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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 2/2013

01.02.2013 | Original Paper

Perceived social support helps, but does not buffer the negative impact of anxiety disorders on quality of life and perceived stress

verfasst von: Georgia Panayiotou, Maria Karekla

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 2/2013

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Abstract

Purpose

Anxiety disorders are prevalent and substantially hinder quality of life, in all domains, including social connections, mental and physical health. Past research on stress indicates that perceived social support improves wellbeing both directly by providing positive experiences and indirectly through buffering the effects of stress. This study examined whether social support moderates the negative impact of anxiety disorders on quality of life.

Method

The study was conducted on a community sample in Cyprus, screened for anxiety disorders. The hypothesized model takes into account potential differences between individuals with and without anxiety in health, tendency to seek support, stressful life events, and depression. Furthermore, differences between different anxiety disorders on these variables were examined.

Results

Results indicate that perceived social support has a positive, direct effect on quality of life and perceived stress for all participants but that it does not appear to moderate the adverse effects of having a disorder on quality of life or stress. The negative effects of anxiety appeared to mostly be carried by comorbid depression.

Conclusions

Social support is important for quality of life. Potential interventions for anxiety disorders should take this into account, as well as the substantially detrimental role of co-morbid depression symptoms on wellbeing outcomes.
Literatur
1.
Zurück zum Zitat Regier DA, Boyd JH, Burke JD, Rae DS, Myers JK, Kramer M, Robins LN, George LK, Karno M, Locke BZ (1988) One-month prevalence of mental disorders in the United States: based on five Epidemiologic Catchment Area sites. Arch Gen Psychiatry 45:977–986PubMedCrossRef Regier DA, Boyd JH, Burke JD, Rae DS, Myers JK, Kramer M, Robins LN, George LK, Karno M, Locke BZ (1988) One-month prevalence of mental disorders in the United States: based on five Epidemiologic Catchment Area sites. Arch Gen Psychiatry 45:977–986PubMedCrossRef
2.
Zurück zum Zitat Wittchen HU, Jacobi F (2005) Size and burden of mental disorders in Europe -a critical review and appraisal of 27 studies. Neuropsychopharmacol 15:357–376CrossRef Wittchen HU, Jacobi F (2005) Size and burden of mental disorders in Europe -a critical review and appraisal of 27 studies. Neuropsychopharmacol 15:357–376CrossRef
3.
Zurück zum Zitat Rapaport MH, Clary C, Fayyad R, Endicott J (2005) Quality of life impairment in depressive and Anxiety disorders. Am J Psychiatry 162:1171–1178PubMedCrossRef Rapaport MH, Clary C, Fayyad R, Endicott J (2005) Quality of life impairment in depressive and Anxiety disorders. Am J Psychiatry 162:1171–1178PubMedCrossRef
4.
Zurück zum Zitat Kashdan TB (2007) Social Anxiety spectrum and diminished positive experience: theoretical synthesis and meta-analysis. Clin Psychol Rev 27:348–365PubMedCrossRef Kashdan TB (2007) Social Anxiety spectrum and diminished positive experience: theoretical synthesis and meta-analysis. Clin Psychol Rev 27:348–365PubMedCrossRef
5.
Zurück zum Zitat Olatunji B, Cisler J, Tolin D (2007) Quality of life in the anxiety disorders: a meta analytic review. Clin Psychol Rev 27:572–581PubMedCrossRef Olatunji B, Cisler J, Tolin D (2007) Quality of life in the anxiety disorders: a meta analytic review. Clin Psychol Rev 27:572–581PubMedCrossRef
6.
Zurück zum Zitat Simon M, Otto W, Korbly B, Peters M, Nicolaou C, Pollack H (2002) Quality of life in social anxiety disorder compared with panic disorder and the general population. Psychiat Serv 53:714–718CrossRef Simon M, Otto W, Korbly B, Peters M, Nicolaou C, Pollack H (2002) Quality of life in social anxiety disorder compared with panic disorder and the general population. Psychiat Serv 53:714–718CrossRef
7.
Zurück zum Zitat Wittchen HU, Zhao S, Kessler RC, Eaton WW (1994) DSM-III-R generalized Anxiety disorder in the National Comorbidity Survey. Arch Gen Psychiatry 51:355–364PubMedCrossRef Wittchen HU, Zhao S, Kessler RC, Eaton WW (1994) DSM-III-R generalized Anxiety disorder in the National Comorbidity Survey. Arch Gen Psychiatry 51:355–364PubMedCrossRef
8.
Zurück zum Zitat Henning E, Turk C, Mennin D, Fresco D, Heimberg R (2007) Impairment and quality of life in individuals with generalized Anxiety disorder. Dep Anxiety 24:342–349CrossRef Henning E, Turk C, Mennin D, Fresco D, Heimberg R (2007) Impairment and quality of life in individuals with generalized Anxiety disorder. Dep Anxiety 24:342–349CrossRef
9.
Zurück zum Zitat Magee WJ, Eaton WW, Wittchen H, McGonalgle KA, Kessler RC (1996) Agoraphobia, simple phobia, and social phobia in National Comorbid Survey. Arch Gen Psychiat 53:159–168PubMedCrossRef Magee WJ, Eaton WW, Wittchen H, McGonalgle KA, Kessler RC (1996) Agoraphobia, simple phobia, and social phobia in National Comorbid Survey. Arch Gen Psychiat 53:159–168PubMedCrossRef
10.
Zurück zum Zitat Manfro GG, Otto MW, McArdle ET, Worthington JJ III, Rosenbaum JF, Pollack MH (1996) Relationship of antecedent stressful life events to childhood and family history of Anxiety and the course of panic disorder. J Affect Disord 41:135–139PubMedCrossRef Manfro GG, Otto MW, McArdle ET, Worthington JJ III, Rosenbaum JF, Pollack MH (1996) Relationship of antecedent stressful life events to childhood and family history of Anxiety and the course of panic disorder. J Affect Disord 41:135–139PubMedCrossRef
11.
Zurück zum Zitat Brown E, Juster HR, Heimberg R, Winning CD (1998) Stressful life events and personality styles: relation to impairment and treatment outcome in patients with social phobia. J Anxiety Disord 12:233–251PubMedCrossRef Brown E, Juster HR, Heimberg R, Winning CD (1998) Stressful life events and personality styles: relation to impairment and treatment outcome in patients with social phobia. J Anxiety Disord 12:233–251PubMedCrossRef
12.
Zurück zum Zitat Wade S, Monroe S, Micelson L (1993) Chronic life stress and treatment outcome in agoraphobia with panic attacks. Am J Psychiat 150:1491–1495PubMed Wade S, Monroe S, Micelson L (1993) Chronic life stress and treatment outcome in agoraphobia with panic attacks. Am J Psychiat 150:1491–1495PubMed
13.
Zurück zum Zitat Goldberg RW, Rollins AL, Lehman AF (2003) Social network correlates among people with Psychiatric disabilities. Psychiat Rehabilit J 26:393–404CrossRef Goldberg RW, Rollins AL, Lehman AF (2003) Social network correlates among people with Psychiatric disabilities. Psychiat Rehabilit J 26:393–404CrossRef
14.
Zurück zum Zitat Unger J, McAvay G, Bruce ML, Berkman L, Seeman T (1999) Variation in the impact of social network characteristics on physical functioning in elderly persons: MacArthur Studies of Successful Aging. J Gerontol Soc Sci 54B:S245–S251CrossRef Unger J, McAvay G, Bruce ML, Berkman L, Seeman T (1999) Variation in the impact of social network characteristics on physical functioning in elderly persons: MacArthur Studies of Successful Aging. J Gerontol Soc Sci 54B:S245–S251CrossRef
15.
Zurück zum Zitat Leavy RL (1983) Social support and psychological disorder: a review. J Community Psychol 11:3–21PubMedCrossRef Leavy RL (1983) Social support and psychological disorder: a review. J Community Psychol 11:3–21PubMedCrossRef
16.
Zurück zum Zitat Handley TE, Inder KJ, Kelly BJ, Attia JR, Lewin TJ, Fitzgerald MN, Kay-Lambkin FJ (2011) You′ve got to have friends: the predictive value of social integration and support in suicidal ideation among rural communities. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-011-0436-y Handley TE, Inder KJ, Kelly BJ, Attia JR, Lewin TJ, Fitzgerald MN, Kay-Lambkin FJ (2011) You′ve got to have friends: the predictive value of social integration and support in suicidal ideation among rural communities. Soc Psychiatry Psychiatr Epidemiol. doi:10.​1007/​s00127-011-0436-y
17.
Zurück zum Zitat Cohen S, Willis TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357PubMedCrossRef Cohen S, Willis TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357PubMedCrossRef
18.
Zurück zum Zitat Stroebe W (2000) Moderators of the stress-health relationship In: Stroebe W (ed) Social psychology and health, Open University Press, Philadelphia, pp 236–273 Stroebe W (2000) Moderators of the stress-health relationship In: Stroebe W (ed) Social psychology and health, Open University Press, Philadelphia, pp 236–273
19.
Zurück zum Zitat Blixen CE, Kippes C (1999) Depression, social support, and quality of life in older adult with osteoarthritis. J Nurs Scholarship 31:221–227CrossRef Blixen CE, Kippes C (1999) Depression, social support, and quality of life in older adult with osteoarthritis. J Nurs Scholarship 31:221–227CrossRef
20.
Zurück zum Zitat Cohen S (1992) Stress, social support and disorder. In: Veiel H, Baumann U (eds) The meaning and measurement of social support. Hemisphere Press, New York Cohen S (1992) Stress, social support and disorder. In: Veiel H, Baumann U (eds) The meaning and measurement of social support. Hemisphere Press, New York
21.
Zurück zum Zitat Helgeson VS (1993) Two important distinctions in social support: kind of support and perceived vs received. J Appl Soc Psychol 23:825–845CrossRef Helgeson VS (1993) Two important distinctions in social support: kind of support and perceived vs received. J Appl Soc Psychol 23:825–845CrossRef
22.
Zurück zum Zitat Davidson JRT, Hughes DL, George LK, Blazer DG (1993) The epidemiology of social phobia: findings from the Duke epidemiological catchment area study. Psychol Med 23:709–718PubMedCrossRef Davidson JRT, Hughes DL, George LK, Blazer DG (1993) The epidemiology of social phobia: findings from the Duke epidemiological catchment area study. Psychol Med 23:709–718PubMedCrossRef
23.
Zurück zum Zitat Stopa L, Clark DM (2000) Social phobia and interpretation of social events. Behav Res Ther 38:273–283PubMedCrossRef Stopa L, Clark DM (2000) Social phobia and interpretation of social events. Behav Res Ther 38:273–283PubMedCrossRef
24.
Zurück zum Zitat Hansson L (2002) Quality of life in depression and Anxiety. Int Rev Psychiat 14:185–189CrossRef Hansson L (2002) Quality of life in depression and Anxiety. Int Rev Psychiat 14:185–189CrossRef
25.
Zurück zum Zitat La Greca AM, Lopez N (1998) Social Anxiety among adolescents: linkages with peer relations and friendships. J Abnorm Child Psych 26:83–94CrossRef La Greca AM, Lopez N (1998) Social Anxiety among adolescents: linkages with peer relations and friendships. J Abnorm Child Psych 26:83–94CrossRef
26.
Zurück zum Zitat Yen CF, Kuo CY, Tsai PT, Ko CH, Yen JY, Tzu-Ting Chen TT (2007) Correlations of quality of life with adverse effects of medication, social support, course of illness, psychopathology, and demographic characteristics in patients with panic disorders. Dep Anxiety 24:563–570CrossRef Yen CF, Kuo CY, Tsai PT, Ko CH, Yen JY, Tzu-Ting Chen TT (2007) Correlations of quality of life with adverse effects of medication, social support, course of illness, psychopathology, and demographic characteristics in patients with panic disorders. Dep Anxiety 24:563–570CrossRef
27.
Zurück zum Zitat Eng W, Heimberg RG (2006) Interpersonal correlates of generalized Anxiety disorder: self vs other perception. J Anxiety Disord 20:380–387PubMedCrossRef Eng W, Heimberg RG (2006) Interpersonal correlates of generalized Anxiety disorder: self vs other perception. J Anxiety Disord 20:380–387PubMedCrossRef
28.
Zurück zum Zitat Katschnig H (1997) How useful is the concept of quality of life in Psychiatry? In: Katschnig H, Freeman H, Sartorius N (eds) Quality of life in mental disorders, Wiley, Chichester Katschnig H (1997) How useful is the concept of quality of life in Psychiatry? In: Katschnig H, Freeman H, Sartorius N (eds) Quality of life in mental disorders, Wiley, Chichester
29.
Zurück zum Zitat Kapsou M, Panayiotou G, Kokkinos CM, Demetriou AG (2010) Dimensionality of coping: an empirical contribution to the construct validation of the Brief-COPE with a Greek-speaking sample. J Health Psychol 15:215–229PubMedCrossRef Kapsou M, Panayiotou G, Kokkinos CM, Demetriou AG (2010) Dimensionality of coping: an empirical contribution to the construct validation of the Brief-COPE with a Greek-speaking sample. J Health Psychol 15:215–229PubMedCrossRef
30.
Zurück zum Zitat Lim L, Jin AZ, Ng TP (2011) Anxiety and depression, chronic physical conditions, and quality of life in an urban population sample study. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-011-0420-6 PubMed Lim L, Jin AZ, Ng TP (2011) Anxiety and depression, chronic physical conditions, and quality of life in an urban population sample study. Soc Psychiatry Psychiatr Epidemiol. doi:10.​1007/​s00127-011-0420-6 PubMed
31.
Zurück zum Zitat Mineka S, Watson D, Clark LA (1998) Comorbidity of Anxiety and unipolar mood disorders. Annu Rev Psychol 49:377–412PubMedCrossRef Mineka S, Watson D, Clark LA (1998) Comorbidity of Anxiety and unipolar mood disorders. Annu Rev Psychol 49:377–412PubMedCrossRef
32.
Zurück zum Zitat Cohen S, Williamson G (1988) Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S (eds) The social psychology of health. Sage, Newbury Park, pp 31–67 Cohen S, Williamson G (1988) Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S (eds) The social psychology of health. Sage, Newbury Park, pp 31–67
33.
Zurück zum Zitat van Eck M, Berkhof H, Nicolson N, Sulon J (1996) The effects of perceived stress, traits, mood states, and stressful daily events on salivary cortisol. Psychosom Med 58:447–458PubMed van Eck M, Berkhof H, Nicolson N, Sulon J (1996) The effects of perceived stress, traits, mood states, and stressful daily events on salivary cortisol. Psychosom Med 58:447–458PubMed
34.
Zurück zum Zitat Zimmerman M, Mattia JI (2001) The Psychiatric Diagnostic Screening Questionnaire: development, reliability and validity. Comp Psychiatry 42:175–189CrossRef Zimmerman M, Mattia JI (2001) The Psychiatric Diagnostic Screening Questionnaire: development, reliability and validity. Comp Psychiatry 42:175–189CrossRef
35.
Zurück zum Zitat Sheeran T, Zimmerman M (2004) Factor structure of the Psychiatric Diagnostic Screening Questionnaire (PDSQ), a screening questionnaire for DSM-IV axis I disorders. J Behav Ther Exp Psychiatry 35:49–55. doi:101016/jjbtep200402002 PubMedCrossRef Sheeran T, Zimmerman M (2004) Factor structure of the Psychiatric Diagnostic Screening Questionnaire (PDSQ), a screening questionnaire for DSM-IV axis I disorders. J Behav Ther Exp Psychiatry 35:49–55. doi:101016/​jjbtep200402002 PubMedCrossRef
36.
Zurück zum Zitat Zimmerman M, Chelminski I (2006) A scale to screen for DSM-IV Axis I disorders in Psychiatric out-patients: performance of the Psychiatric Diagnostic Screening Questionnaire. Psychol Med 36:1601–1611PubMedCrossRef Zimmerman M, Chelminski I (2006) A scale to screen for DSM-IV Axis I disorders in Psychiatric out-patients: performance of the Psychiatric Diagnostic Screening Questionnaire. Psychol Med 36:1601–1611PubMedCrossRef
37.
Zurück zum Zitat Karekla M, Panayiotou G (manuscript in preparation). Psychometric properties of the Greek version of the PDSQ Karekla M, Panayiotou G (manuscript in preparation). Psychometric properties of the Greek version of the PDSQ
38.
Zurück zum Zitat Wolpe L, Lang PJ (1964) A fear survey schedule for use in behaviour therapy. Behav Res Ther 2:27–30PubMedCrossRef Wolpe L, Lang PJ (1964) A fear survey schedule for use in behaviour therapy. Behav Res Ther 2:27–30PubMedCrossRef
39.
Zurück zum Zitat Arrindell WA, Emmelkamp PMG, van der Ende J (1984) Phobic dimensions: I reliability and generalizability across samples, gender, and nations. Adv Behav Res Ther 6:207–254CrossRef Arrindell WA, Emmelkamp PMG, van der Ende J (1984) Phobic dimensions: I reliability and generalizability across samples, gender, and nations. Adv Behav Res Ther 6:207–254CrossRef
40.
Zurück zum Zitat Skevington SM, Lotfy M, O’Connell K, A WHOQOL Group (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res 13:299–310PubMedCrossRef Skevington SM, Lotfy M, O’Connell K, A WHOQOL Group (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res 13:299–310PubMedCrossRef
41.
Zurück zum Zitat Ginieri-Coccossis M, Triantafillou E, Antonopoulou V, Christodoulou GN (2001) Translation and cross-cultural adaptation of WHOQOL-100 in Greece. Psychiat Tod 32:1 Ginieri-Coccossis M, Triantafillou E, Antonopoulou V, Christodoulou GN (2001) Translation and cross-cultural adaptation of WHOQOL-100 in Greece. Psychiat Tod 32:1
42.
Zurück zum Zitat Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24:385–396PubMedCrossRef Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24:385–396PubMedCrossRef
43.
Zurück zum Zitat Cole S (1999) Assessment of differential item functioning in the Perceived Stress Scale-10. J Epidemiol Commun H 53:319–320CrossRef Cole S (1999) Assessment of differential item functioning in the Perceived Stress Scale-10. J Epidemiol Commun H 53:319–320CrossRef
44.
Zurück zum Zitat Sarason IG, Sarason BR, Sheerin EN, Pierce RG (1987) A brief measure of social support: practical and theoretical implications. J Soc Pers Relat 4:497–510CrossRef Sarason IG, Sarason BR, Sheerin EN, Pierce RG (1987) A brief measure of social support: practical and theoretical implications. J Soc Pers Relat 4:497–510CrossRef
45.
Zurück zum Zitat Panayiotou G, Karekla M (manuscript in preparation) Adaptations of measures to assess social support and aspects of daily well-being Panayiotou G, Karekla M (manuscript in preparation) Adaptations of measures to assess social support and aspects of daily well-being
46.
Zurück zum Zitat Dohrenwend BS, Krasnoff L, Askenasy AR, Dohrenwend BP (1978) Exemplification of a method for scaling life events: the Peri Life Events Scale. J Health Soc Behav 19:205–229PubMedCrossRef Dohrenwend BS, Krasnoff L, Askenasy AR, Dohrenwend BP (1978) Exemplification of a method for scaling life events: the Peri Life Events Scale. J Health Soc Behav 19:205–229PubMedCrossRef
47.
Zurück zum Zitat Carver CS (1997) You want to measure coping but your protocol’s too long: consider the Brief COPE. Int J Behav Med 4(1):92–100PubMedCrossRef Carver CS (1997) You want to measure coping but your protocol’s too long: consider the Brief COPE. Int J Behav Med 4(1):92–100PubMedCrossRef
48.
Zurück zum Zitat Ramsawh HJ, Weisberg RB, Dyck I, Stout R, Keller MB (2011) Age of onset, clinical characteristics, and 15-year course of Anxiety disorders in a prospective, longitudinal, observational study. J Affect Disord 132:260–264PubMedCrossRef Ramsawh HJ, Weisberg RB, Dyck I, Stout R, Keller MB (2011) Age of onset, clinical characteristics, and 15-year course of Anxiety disorders in a prospective, longitudinal, observational study. J Affect Disord 132:260–264PubMedCrossRef
49.
Zurück zum Zitat Wittchen HU, Zhao S, Kessler RC, Eaton WW (1994) DSM-III-R generalized Anxiety disorder in the National Comorbidity Survey. Arch Gen Psychiat 51:35564CrossRef Wittchen HU, Zhao S, Kessler RC, Eaton WW (1994) DSM-III-R generalized Anxiety disorder in the National Comorbidity Survey. Arch Gen Psychiat 51:35564CrossRef
50.
Zurück zum Zitat Lang P, McTeague LM (2009) The Anxiety disorder spectrum: fear imagery, physiological reactivity, and differential diagnosis Anxiety Stress. Copin 22:5–25 Lang P, McTeague LM (2009) The Anxiety disorder spectrum: fear imagery, physiological reactivity, and differential diagnosis Anxiety Stress. Copin 22:5–25
Metadaten
Titel
Perceived social support helps, but does not buffer the negative impact of anxiety disorders on quality of life and perceived stress
verfasst von
Georgia Panayiotou
Maria Karekla
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 2/2013
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0533-6

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