Cited by 6,643Psychometric Methodologies and TestingHealth Education and ValidationHealth disparities and outcomes

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The MOS social support survey

Sherbourne, Cathy Donald, Stewart, Anita L.·1991·Social Science & Medicine

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Abstract

This paper describes the development and evaluation of a brief, multidimensional, self-administered, social support survey that was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions. This survey was designed to be comprehensive in terms of recent thinking about the various dimensions of social support. In addition, it was designed to be distinct from other related measures. We present a summary of the major conceptual issues considered when choosing items for the social support battery, describe the items, and present findings based on data from 2987 patients (ages 18 and older). Multitrait scaling analyses supported the dimensionality of four functional support scales (emotional/informational, tangible, affectionate, and positive social interaction) and the construction of an overall functional social support index. These support measures are distinct from structural measures of social support and from related health measures. They are reliable (all Alphas greater than 0.91), and are fairly stable over time. Selected construct validity hypotheses were supported.

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“Second, we examined the relationship between the four social isolation/loneliness groups and different types of social support (tangible, emotional, affective, and positive social interactions) [38,39,56], given the importance of social support in people’s mental health [40].”
BackgroundMethod

Authors: Sherbourne, C. D., & Stewart, A. L.
Affiliations: RAND Corporation (US)
University of California, San Francisco (US)
ORCID: Stewart, Anita L.
Venue: Social Science & Medicine
Publisher: Elsevier BV
Published: 1991-01
Volume: 32
Issue: 6
Pages: 705-714
ISSN: 0277-9536 (ISSN-L)
DOI: 10.1016/0277-9536(91)90150-b
OpenAlex: W2110356839
Cited by: 6,643
References: 58
Citations by year: 2026: 261 · 2025: 343 · 2024: 360 · 2023: 388 · 2022: 405 · 2021: 507 · 2020: 390 · 2019: 392 · 2018: 307 · 2017: 301 · 2016: 343 · 2015: 317 · 2014: 299 · 2013: 262 · 2012: 265
FWCI: 11.96
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Social Science & Medicine (publishedVersion)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Topics: Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Health Sciences › Nursing › Research and Theory › Health Education and Validation
Social Sciences › Health › Health disparities and outcomes
Keywords: social support, Medical Outcomes Study, chronic disease, functional social support, emotional support, information support, tangible support, affectionate support, positive social interaction, construct validity, reliability statistics, scale development, self-administered questionnaire
MeSH terms: Adult, Health Status, Humans, Longitudinal Studies, Middle Aged, Outcome and Process Assessment, Health Care, Surveys and Questionnaires, Social Support, Statistics as Topic, Reproducibility of Results

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