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. 2021 Sep 13;12:717164. doi: 10.3389/fpsyg.2021.717164

Table 1.

Summary of Meta-analyses on social support and health/disease using correlation as effect size measure.

Meta-analysis Published/Unpublished studies Participants + countries-continents Design Social support measures Outcome measures Moderators/Confounders Heterogeneity/Publication bias Effect size measure Summary effect size [95% C.I.]
Smith et al. (1994) 60/7 23,491
5 countries
3 continents
Longitudinal + cross-sectional Quantitative
Qualitative
Functional
Health:
Physical health (+)
Psychological health (+)
Stress (+)
Age, gender
Design
Study quality
No/Yes Correlation 0.15 [0.08 0.22]*
Physical: From 0.005 to 0.22
Psychological: From 0.095 to 0.158
Stress: From 0.092 to 0.182
Wang et al. (2003) 37/145 (42 with clinical variables) Over 4,072
Taiwan
Cross-sectional Combined:
General index of social support
Health/Disease:
Clinical variables:
Health status (+)
Physical symptoms (–)
Psychological symptoms (–)
Depression (–)
NR Yes/No Correlation Health status: 0.25 [0.21 0.29]
Physical symptoms: −0.63 [−0.68 −0.59]
Psychological symptoms: −0.25 [−0.29 −0.21]
Depression: −0.63 [−0.68 −0.58]
Harandi et al. (2017) 51/13 24,002
Iran
Cross-sectional Combined:
General index of social support
Mental health:
General health questionnaire (+)
Gender
Target population
Sampling method
Measure instrument
Yes/Yes Correlation 0.33 [0.283 0.360]
Social support questionnaires: From 0.076 to 0.481
Health questionnaires: From 0.306 to 0.52
Guilaran et al. (2018) 24 23,520
7 countries
4 continents
Longitudinal + cross-sectional Functional: Perceived
Received
Lack of support
Negative support
Structural:
Social integration
Health/Disease:
In disaster responders
Positive psychological outcome (+)
Negative psychological outcome (–)
Age
Gender
Health status
Measures time lag
Type of support
Type of responder
Yes/Yes Correlation 0.19 [NR]
Negative psychological outcome for perceived support: −0.20 [−0.25 −0.14]
Positive psychological outcome for Perceived support: 0.41 [0.33 0.49]
Schiller et al. (2021) 21 2,273
Western countries
Korea
Thailand
India
Longitudinal + cross-sectional Functional:
Perceived
Received
Disease:
Depression in family caregivers of children with Autism Spectrum Disorder (ASD) (–)
Type of support
Source of support (partner, ASD child, siblings, family, friends, professionals)
Yes/Yes Correlation −0.26 [−0.35 −0.18]
Perceived: −0.30 [−0.40 −0.18]
Received: −0.19 [−0.40 0.04] NS
Partner: −0.37 [−0.42 −0.31], ASD child: −0.21 [−0.29 −0.11]
Family: −0.27 [−0.41 −0.11], Profess: −0.18 [−0.32 −0.04]
Zalta et al. (2021) 176 88,595
5 continents
Longitudinal + cross-sectional Functional: Perceived
Enacted
Negative social reactions
Structural: Structural social support
Disease:
PTSD symptom
severity (–)
Age, Gender
Type of support
Type of trauma
Support provider
Various methodological variables
Yes/Yes Correlation Cross-sectional studies: −0.27 [−0.30 −0.24]
Longitudinal studies: −0.25 [−0.28 −0.21]

NR, not reported; PTSD, post-traumatic stress disorder; ASD, autism spectrum disorder;

*

Estimated average [and 95% C.I.] from the weighted effect sizes of the three social support measures.