Cited by 732Health and Well-being StudiesHealth disparities and outcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Social Support and the Outcome of Major Depression

George, Linda K., Blazer, Dan G., Hughes, Dana C., Fowler, Nancy·1989·British Journal of Psychiatry

Abstract

One hundred and fifty middle-aged and elderly adults with a diagnosis of major depression were assessed initially as inpatients, and were reinterviewed 6–32 months later. Both size of social network and subjective social support were significant predictors of depressive symptoms at follow-up, with baseline depression scores and other predictors of outcome status statistically controlled. Subjective social support was most strongly associated with major depression; this effect was significantly stronger for middle-aged than older adults, and for men than women. Differences in the effects of marital status, size of social network, and subjective social support also suggest the importance of distinguishing between involvement in and quality of interpersonal relationships.

Integrity signals

Registry

Crossref · 10.1192/bjp.154.4.478

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21 of 21 references verified0 citation errors · 0 not checkable

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  • Social activity is highly related to a subject's mental state and the risk of developing depression.

    “It is highly related to a subject’s mental state and the risk of developing depression [19,20].”
  • The study's results are consistent with previous studies indicating that people with substantial social connection tend to have better psychological wellbeing.

    “Our results are consistent with previous studies that indicate that people who have substantial social connection tend to have better psychological wellbeing [30].”
  • Having access to caring and compassionate relationships buffers against the impact of negative life events on depression, and improves recovery trajectories, post-treatment functioning and relapse prevention.

    “Having access to caring and compassionate relationships buffers against the impact of negative life events on depression, and improves recovery trajectories, post-treatment functioning and relapse prevention (e.g., [8, 34]).”

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Authors
George, L. K., Blazer, D. G., Hughes, D. C., & Fowler, N.
Affiliations
  • Duke University (US)
  • Duke Medical Center (US)
Corresponding author
George, Linda K.
Venue
British Journal of Psychiatry
Published
1989-04
Volume
154
Issue
4
Pages
478-485
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
OpenAlex
W2039408383
Cited by
732
References
20
Citations by year
2026: 6 · 2025: 9 · 2024: 11 · 2023: 22 · 2022: 16 · 2021: 23 · 2020: 25 · 2019: 26 · 2018: 27 · 2017: 19 · 2016: 24 · 2015: 24 · 2014: 30 · 2013: 33 · 2012: 29
FWCI
18.74
Type
journal article
Language
en
Open access
closed
Locations
  • The British Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (P50MH040159)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
major depressive disorder, social support, subjective support, social network size, depression outcomes, middle-aged adults, older adults, marital status, gender differences, interpersonal relationships, depressive symptoms
MeSH terms
Adult, Aged, Depressive Disorder, Female, Humans, Interpersonal Relations, Life Change Events, Male, Marriage, Middle Aged, Prognosis, Social Environment, Social Support

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