Department of Psychology, Suffolk University, Boston, MA 02114, USA.
J Consult Clin Psychol. 2013 Jun;81(3):455-66. doi: 10.1037/a0031787. Epub 2013 Feb 11.
We examined 4 separate dimensions of functional social support (tangible, appraisal, self-esteem, and belonging) as predictors of change in depression over 4.5 years in a sample of women reporting intimate partner violence.
Participants were recruited as they sought help for violence perpetrated by a current or former male partner. Three hundred eighty-eight participants completed the Interpersonal Support Evaluation List (Cohen, Mermelstein, Kamarck, & Hoberman, 1985), the Conflict Tactics Scale-2 (Straus, Hamby, Boney-McCoy, & Sugarman, 1996), and the Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977) at the baseline assessment. Participants were reevaluated on 9 follow-up assessment occasions over approximately 4.5 years, during which they completed the CES-D.
Growth curve analyses revealed that belonging, or the perceived availability of people one can do things with, was the only dimension that predicted changes in depressive symptoms when controlling for initial depressive symptom levels. Higher levels of belonging support reported at the baseline assessment were associated with larger decreases in depression.
The findings of the current study suggest that interventions should consider ways to get survivors connected to informal social networks. Neither perceived availability of material aid nor availability of someone to talk about one's problems or serve as a positive comparison when comparing oneself to others was associated with decreased depression over time. Only perceived availability of people one can do things with (i.e., belonging support).
我们考察了功能性社会支持的 4 个独立维度(有形支持、评价、自尊和归属感),作为预测遭受亲密伴侣暴力的女性样本中抑郁症状在 4.5 年内变化的指标。
参与者是在寻求帮助来应对当前或前任男性伴侣实施的暴力时被招募的。388 名参与者完成了人际支持评价量表(Cohen、Mermelstein、Kamarck 和 Hoberman,1985)、冲突策略量表-2(Straus、Hamby、Boney-McCoy 和 Sugarman,1996)和中心流行病学研究抑郁量表(CES-D;Radloff,1977)的基线评估。参与者在大约 4.5 年的 9 次随访评估中接受了重新评估,在此期间他们完成了 CES-D。
增长曲线分析显示,归属感,或者感知到有可以一起做事的人,是控制初始抑郁症状水平后预测抑郁症状变化的唯一维度。在基线评估中报告的更高水平的归属感支持与抑郁的更大减少相关。
当前研究的结果表明,干预措施应考虑让幸存者与非正式社交网络建立联系的方法。无论感知到获得物质援助的可能性,还是感知到有人可以倾诉问题或在与他人比较时作为积极的比较,都与随着时间的推移抑郁症状的减少无关。只有感知到有可以一起做事的人(即归属感支持)。