Skip to main content
Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2009 Mar 1;100(2):148–152. [Article in French] doi: 10.1007/BF03405526

Les relations entre le soutien social, le bien-être et la détresse psychologique chez les hommes et les femmes avec un trouble anxieux: résultats d’une enquête nationale

Edith St-Jean-Trudel 119,219,, Stéphane Guay 119,219, André Marchand 119,219
PMCID: PMC6974214  PMID: 19839294

Abstract

Objective

Investigate the links between different types of social support, psychological well-being and distress among individuals with anxiety disorders.

Methods

Data were drawn from the Canadian Community Health Survey (CCHS cycle 1.2) which had 36,984 participants, 1,803 of whom presented with anxiety disorders. Classical linear regression analyses were conducted to examine the links between different social support dimensions and psychological well-being on one hand, and psychological distress on the other hand.

Results

Women reported perceiving significantly higher levels of affective, emotional/informational, tangible support and positive social interactions than men. After controlling for potentially confounding variables (socio-demographic variables and the presence of a major depressive disorder), three types of social supports appeared to be predictors for the psychological well-being of women with anxiety disorders: positive social interactions, emotional/informational support, and affective support. For men, none of the social support variables were significantly associated with psychological well-being or distress. The comparisons of Beta coefficients do not show any significant difference between the sexes.

Conclusion

Social support appears to be a positive predictor for psychological well-being among women with an anxiety disorder. No associations were found between social support variables and the psychological distress perceived by men and women. The results of this study therefore confirm the importance of teaching appropriate support strategies adapted for anxiety disorders. Future studies should assess negative social interactions in addition to social support.

Key words: Anxiety disorders, social support, psychological well-being, psychological distress

Footnotes

Remerciements: Nous tenons à remercier Statistique Canada et le Centre interuniversitaire de statistiques sociales pour son soutien financier et technique. La réalisation de cette étude a également été rendue possible grâce à une bourse d’étude du Fonds québécois de la recherche sur la société et la culture.

Nous tenons également à remercier M. Richard Boyer, Ph.D., chercheur au Centre de recherche Fernand-Seguin de l’Hôpital Louis-H. Lafontaine, pour avoir contribué à la révision de l’article et pour la qualité et la pertinence des commentaires émis.

Références

  • 1.Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:617–27. doi: 10.1001/archpsyc.62.6.617. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Cramer V, Torgersen S, Kringlen E. Quality of life and anxiety disorders: A population study. J Nerv Ment Dis. 2005;193(3):196–202. doi: 10.1097/01.nmd.0000154836.22687.13. [DOI] [PubMed] [Google Scholar]
  • 3.Fokias D, Tyler P. Social support and agoraphobia: A review. Clin Psychol Rev. 1995;15:347–66. doi: 10.1016/0272-7358(95)00014-G. [DOI] [Google Scholar]
  • 4.Caron J, Guay S. Soutien social et santé mentale: concept, mesures, recherches récentes et implications pour les cliniciens. Rev Santé Mentale au Québec. 2005;XXX(2):15–42. doi: 10.7202/012137ar. [DOI] [PubMed] [Google Scholar]
  • 5.Guay S, Billette V, Marchand A. Exploring the links between posttraumatic stress disorder and social support: Processes and potential research avenues. J Trauma Stress. 2006;19(3):327–38. doi: 10.1002/jts.20124. [DOI] [PubMed] [Google Scholar]
  • 6.Finch JF, Okun MA, Pool GJ, Ruehlman LS. A comparison of the influence of conflictual and supportive social interactions on psychological distress. J Person. 1999;67(4):581–621. doi: 10.1111/1467-6494.00066. [DOI] [PubMed] [Google Scholar]
  • 7.Kessler RC, McLeod JD. Social support and mental health in community sample. In: Cohen S, Syme SL, editors. Social Support and Health. New York, NY: Academic Press; 1985. [Google Scholar]
  • 8.Veit CT, Ware JE. The structure of psychological distress and well-being in general populations. J Consult Clin Psychol. 1983;51:730–42. doi: 10.1037/0022-006X.51.5.730. [DOI] [PubMed] [Google Scholar]
  • 9.Thoits P. J Health Soc Behav. 1995. Stress, coping, and social support processes: Where are we? What next? [PubMed] [Google Scholar]
  • 10.Fuhrer R, Stansfeld SA, Chemali J, Shipley MJ. Gender, social relations and mental health: Prospective findings from an occupational cohort (Whitehall II Study) Soc Sci Med. 1999;48:77–87. doi: 10.1016/S0277-9536(98)00290-1. [DOI] [PubMed] [Google Scholar]
  • 11.Coventry WL, Gillespie NA, Heath AC, Martin NG. Perceived social support in a large community sample: Age and sex differences. Soc Psychiatry Psychiatr Epidemiol. 2004;39:625–36. doi: 10.1007/s00127-004-0795-8. [DOI] [PubMed] [Google Scholar]
  • 12.Statistique Canada. Enquête sur la santé dans les collectivités canadiennes, cycle 1.2: Fichier de microdonnées public. Montréal: QC; 2002. [Google Scholar]
  • 13.Statistique Canada. Enquête sur la santé dans les collectivités canadiennes: Santé mentale et bien-être, cycle 1.2: Guide du fichier maître. Montréal: QC; 2002. [Google Scholar]
  • 14.Kessler R, Andrews G, Mroczek D, Ustun B, Wittchen HU. The World Health Organization Composite International Diagnostic Interview Short-Form (CIDI-SF) Int J Methods Psychiatr Res. 1998;7(4):171–85. doi: 10.1002/mpr.47. [DOI] [Google Scholar]
  • 15.Massé R, Poulin C, Dassa C, Lambert J, Bélair S, Battaglini A. Élaboration et validation d’un outil de mesure du bien-être psychologique: L’ÉMMBEP. Rev can santé publique. 1998;89(5):352–57. doi: 10.1007/BF03404490. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand S-L, et al. Short screening scales to monitor population prevalences and trends in nonspecific psychological distress. Psychol Med. 2002;32:959–76. doi: 10.1017/S0033291702006074. [DOI] [PubMed] [Google Scholar]
  • 17.Sherbourne CD, Stewart AL. The MOS Support Survey (Medical Outcome Study Social Support Survey) Soc Sci Med. 1991;32:705–14. doi: 10.1016/0277-9536(91)90150-B. [DOI] [PubMed] [Google Scholar]
  • 18.Statistique Canada. Enquête sur la santé dans les collectivités canadiennes, cycle 1.2: Spécifications des variables dérivées. Montréal: QC; 2002. [Google Scholar]
  • 19.Schuster T, Kessler R, Aseltine R. Supportive interactions, negative interactions and depressed mood. Am J Community Psychol. 1990;18:423–38. doi: 10.1007/BF00938116. [DOI] [PubMed] [Google Scholar]
  • 20.Manne SL, Taylor KL, Dougherty J, Kemeny N. Supportive and negative responses in the partner relationship: Their association with psychological adjustment among individuals with cancer. J Behav Med. 1997;20(2):101–25. doi: 10.1023/A:1025574626454. [DOI] [PubMed] [Google Scholar]
  • 21.Acitelli L, Antonucci T. Gender differences in the link between marital support and satisfaction in older couples. J Pers Soc Psychol. 1994;67:688–98. doi: 10.1037/0022-3514.67.4.688. [DOI] [PubMed] [Google Scholar]
  • 22.Caron J, Lecomte Y, Stip E, Renaud S. Predictors of quality of life in schizophrenia. Community Ment Health J. 2005;41(4):399–417. doi: 10.1007/s10597-005-5077-8. [DOI] [PubMed] [Google Scholar]
  • 23.Oxman TE, Berkman LF, Kasl S, Freeman DH, Barrett J. Social support and depressive systems in the elderly. Am J Epidemiol. 1992;135(4):356–68. doi: 10.1093/oxfordjournals.aje.a116297. [DOI] [PubMed] [Google Scholar]
  • 24.Antonucci TC, Fuhrer R, Dartigues J. Social relations and depressive symptomatology in a sample of community dwelling French elderly. Psychol Aging. 1997;12:189–95. doi: 10.1037/0882-7974.12.1.189. [DOI] [PubMed] [Google Scholar]
  • 25.King LA, King DW, Foy DW, Keane TM, Fairbank JA. Post-traumatic stress disorder in a national sample of female and male Vietnam veterans: Risk factors, war-zone stressors, and resilience-recovery variables. J Abnorm Psychol. 1999;108:164–70. doi: 10.1037/0021-843X.108.1.164. [DOI] [PubMed] [Google Scholar]
  • 26.Rauktis ME, Koeske GF, Tereshko O. Negative social interactions, distress, and depression among those caring for a seriously and persistently mentally ill relative. Am J Community Psychol. 1995;23(2):279–99. doi: 10.1007/BF02506939. [DOI] [PubMed] [Google Scholar]
  • 27.Bertera EM. Mental health in U.S. adults: The role of positive social support and social negativity in personal relationships. J Soc Pers Relationships. 2005;22(1):33–48. doi: 10.1177/0265407505049320. [DOI] [Google Scholar]
  • 28.Coyne JC, Downey G. Social factors and psychopathology: Stress, social support, and coping processes. Annu Rev Psychol. 1991;42:401–25. doi: 10.1146/annurev.ps.42.020191.002153. [DOI] [PubMed] [Google Scholar]
  • 29.Ingersoll-Dayton B, Morgan D, Antonucci T. The effects of positive and negative social exchanges on aging adults. J Gerontol Soc Sci. 1997;52B:S190–S199. doi: 10.1093/geronb/52B.4.S190. [DOI] [PubMed] [Google Scholar]
  • 30.Rook KS. Parallels in the study of social support and social strain. J Soc Clin Psychol. 1990;9:118–32. doi: 10.1521/jscp.1990.9.1.118. [DOI] [Google Scholar]
  • 31.Helgeson VS. Social support and quality of life. Qual Life Res. 2003;12(Suppl1):25–31. doi: 10.1023/A:1023509117524. [DOI] [PubMed] [Google Scholar]
  • 32.Pelham BW, Blanton H. Conducting Research in Psychology: Measuring the Weight of Smoke. 2nd. Belmont, CA: Thomson Wadsworth; 2003. [Google Scholar]
  • 33.Guay S. Psychologie Québec. 2005. Vivre avec un individu aux prises avec un trouble anxieux; pp. 30–32. [Google Scholar]

Articles from Canadian Journal of Public Health = Revue Canadienne de Santé Publique are provided here courtesy of Springer

RESOURCES