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.
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References
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.
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.
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.
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.
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.
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.
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.
Romans M. The social networks of bipolar affective disorder patients. J Affect Disord. 1992;25(4):221–8.
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.
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.
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.
Diflorio A, Jones I. Is sex important? Gender differences in bipolar disorder. Int Rev Psychiatry. 2010;22(5):437–52.
Arnold L. Gender differences in bipolar disorder. Psychiatr Clin N Am. 2003;26(3):595–620.
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.
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.
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.
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.
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.
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.
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.
Statistics Canada. Canadian community health survey (CCHS)–mental health. Ottawa: Statistics Canada; 2013.
Watson A, Corrigan P, Larson J, Sells M. Self-stigma in people with mental illness. Schizophr Bull. 2007;33(6):1312–8.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington: American Psychiatric Association; 1994.
World Health Organization (1992) # World Health Organization, Geneva.
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.
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.
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.
Weiss RS. The provisions of social relationships. In: Rubin Z, editor. Doing unto others. Englewood Cliffs: Prentice Hall; 1974. p. 17–26.
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).
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.
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.
Bang, E. J. (2009). The effects of gender, academic concerns, and social support on stress for international students (doctoral dissertation, University of Missouri--Columbia).
Lee RM, Robbins SB. Understanding social connectedness in college women and men. J Couns Dev. 2000;78(4):484–91.
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.
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.
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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.
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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
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DOI: https://doi.org/10.1007/s11126-021-09898-8