArticleNumber 108
Audience Academic
Author Sambasivam, Rajeswari
Zhang, Yun Jue
Kwok, Kian Woon
Chua, Boon Yiang
Jeyagurunathan, Anitha
Subramaniam, Mythily
Chong, Siow Ann
Shahwan, Shazana
Vaingankar, Janhavi Ajit
Abdin, Edimansyah
Shafie, Saleha
Chang, Sherilyn
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  organization: Research Division, Institute of Mental Health, 10, Buangkok View, Singapore, 539747 Singapore
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/33133595$$D View this record in MEDLINE/PubMed
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Keywords General population
Multidimensional scale of perceived social support
Marriage
Mediation
Structural equation model
Language English
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Snippet This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was...
Background This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital...
BACKGROUNDThis study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status...
Abstract Background This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current...
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StartPage 108
SubjectTerms Cross-sectional studies
General population
Marriage
Mediation
Mental disorders
Mental health
Minority & ethnic groups
Multidimensional scale of perceived social support
Population
Public health
Quality of life
Social aspects
Social networks
Social research
Social support
Stress
Structural equation model
Structural equation modeling
Surveys
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Title The association of mental disorders with perceived social support, and the role of marital status: results from a national cross-sectional survey
URI https://www.ncbi.nlm.nih.gov/pubmed/33133595
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