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Old man at a nursing home in Norway. Social support is the perception and actuality that one is cared for, has assistance available from other people, and that one is part of a supportive social network. These supportive resources can be emotional (e.g., nurturance), tangible (e.g., financial assistance), informational (e.g., advice), or companionship (e.g., sense of belonging)and intangible (e.g. personal advice). Social support can be measured as the perception that one has assistance available, the actual received assistance, or the degree to which a person is integrated in a social network. Support can come from many sources, such as family, friends, pets, organizations, coworkers, etc. Government provided social support is often referred to as public aid. Social support is studied across a wide range of disciplines including psychology, medicine, sociology, nursing, public health, and social work. Social support has been linked to many benefits for both physical and mental health, but social support is not always beneficial. Two main models have been proposed to describe the link between social support and health: the buffering hypothesis and the direct effects hypothesis.[1] Gender and cultural differences in social support have also been found.
Contents
1 Categories and definitions o 1.1 Distinctions in measurement o 1.2 Sources 2 Links to mental and physical health o 2.1 Benefits 2.1.1 Mental health 2.1.2 Physical Health o 2.2 Costs o 2.3 Two Dominant Models o 2.4 Theories to Explain the Links o 2.5 Biological Pathways o 2.6 Support Groups o 2.7 Providing Support 3 Gender and Culture o 3.1 Gender Differences o 3.2 Cultural Differences 4 See also 5 References
Emotional support is the offering of empathy, concern, affection, love, trust, acceptance, intimacy, encouragement, or caring.[5][6] It is the warmth and nurturance provided by sources of social support.[7] Providing emotional support can let the individual know that he or she is valued.[6] It is also sometimes called esteem support or appraisal support.[2] Tangible support is the provision of financial assistance, material goods, or services.[8][9] Also called instrumental support, this form of social support encompasses the concrete, direct ways people assist others.[5] Informational support is the provision of advice, guidance, suggestions, or useful information to someone.[2][10] This type of information has the potential to help others problem-solve.[5][11] Companionship support is the type of support that gives someone a sense of social belonging (and is also called belonging).[2] This can be seen as the presence of companions to engage in shared social activities with:[12]
Researchers also commonly make a distinction between perceived and received support.[7][13] Perceived support refers to a recipients subjective judgment that providers will offer (or have offered) effective help during times of need. Received support (also called enacted support) refers to specific supportive actions (e.g., advice or reassurance) offered by providers during times of need.[14] Furthermore, social support can be measured in terms of structural support or functional support.[15] Structural support (also called social integration) refers to the extent to which a recipient is connected within a social network, like the number of social ties or how integrated a person is within his or her social network[2] Family relationships, friends, and membership in clubs and organizations contribute to social integration.[16] Functional support looks at the specific functions that members in this social network can provide, such as the emotional, instrumental, informational, and companionship support listed above.[17] These different types of social support have different patterns of correlations with health, personality, and personal relationships.[13][18] For example, perceived support is consistently linked to better mental health whereas received support and social integration are not.[13][18] Some have suggested that "invisible support," a form of support where the person has support without his or her awareness, may be the most beneficial.[19][20]
Sources
Social support can come from a variety of sources, including (but not limited to): family, friends, romantic partners, pets, community ties, and coworkers.[7] Sources of support can be natural
(e.g., family and friends) or more formal (e.g., mental health specialists or community organizations).[21] Support from a romantic partner is associated with health benefits, particularly for men.[22] Early familial social support has been shown to be important in childrens abilities to develop social competencies,[23] and supportive parental relationships have also had benefits for college-aged students.[24]
Costs
Although there are many benefits to social support, it is not always beneficial. It has been proposed that in order for social support to be beneficial, the social support desired by the
provider has to match the support given to him or her; this is known as the matching hypothesis.[30][52][53] Psychological stress may increase if a different type of support is provided than what the recipient wishes to receive (e.g., informational is given when emotional support is sought).[54][55] Additionally, elevated levels of perceived stress can impact the effect of social support on health-related outcomes.[56] Other costs have been associated with social support. For example, received support has not been linked consistently to either physical or mental health;[13][18] if anything, received support has surprisingly been linked to worse mental health.[20] Additionally, if social support is overly intrusive, it can increase stress.[57]
social integration,[60] and that received support is typically not linked to better health outcomes.[13][18] Relational regulation theory (RRT)[58] is another theory, which is designed to explain main effects (the direct effects hypothesis) between perceived support and mental health. As mentioned previously, perceived support has been found to have both buffering and direct effects on mental health.[61] RRT was proposed in order to explain perceived supports main effects on mental health which cannot be explained by the stress and coping theory.[58] RRT hypothesizes that the link between perceived support and mental health comes from people regulating their emotions through ordinary conversations and shared activities rather than through conversations on how to cope with stress. This regulation is relational in that the support providers, conversation topics and activities that help regulate emotion are primarily a matter of personal taste. This is supported by previous work showing that the largest part of perceived support is relational in nature.[62] Life-span theory[18] is another theory to explain the links of social support and health, which emphasizes the differences between perceived and received support. According to this theory, social support develops throughout the life span, but especially in childhood attachment with parents. Social support develops along with adaptive personality traits such as low hostility, low neuroticism, high optimism, as well as social and coping skills. Together, support and other aspects of personality influence health largely by promoting health practices (e.g., exercise and weight management) and by preventing health-related stressors (e.g., job loss, divorce). Evidence for life-span theory includes that a portion of perceived support is trait-like,[62] and that perceived support is linked to adaptive personality characteristics and attachment experiences.[18]
Biological Pathways
Many studies have tried to identify biopsychosocial pathways for the link between social support and health. Social support has been found to positively impact the immune, neuroendocrine, and cardiovascular systems.[63] Although these systems are listed separately here, evidence has shown that these systems can interact and affect each other.[18]
Immune system: Social support is generally associated with better immune function.[43][64] For example, being more socially integrated is correlated with lower levels of inflammation (as measured by C-reactive protein, a marker of inflammation),[65] and people with more social support have a lower susceptibility to the common cold.[51] Neuroendocrine system: Social support has been linked to lower cortisol ("stress hormone") levels in response to stress.[66] Neuroimaging work has found that social support decreases activation of regions in the brain associated with social distress, and that this diminished activity was also related to lowered cortisol levels.[67] Cardiovascular system: Social support has been found to lower cardiovascular reactivity to stressors.[43] It has been found to lower blood pressure and heart rates,[68] which are known to benefit the cardiovascular system.
Though many benefits have been found, not all research indicates positive effects of social support on these systems.[7] For example, sometimes the presence of a support figure can lead to increased neuroendocrine and physiological activity.[22]
Support Groups
Main article: Support_group Social support groups can be a source of informational support, by providing valuable educational information, and emotional support, including encouragement from people experiencing similar circumstances.[69][70] Studies have generally found beneficial effects for social support group interventions for various conditions,[71] including Internet support groups.[72]
Providing Support
There are both costs and benefits to providing support to others. Providing long-term care or support for someone else is a chronic stressor that has been associated with anxiety, depression, alterations in the immune system, and increased mortality.[73][74] However, providing support has also been associated with health benefits. In fact, providing instrumental support to friends, relatives, and neighbors, or emotional support to spouses has been linked to a significant decrease in the risk for mortality.[75] Also, a recent neuroimaging study found that giving support to a significant other during a distressful experience increased activation in reward areas of the brain.[76]
Cultural Differences
Although social support is thought to be a universal resource, cultural differences exist in social support.[14] For example, European Americans have been found to call upon their social relationships for social support more often than Asian Americans or Asians during stressful occasions,[84] and Asian Americans expect social support to be less helpful than European Americans.[85] These differences in social support may be rooted in different cultural ideas about social groups.[84][85] Additionally, ethnic differences in social support from family and friends have been found.[86]
See also
References
1. Jump up ^ [1] 2. ^ Jump up to: a b c d e Wills, T.A. (1991). "Social support and interpersonal relationships". In Margaret, Clark. Prosocial Behavior, Review of Personality and Social Psychology 12: 265289. 3. Jump up ^ Wills, T.A. (1985). "Supportive functions of interpersonal relationships". In S. Cohen & L. Syme. Social support and health. Orlando, FL: Academic Press. pp. 61 82. 4. Jump up ^ Uchino, B. (2004). Social Support and Physical Health: Understanding the Health Consequences of Relationships. New Haven, CT: Yale University Press. pp. 16 17. 5. ^ Jump up to: a b c Langford, C.P.H.; Bowsher, J., Maloney, J.P., Lillis, P.P. (1997). "Social support: a conceptual analysis". Journal of Advanced Nursing 25: 95100. 6. ^ Jump up to: a b Slevin, M.L.; Nichols, S.E., Downer, S.M., Wilson, P., Lister, T.A., Arnott, S., Maher, J., Souhami, R.L., Tobias, J.S., Goldstone, A.H., Cody, M. (1996). "Emotional support for cancer patients: what do patients really want?". British Journal of Cancer 74: 12751279. 7. ^ Jump up to: a b c d e f Taylor, S.E. (2011). "Social support: A Review". In M.S. Friedman. The Handbook of Health Psychology. New York,NY: Oxford University Press. pp. 189214. 8. Jump up ^ Heaney, C.A., & Israel, B.A. (2008). "Social networks and social support". In Glanz, K., Rimer, B.K., & Viswanath, K. Health Behavior and Health Education: Theory, Research, and Practice (4th ed.). San Francisco, CA: Jossey-Bass. 9. Jump up ^ House, J.S. (1981). Work stress and social support. Reading, MA: AddisonWesley. 10. Jump up ^ Krause, N. (1986). "Social support, stress, and well-being". Journal of Gerontology 41 (4): 512519. 11. Jump up ^ Tilden, V.P.; Weinert, S.C. (1987). "Social support and the chronically ill individual". Nursing Clinics of North America 22 (3): 613620.
12. Jump up ^ Uchino, B. (2004). Social Support and Physical Health: Understanding the Health Consequences of Relationships. New Haven, CT: Yale University Press. p. 17. 13. ^ Jump up to: a b c d e f g h i Barrera, M (1986). "Distinctions between social support concepts, measures, and models". American Journal of Community Psychology 14 (4): 413445. 14. ^ Jump up to: a b c Gurung, R.A.R. (2006). "Coping and Social Support". Health Psychology: A Cultural Approach. Belmont, CA: Thomson Wadsworth. pp. 131171. 15. Jump up ^ Wills, T.A. (1998). "Social support". In Blechman, E.A., & Brownell, K.D. Behavioral medicine and women: A comprehensive handbook. New York, NY: Guilford Press. pp. 118128. 16. Jump up ^ Lakey, B. Social support and social integration. Retrieved 2011-11-13. 17. ^ Jump up to: a b Uchino, B. (2004). Social Support and Physical Health: Understanding the Health Consequences of Relationships. New Haven, CT: Yale University Press. 18. ^ Jump up to: a b c d e f g h i j k Uchino, B. (2009). "Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of