No man is an island: social resources, stress and mental health at mid-life.
NCDS
Social support
mental health
stress
Journal
The British journal of psychiatry : the journal of mental science
ISSN: 1472-1465
Titre abrégé: Br J Psychiatry
Pays: England
ID NLM: 0342367
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
pubmed:
5
3
2019
medline:
17
4
2021
entrez:
5
3
2019
Statut:
ppublish
Résumé
Positive social relationships are known to mitigate the negative effects of stress on mental health. However, the direction of association between social resources and mental health remains unclear, and it is not known whether higher than average levels of social resources confer additional benefits, in the short and longer term. To investigate the concurrent and longitudinal contribution of higher levels of social resources in reducing the risk of mental health symptoms after exposure to stress at age 45, and to identify life-course precursors of mid-life social resources. The National Child Development Study (NCDS) is a prospective birth cohort of over 17 000 births in 1958. We tested concurrent and longitudinal associations between different levels of social resources at age 45 and mental health symptoms among individuals exposed to stress and verified whether prior mental health symptoms (age 42) explained these associations. We also tested a range of child, family and adult precursors of mid-life social resources. Higher than average levels of social resources were required to confer benefits to mental health among individuals exposed to high stress levels, both concurrently at age 45 and in the longer term at age 50. In general, these associations were not attributable to prior mental health symptoms. Key predictors of mid-life social resources included evidence of early sociability. Having a broad network of social ties and better personal support helps individuals withstand exposure to higher levels of stress. Given that sociable children had better mid-life social resources, early intervention may benefit individuals' social resources later in life.
Sections du résumé
BACKGROUND
Positive social relationships are known to mitigate the negative effects of stress on mental health. However, the direction of association between social resources and mental health remains unclear, and it is not known whether higher than average levels of social resources confer additional benefits, in the short and longer term.
AIMS
To investigate the concurrent and longitudinal contribution of higher levels of social resources in reducing the risk of mental health symptoms after exposure to stress at age 45, and to identify life-course precursors of mid-life social resources.
METHOD
The National Child Development Study (NCDS) is a prospective birth cohort of over 17 000 births in 1958. We tested concurrent and longitudinal associations between different levels of social resources at age 45 and mental health symptoms among individuals exposed to stress and verified whether prior mental health symptoms (age 42) explained these associations. We also tested a range of child, family and adult precursors of mid-life social resources.
RESULTS
Higher than average levels of social resources were required to confer benefits to mental health among individuals exposed to high stress levels, both concurrently at age 45 and in the longer term at age 50. In general, these associations were not attributable to prior mental health symptoms. Key predictors of mid-life social resources included evidence of early sociability.
CONCLUSIONS
Having a broad network of social ties and better personal support helps individuals withstand exposure to higher levels of stress. Given that sociable children had better mid-life social resources, early intervention may benefit individuals' social resources later in life.
Identifiants
pubmed: 30827291
pii: S0007125019000254
doi: 10.1192/bjp.2019.25
pmc: PMC7116268
mid: EMS81359
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
638-644Subventions
Organisme : Medical Research Council
ID : G0000934
Pays : United Kingdom
Références
Am J Community Psychol. 1995 Feb;23(1):117-35
pubmed: 7572825
J Health Soc Behav. 2011 Jun;52(2):145-61
pubmed: 21673143
Br J Psychiatry. 2016 Oct;209(4):284-293
pubmed: 27445355
J Fam Psychol. 2011 Feb;25(1):127-36
pubmed: 21355652
Psychiatry Res. 2018 Jan;259:488-492
pubmed: 29154170
Psychol Sci. 2018 May;29(5):814-823
pubmed: 29533704
Scand J Public Health. 2007;35(2):197-204
pubmed: 17454924
Int J Behav Dev. 2011 Nov;35(6):490-496
pubmed: 23372278
Psychol Med. 1992 May;22(2):465-86
pubmed: 1615114
Psychol Bull. 1985 Sep;98(2):310-57
pubmed: 3901065
J Clin Psychol. 2006 Sep;62(9):1065-82
pubmed: 16810666
J Consult Clin Psychol. 2004 Aug;72(4):689-97
pubmed: 15301654
Psychosom Med. 2017 Apr;79(3):283-292
pubmed: 27768647
Soc Psychiatry Psychiatr Epidemiol. 2016 Jun;51(6):803-15
pubmed: 27130443
Stat Methods Med Res. 2013 Jun;22(3):278-95
pubmed: 21220355
Int J Epidemiol. 2006 Feb;35(1):34-41
pubmed: 16155052
BMJ Open. 2016 Apr 18;6(4):e010799
pubmed: 27091822
Am J Psychiatry. 1999 Jun;156(6):837-41
pubmed: 10360120
Am J Epidemiol. 1979 Feb;109(2):186-204
pubmed: 425958
Annu Rev Sociol. 2010 Aug 1;36:139-157
pubmed: 21921974
World Psychiatry. 2015 Oct;14(3):354-7
pubmed: 26407793
J Epidemiol Community Health. 2016 Jul;70(7):710-5
pubmed: 26767407
Soc Psychiatry Psychiatr Epidemiol. 1999 Jun;34(6):333-41
pubmed: 10422488
Clin Psychol Rev. 2002 Apr;22(3):383-442
pubmed: 17201192
Soc Sci Med. 1992 Oct;35(8):1027-35
pubmed: 1411697
BMJ Open. 2016 Jun 28;6(6):e011503
pubmed: 27354077