Skip to main content

Advertisement

Log in

Examination of Gender Differences in the Influence of Social Support on Psychological Distress in Canadian Adults with Bipolar Disorder

  • Original Paper
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

The objectives of this study were to determine whether gender differences exist in how social support, and different types of support, impact psychological distress among Canadian adults with bipolar I and bipolar II disorder (BD), to examine whether females and males with BD differ in their perceived levels of support and distress compared to females and males without BD, and to investigate whether females and males with BD perceive different levels of support and distress. Using a cross-sectional, national datafile, 281 females and 282 males (20–64 years) who reported being diagnosed with BD were investigated using the Social Provisions Scale (SPS) and the Kessler Psychological Distress Scale (K10). It was found that females and males with BD had significantly lower SPS scores and significantly higher K10 scores than females and males without BD, females with BD perceive significantly higher overall support, as well as higher attachment and guidance compared to males with BD, and support in the form of social integration and was associated with decreased psychological distress for both males and females with BD. Furthermore, reassurance of worth was an additional predictor of decreased distress for males, while guidance was an additional predictor of decreased distress for females. Despite the limitations, which include self-reported diagnosis of BD and potential exclusion of those who are not diagnosed but have BD, these findings suggest that different types of social support may serve as protective factors for psychological distress among females and males with BD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Caron J, Liu A. Factors associated with psychological distress in the Canadian population: a comparison of low-income and non low-income sub-groups. Commun Ment Health J. 2011;47(3):318–30.

    Article  Google Scholar 

  2. Kessler R, Andrews G, Colpe L, Hiripi E, Mroczek D, Normand S, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.

    Article  CAS  PubMed  Google Scholar 

  3. Lee A, Simeon D, Cohen L, Samuel J, Steele A, Galynker I. Predictors of patient and caregiver distress in an adult sample with bipolar disorder seeking family treatment. J Nerv Ment Dis. 2011;199(1):18–24. https://doi.org/10.1097/NMD.0b013e3182043b73.

    Article  PubMed  Google Scholar 

  4. Oakley Browne M, Wells J, Scott K, McGee M. The Kessler psychological distress scale in Te Rau Hinengaro: the New Zealand mental health survey. Aust N Z J Psychiatry. 2010;44(4):314–22.

    Article  PubMed  Google Scholar 

  5. Veseth M, Binder P-E, Borg M, Davidson L. Toward caring for oneself in a life of intense ups and downs: a reflexive-collaborative exploration of recovery in bipolar disorder. Qual Health Res. 2012;22(1):119–33. https://doi.org/10.1177/1049732311411487.

  6. Cohen AN, Hammen C, Henry RM, Daley SE. Effects of stress and social support on recurrence in bipolar disorder. J Affect Disord. 2004;82(1):143–7. https://doi.org/10.1016/j.jad.2003.10.008.

    Article  PubMed  Google Scholar 

  7. Johnson SL, Winett CA, Meyer B, Greenhouse WJ, Miller I. Social support and the course of bipolar disorder. J Abnorm Psychol. 1999;108(4):558–66. https://doi.org/10.1037/0021-843X.108.4.558.

    Article  CAS  PubMed  Google Scholar 

  8. Romans M. The social networks of bipolar affective disorder patients. J Affect Disord. 1992;25(4):221–8.

    Article  CAS  PubMed  Google Scholar 

  9. Sierra P, Livianos L, Rojo L. Quality of life for patients with bipolar disorder: relationship with clinical and demographic variables. Bipolar Disord. 2005;7(2):159–65.

    Article  PubMed  Google Scholar 

  10. Stefos G, Bauwens F, Staner L, Pardoen D, Mendlewicz J. Psychosocial predictors of major affective recurrences in bipolar disorder: a 4-year longitudinal study of patients on prophylactic treatment. Acta Psychiatr Scand. 1996;93(6):420–6.

    Article  CAS  PubMed  Google Scholar 

  11. Warren C, Fowler D, Speed K, Walsh D. The influence of social support on psychological distress in Canadian adults with bipolar disorder. Soc Psychiatry Psychiatr Epidemiol. 2018;53(8):815–21.

    Article  PubMed  Google Scholar 

  12. Diflorio A, Jones I. Is sex important? Gender differences in bipolar disorder. Int Rev Psychiatry. 2010;22(5):437–52.

    Article  PubMed  Google Scholar 

  13. Arnold L. Gender differences in bipolar disorder. Psychiatr Clin N Am. 2003;26(3):595–620.

    Article  Google Scholar 

  14. Kawa I, Carter J, Joyce P, Doughty C, Frampton C, Elisabeth Wells J, et al. Gender differences in bipolar disorder: age of onset, course, comorbidity, and symptom presentation. Bipolar Disord. 2005;7(2):119–25.

    Article  PubMed  Google Scholar 

  15. Fowler K, Wareham-Fowler S, Barnes C. Social context and depression severity and duration in Canadian men and women: exploring the influence of social support and sense of community belongingness. J Appl Soc Psychol. 2013;43(S1):E85–96.

    Article  Google Scholar 

  16. Kendler K, Myers J, Prescott C. Sex differences in the relationship between social support and risk for major depression: a longitudinal study of opposite-sex twin pairs. Am J Psychiatry. 2005;162(2):250–6.

    Article  PubMed  Google Scholar 

  17. Feng D, Ji L, Xu L. The influence of social support, lifestyle and functional disability on psychological distress in rural C hina: structural equation modelling. Aust J Rural Health. 2013;21(1):13–9.

    Article  PubMed  Google Scholar 

  18. Zhang M, Zhang J, Zhang F, Zhang L, Feng D. Prevalence of psychological distress and the effects of resilience and perceived social support among Chinese college students: does gender make a difference? Psychiatry Res. 2018;267:409–13.

    Article  PubMed  Google Scholar 

  19. Fowler K, Wareham S, Pike A. Determinants of depression severity and duration in Canadian adults: the moderating effects of gender and social support. J Appl Soc Psychol. 2007;37(12):2951–79. https://doi.org/10.1111/j.1559-1816.2007.00289.

    Article  Google Scholar 

  20. Suto M, Livingston JD, Hole R, Lapsley S, Hinshaw SP, Hale SP, et al. Stigma shrinks my bubble: a qualitative study of understandings and experiences of stigma and bipolar disorder. Sigma Res Action. 2012;2(2):85–92.

    Google Scholar 

  21. Statistics Canada. Canadian community health survey (CCHS)–mental health. Ottawa: Statistics Canada; 2013.

    Google Scholar 

  22. Watson A, Corrigan P, Larson J, Sells M. Self-stigma in people with mental illness. Schizophr Bull. 2007;33(6):1312–8.

    Article  PubMed  PubMed Central  Google Scholar 

  23. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington: American Psychiatric Association; 1994.

    Google Scholar 

  24. World Health Organization (1992) # World Health Organization, Geneva.

    Google Scholar 

  25. McDonald K, Bulloch A, Duffy A, Bresee L, Williams J, Lavorato D, et al. Prevalence of bipolar I and II disorder in Canada. Can J Psychiatr. 2015;60(3):151–6.

    Article  Google Scholar 

  26. Gruber J, Culver J, Johnson S, Nam J, Keller K, Ketter T. Do positive emotions predict symptomatic change in bipolar disorder? Bipolar Disord. 2009;11(3):330–6.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Kessler R, Barker P, Colpe L, Epstein J, Gfroerer J, Hiripi E, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60(2):184–9.

    Article  PubMed  Google Scholar 

  28. Weiss RS. The provisions of social relationships. In: Rubin Z, editor. Doing unto others. Englewood Cliffs: Prentice Hall; 1974. p. 17–26.

    Google Scholar 

  29. Belle D. Gender differences in the social moderators of stress. In: Monat A, Lazarus RS, editors. Stress and coping: An anthology. New York: Columbia University press. (reprinted from "gender and stress" by Rosalind Barnett, Lois Biener, and grace Baruch; 1991. p. 258–74. 1987, free press).

    Chapter  Google Scholar 

  30. Tam C, Foo Y, Lee T. The association between perceived social support, socio-economic status and mental health in young Malaysian adults. East Asian Arch Psychiatr. 2011;21(2):73–8.

    CAS  Google Scholar 

  31. Van Droogenbroeck F, Spruyt B, Keppens G. Gender differences in mental health problems among adolescents and the role of social support: results from the Belgian health interview surveys 2008 and 2013. BMC Psychiatry. 2018;18(1):6.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Bang, E. J. (2009). The effects of gender, academic concerns, and social support on stress for international students (doctoral dissertation, University of Missouri--Columbia).

    Google Scholar 

  33. Lee RM, Robbins SB. Understanding social connectedness in college women and men. J Couns Dev. 2000;78(4):484–91.

    Article  Google Scholar 

  34. Fuhrer, & Stansfeld. How gender affects patterns of social relations and their impact on health: a comparison of one or multiple sources of support from "close persons". Soc Sci Med. 2002;54(5):811–25.

    Article  PubMed  Google Scholar 

  35. Liebler, & Sandefur. Gender differences in the exchange of social support with friends, neighbors, and co-workers at midlife. Soc Sci Res. 2002;31(3):364–91.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ken Fowler.

Ethics declarations

Disclosure of Interest

We attest that this manuscript has not been submitted elsewhere for consideration, nor is there a conflict of interest in the conduct or reporting of this research, and given data are from the Canadian Community Health Survey (CCHS) – Mental Health Cycle (2012), a public use micro file, ethics approval was not applicable for this research.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Warren, C.D., Fowler, K. Examination of Gender Differences in the Influence of Social Support on Psychological Distress in Canadian Adults with Bipolar Disorder. Psychiatr Q 92, 1187–1199 (2021). https://doi.org/10.1007/s11126-021-09898-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-021-09898-8

Keywords

Navigation