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The Role of Social Relations in Health Promotion
Abstract
In considering new paradigms for the prevention and treatment of disease and disability, we need to incorporate ways to promote social support and develop family and community strengths and abilities into our interventions. There is now a substantial body of evidence that indicates that the extent to which social relationships are strong and supportive is related to the health of individuals who live within such social contexts. A review of population-based research on mortality risk over the last 20 years indicates that people who are isolated are at increased mortality risk from a number of causes. More recent studies indicate that social support is particularly related to survival postmyocardial infarction. The pathways that lead from such socioenvironmental exposures to poor health outcomes are likely to be multiple and include behavioral mechanisms and more direct physiologic pathways related to neuroendocrine or immunologic function. For social support to be health promoting, it must provide both a sense of belonging and intimacy and must help people to be more competent and self-efficacious. Acknowledging that health promotion rests on the shoulders not only of individuals but also of their families and communities means that we must commit resources over the next decade to designing, testing, and implementing interventions in this area.
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“However, less strenuous leisure activities, such as attending classes or volunteering, also have been associated with better functioning (Berkman et al., 1995;Herzog, Franks, Markus, & Holmberg, 1998) and survival (Glass, Mendes de Leon, Marottoli, & Berkman, 1999) among older adults.”
From Relationship of activity and social support to the functional health of older adults (2000) · cites this paper as Berkman et al., 1995
Citations
Cites
Social support as a moderator of life stress
Cobb, S. (1976) · Psychosomatic Medicine · doi:10.1097/00006842-197609000-00003 · Cited by 6,936
BERKMAN, L. F., & SYME, S. L. (1979) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112674 · Cited by 5,341
Self-citationCan lifestyle changes reverse coronary heart disease?
Ornish, D., Brown, S. E., Billings, J. H., Scherwitz, L. W., Armstrong, W. T., Ports, T. A., McLanahan, S. M., Kirkeeide, R. L., Gould, K. L., & Brand, R. J. (1990) · The Lancet · doi:10.1016/0140-6736(90)91656-u · Cited by 2,110
Cassel, J. C. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117515 · Cited by 1,948
THE CONTRIBUTION OF THE SOCIAL ENVIRONMENT TO HOST RESISTANCE1
CASSEL, J. (1976) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112281 · Cited by 1,816
HOUSE, J. S., ROBBINS, C., & METZNER, H. L. (1982) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113387 · Cited by 1,381 · cited 2×
“" Between 1979 with the Alameda County Study and 1994, there have been eight community-based prospective studies that reveal an association between what we have now come to call "social integration" and mortality rates, usually death from all causes (6-13).”
BackgroundPsychosocial models of the role of social support in the etiology of physical disease.
Cohen, S. (1988) · Health Psychology · doi:10.1037/0278-6133.7.3.269 · Cited by 1,273
Effect of Neonatal Handling on Age-Related Impairments Associated with the Hippocampus
Meaney, M. J., Aitken, D. H., van Berkel, C., Bhatnagar, S., & Sapolsky, R. M. (1988) · Science · doi:10.1126/science.3340858 · Cited by 1,074
SOCIAL SUPPORT AND MORTALITY IN AN ELDERLY COMMUNITY POPULATION1
Blazer, D. G. (1982) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113351 · Cited by 1,019
Psychosocial Influences on Mortality after Myocardial Infarction
Ruberman, W., Weinblatt, E., Goldberg, J. D., & Chaudhary, B. S. (1984) · New England Journal of Medicine · doi:10.1056/nejm198408303110902 · Cited by 979
Krantz, D. S., & Manuck, S. B. (1984) · Psychological Bulletin · doi:10.1037/0033-2909.96.3.435 · Cited by 949
DEPRESSED LYMPHOCYTE FUNCTION AFTER BEREAVEMENT
Bartrop, R. W., Lazarus, L., Luckhurst, E., Kiloh, L. G., & Penny, R. (1977) · The Lancet · doi:10.1016/s0140-6736(77)92780-5 · Cited by 931
Lorig, K. R., Mazonson, P. D., & Holman, H. R. (1993) · Arthritis & Rheumatism · doi:10.1002/art.1780360403 · Cited by 871
Group Support for Patients With Metastatic Cancer: A Randomized Prospective Outcome Study
Spiegel, D. (1981) · Archives of General Psychiatry · doi:10.1001/archpsyc.1980.01780300039004 · Cited by 862
Emotional Support and Survival after Myocardial Infarction
Berkman, L. F., Leo-Summers, L. S., & Horwitz, R. I. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-12-1003 · Cited by 842
Self-citationPsychosocial Modifiers of Immunocompetence in Medical Students
Kiecolt-Glaser, J. K., Garner, W., Speicher, C., Penn, G. M., Holliday, J., & Glaser, R. (1984) · Psychosomatic Medicine · doi:10.1097/00006842-198401000-00003 · Cited by 782
Marital quality, marital disruption, and immune function.
Kiecolt‐Glaser, J. K., Fisher, L. D., Ogrocki, P. K., Stout, J. C., Speicher, C. E., & Glaser, R. (1987) · Psychosomatic Medicine · doi:10.1097/00006842-198701000-00002 · Cited by 660
Suppression of Lymphocyte Stimulation Following Bereavement
Schleifer, S. J. (1983) · JAMA · doi:10.1001/jama.1983.03340030034024 · Cited by 642
Williams, R. B. (1992) · JAMA · doi:10.1001/jama.1992.03480040068032 · Cited by 568
Friedman, M., Thoresen, C. E., Gill, J. J., Ulmer, D. K., Powell, L. H., Price, V. A., Brown, B. W., Thompson, L., Rabin, D. D., Breall, W. S., et al. (1986) · American Heart Journal · doi:10.1016/0002-8703(86)90458-8 · Cited by 516
SOCIAL TIES AND MORTALITY IN EVANS COUNTY, GEORGIA
SCHOENBACH, V. J., KAPLAN, B. H., FREDMAN, L., & KLEINBAUM, D. G. (1986) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114278 · Cited by 503 · cited 2×
“" Between 1979 with the Alameda County Study and 1994, there have been eight community-based prospective studies that reveal an association between what we have now come to call "social integration" and mortality rates, usually death from all causes (6-13).”
BackgroundA Structured Psychiatric Intervention for Cancer Patients
Fawzy, F. I. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810200037005 · Cited by 502
Stress, loneliness, and changes in herpesvirus latency
Glaser, R., Kiecolt-Glaser, J. K., Speicher, C. E., & Holliday, J. E. (1985) · Journal of Behavioral Medicine · doi:10.1007/bf00870312 · Cited by 500
Self-Management of Chronic Disease by Older Adults
Clark, N. M., Becker, M. H., Janz, N. K., Lorig, K. R., Rakowski, W., & Anderson, L. A. (1991) · Journal of Aging and Health · doi:10.1177/089826439100300101 · Cited by 498
Chronic stress and immunity in family caregivers of Alzheimerʼs disease victims.
Kiecolt‐Glaser, J. K., Glaser, R., Shuttleworth, E. C., Dyer, C. S., Ogrocki, P. K., & Speicher, C. E. (1987) · Psychosomatic Medicine · doi:10.1097/00006842-198709000-00008 · Cited by 484
Living alone after myocardial infarction. Impact on prognosis
Case, R. B. (1992) · JAMA · doi:10.1001/jama.267.4.515 · Cited by 477
Social support and smoking cessation and maintenance.
Mermelstein, R. J., Cohen, S., Lichtenstein, E., Baer, J. S., & Kamarck, T. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.54.4.447 · Cited by 412
KAPLAN, G. A., SALONEN, J. T., COHEN, R. D., BRAND, R. J., LEONARD SYME, S., & PUSKA, P. (1988) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114977 · Cited by 401
Social support reduces cardiovascular reactivity to psychological challenge: a laboratory model.
Kamarck, T. W., Manuck, S. B., & Jennings, J. R. (1990) · Psychosomatic Medicine · doi:10.1097/00006842-199001000-00004 · Cited by 400
Lack of social support and incidence of coronary heart disease in middle-aged Swedish men.
Orth‐Gomér, K., Rosengren, A., & Wilhelmsen, L. (1993) · Psychosomatic Medicine · doi:10.1097/00006842-199301000-00007 · Cited by 386
Social network interaction and mortality
Orth‐Gomér, K., & Johnson, J. V. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90145-7 · Cited by 355
Impact of social support on outcome in first stroke.
Glass, T. A., Matchar, D. B., Belyea, M. J., & Feussner, J. R. (1993) · Stroke · doi:10.1161/01.str.24.1.64 · Cited by 344
Aging and Hypothalamic-Pituitary-Adrenal Response to Challenge in Humans*
Seeman, T. E., & Robbins, R. J. (1994) · Endocrine Reviews · doi:10.1210/edrv-15-2-233 · Cited by 335
Social status, environment, and atherosclerosis in cynomolgus monkeys.
Kaplan, J. R., Manuck, S. B., Clarkson, T. B., Lusso, F. M., & Taub, D. M. (1982) · Arteriosclerosis: An Official Journal of the American Heart Association, Inc. · doi:10.1161/01.atv.2.5.359 · Cited by 320
PROSPECTIVE STUDY OF SOCIAL INFLUENCES ON MORTALITY
Welin, L., Svärdsudd, K., Ander, S., Tibblin, G., Tibblin, B., Larsson, B., & Wilhelmsen, L. (1985) · The Lancet · doi:10.1016/s0140-6736(85)91684-8 · Cited by 284
Seeman, T. E., & Syme, S. L. (1987) · Psychosomatic Medicine · doi:10.1097/00006842-198707000-00003 · Cited by 280
Brindley, D. N., & Rolland, Y. (1989) · Clinical Science · doi:10.1042/cs0770453 · Cited by 269
Endocrine aspects of social instability in the olive baboon (Papio anubis)
Sapolsky, R. M. (1983) · American Journal of Primatology · doi:10.1002/ajp.1350050406 · Cited by 240
Intercommunity variations in the association between social ties and mortality in the elderly
Seeman, T. E., Berkman, L. F., Kohout, F. J., LaCroix, A. Z., Glynn, R. J., & Blazer, D. G. (1993) · Annals of Epidemiology · doi:10.1016/1047-2797(93)90058-c · Cited by 223
Self-citationSocial support and immune function among spouses of cancer patients.
Baron, R. S., Cutrona, C. E., Hicklin, D. J., Russell, D. W., & al, E. (1990) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.59.2.344 · Cited by 219
Social Ties and Support and Neuroendocrine Function: the MacArthur Studies of Successful Aging
Seeman, T. E., Berkman, L. F., Blazer, D. G., & Rowe, J. W. (1994) · Annals of Behavioral Medicine · doi:10.1093/abm/16.2.95 · Cited by 210
Self-citationLisa, F. (1983) · Medical Entomology and Zoology · Cited by 199
Family intervention after stroke: does counseling or education help?
Evans, R. L., Matlock, A. L., Bishop, D. S., Stranahan, S. D., & Pederson, C. (1988) · Stroke · doi:10.1161/01.str.19.10.1243 · Cited by 187
Foster, J. B., NEWELL, D. J., Miller, H., & Kinlen, L. J. (1961) · The Lancet · doi:10.1016/s0140-6736(61)91773-1 · Cited by 179
Putting the Illness in Its Place: Discussion Groups for Families with Chronic Medical Illnesses
GONZALEZ, S., Steinglass, P., & Reiss, D. (1989) · Family Process · doi:10.1111/j.1545-5300.1989.00069.x · Cited by 177
Bidirectional interaction between the central nervous system and the immune system
Rabin, B. S., Cohen, S., Ganguli, R., Lysle, D. T., & Cunnick, J. E. (2018) · PubMed · doi:10.1184/r1/6613715 · Cited by 171
Thomas, P. D., Goodwin, J. M., & Goodwin, J. S. (1985) · American Journal of Psychiatry · doi:10.1176/ajp.142.6.735 · Cited by 162
Moritz, D. J., Kasl, S. V., & Berkman, L. F. (1989) · Journal of Gerontology · doi:10.1093/geronj/44.1.s17 · Cited by 160
Self-citationSocial support and immune function among spouses of cancer patients.
Baron, R. S., Cutrona, C. E., Hicklin, D. J., et al. (1990) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.59.2.344 · Cited by 158
Effect of Social Networks on Cancer-Screening Behavior of Older Mexican-American Women
Suarez, L., Lloyd, L. S., Weiss, N. S., Rainbolt, T., & Pulley, L. V. (1994) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/86.10.775 · Cited by 156
Long-term follow-up of the Ischemic Heart Disease Life Stress Monitoring Program.
Frasure‐Smith, N., & Prince, R. (1989) · Psychosomatic Medicine · doi:10.1097/00006842-198909000-00002 · Cited by 148
Multidimensional reaction to therapeutic touch in a hospital setting.
Whitcher, S. J., & Fisher, J. D. (1979) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.37.1.87 · Cited by 135
Multidimensional reaction to therapeutic touch in a hospital setting.
Whitcher, S. J., & Fisher, J. D. (1979) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.37.1.87 · Cited by 134
Social Isolation and Mortality in Ischemic Heart Disease
Orth‐Gomér, K., Undén, A., & EDWARDS, M. (1988) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1988.tb19363.x · Cited by 119
Social Support and Cancer Screening Among Older Black Americans
Kang, S. H., & Bloom, J. R. (1993) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/85.9.737 · Cited by 113
Social influences on conditioned cortisol secretion in the squirrel monkey
Stanton, M. E., Patterson, J. M., & Levine, S. (1985) · Psychoneuroendocrinology · doi:10.1016/0306-4530(85)90050-2 · Cited by 107
Psychosocial Predictors of Stroke Outcomes in an Elderly Population
Colantonio, A., Kasl, S. V., Ostfeld, A. M., & Berkman, L. F. (1993) · Journal of Gerontology · doi:10.1093/geronj/48.5.s261 · Cited by 106
Self-citationWilson, W., & Pratt, C. C. (1987) · American Journal of Public Health · doi:10.2105/ajph.77.5.634 · Cited by 103
Chronic Social Stress, Affiliation, and Cellular Immune Response in Nonhuman Primates
Cohen, S., Kaplan, J. R., Cunnick, J. E., Manuck, S. B., & Rabin, B. S. (1992) · Psychological Science · doi:10.1111/j.1467-9280.1992.tb00677.x · Cited by 99
Social deprivation and coronary artery atherosclerosis in female cynomolgus monkeys
Shively, C. A., Clarkson, T. B., & Kaplan, J. R. (1989) · Atherosclerosis · doi:10.1016/0021-9150(89)90011-7 · Cited by 98
Arthritis Self-Management: A Study of the Effectiveness of Patient Education for the Elderly
Long, K., Laurin, J., & Holman, H. R. (1984) · The Gerontologist · doi:10.1093/geront/24.5.455 · Cited by 80
Prestroke family interaction as a predictor of stroke outcome.
Evans, R. L., Bishop, D. S., Matlock, A. L., Stranahan, S. D., Halar, E. M., & Noonan, W. C. (1987) · PubMed · Cited by 71
How Much Control of Tuberculosis?
Frost, W. H. (1937) · American Journal of Public Health and the Nations Health · doi:10.2105/ajph.27.8.759 · Cited by 67
Medical Condition, Adherence to Treatment Regimens, and Family Functioning
Steidl, J. H. (1980) · Archives of General Psychiatry · doi:10.1001/archpsyc.1980.01780220063006 · Cited by 65
Physiological and Subjective Reactions to Being Touched
Drescher, V. M., Whitehead, W. E., Morrill‐Corbin, E., & Cataldo, M. F. (1985) · Psychophysiology · doi:10.1111/j.1469-8986.1985.tb01565.x · Cited by 57
Patterns in preventive behavior: A study of women in middle age
Calnan, M. (1985) · Social Science & Medicine · doi:10.1016/0277-9536(85)90240-0 · Cited by 55
Kaplan, J. R., Heise, E. R., Manuck, S. B., Shively, C. A., Cohen, S., Rabin, B. S., & Kasprowicz, A. L. (1991) · American Journal of Primatology · doi:10.1002/ajp.1350250303 · Cited by 50
Social Stress and Coronary Heart Disease in Japan: A Hypothesis
Matsumoto, Y. S. (1970) · The Milbank Memorial Fund Quarterly · doi:10.2307/3349286 · Cited by 48
Social support, stress, and the immune system.
Kennedy, S., Kiecolt‐Glaser, J. K., & Glaser, R. (1990) · Cited by 45
Human Contact and Cardiac Arrhythmia in a Coronary Care Unit
Lynch, J. J., Thomas, S. A., Paskewitz, D. A., Katcher, A. H., & Weir, L. O. (1977) · Psychosomatic Medicine · doi:10.1097/00006842-197705000-00004 · Cited by 39
Social Support and Physical Recovery in a Stroke Population
McLeroy, K. R., DeVellis, R. F., DeVellis, B. M., Kaplan, B., & Toole, J. F. (1984) · Journal of Social and Personal Relationships · doi:10.1177/0265407584014001 · Cited by 38
Development of Self-Management Education for Elderly Heart Patients
Clark, N. M., Rakowski, W., Wheeler, J. R. C., Ostrander, L. D., Oden, S. L., & Keteyian, S. J. (1988) · The Gerontologist · doi:10.1093/geront/28.4.491 · Cited by 25
Research works printed but not linked: 6
- Case, 1992, JAMA, 267, 515, 10.1001/jama.1992.03480040063031 · DOI
- Evans, 1987, Arch Phys Rehab Med, 68, 508
- Kaplan De-NDe-Nour, 1980, Int J Fam Psychiatry, 1, 61
- Rabin, 1989, Crit Rev Immunol, 9, 279
- Seeman, 1994, Endocr Rev, 15, 233
- Clarkson, 1987, Circulation, 76, I29
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Metadata
- Authors
- Berkman, L. F.
- Affiliations
- Yale University (US)
- Corresponding author
- Berkman, Lisa F.
- ORCID
- Berkman, Lisa F.
- Venue
- Psychosomatic Medicine
- Published
- 1995
- Volume
- 57
- Issue
- 3
- Pages
- 245-254
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2066047381
- Cited by
- 1,233
- References
- 71
- Citations by year
- 2026: 18 · 2025: 23 · 2024: 21 · 2023: 36 · 2022: 47 · 2021: 38 · 2020: 26 · 2019: 48 · 2018: 44 · 2017: 37 · 2016: 51 · 2015: 50 · 2014: 59 · 2013: 64 · 2012: 59
- FWCI
- 6.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (7r01ag011042-03)
- National Institute on Aging (1P60 AG10469-01A1, R01 AG11042-01A1, P60AG010469)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Community Health and Development
- Keywords
- social support, interpersonal relationships, health promotion, social isolation, mortality risk, sense of belonging, self-efficacy, neuroendocrine pathways, behavioral mechanisms, disease prevention
- MeSH terms
- Disease Susceptibility, Health Promotion, Humans, Internal-External Control, Interpersonal Relations, Psychophysiologic Disorders, Risk Factors, Self Concept, Social Support, Health Behavior, Survival Rate
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