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Stress, Social Support, and the Buffering Hypothesis

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Abstract

The purpose of this article is to determine whether the positive association between social support and well-being is attributable more to an overall beneficial effect of support (main- or direct-effect model) or to a process of support protecting persons from potentially adverse effects of stressful events (buffering model). The review of studies is organized according to (a) whether a measure assesses support structure or function, and (b) the degree of specificity (vs. globality) of the scale. By structure we mean simply the existence of relationships, and by function we mean the extent to which one’s interpersonal relationships provide particular resources. Special attention is paid to methodological characteristics that are requisite for a fair comparison of the models. The review concludes that there is evidence consistent with both models. Evidence for a buffering model is found when the social support measure assesses the perceived availability of interpersonal resources that are responsive to the needs elicited by stressful events. Evidence for a main effect model is found when the support measure assesses a person’s degree of integration in a large social network. Both conceptualizations of social support are correct in some respects, but each represents a different process through which social support may affect well-being. Implications of these conclusions for theories of social support processes and for the design of preventive interventions are discussed.
... For individuals with chronic illnesses, diabetes, and cancer, social support has been shown to increase positive health behaviors as well as improve their quality of life [16,23]. In addition, social support has been correlated to higher self-esteem and self-efficacy and has been viewed as a buffer to the negative effects associated with stress [11,24,25]. ...
... Cohen and Wills studied the impact of stress and determined that "social resources will ameliorate the potentially pathogenic effects of stressful events" ( [24] p. 781)." They found that stress acted as a positive buffer for an individual who was experiencing a stressful event. ...
... They found that stress acted as a positive buffer for an individual who was experiencing a stressful event. Cohen and Wills have studied the concept among populations including the chronically ill [24]. The theory supports the research questions that investigate the impact of social support among individuals with COPD. ...
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Chronic obstructive pulmonary disease (COPD) is a significant respiratory disease and is globally ranked as the third leading cause of death. In Canada, the direct healthcare costs associated with COPD are estimated to be $1.5 billion annually. This study utilized quantitative analyses to examine the impact of specific dimensions of social support, namely, guidance, reliable alliance, reassurance of worth, attachment, and social integration within a clinically identified population of individuals with COPD who exhibit symptoms of depression and anxiety. The study was based on the Social Provisions Theory and stress-buffering hypothesis, utilizing large-scale population data from Statistics Canada’s 2012 Canadian Community Health Survey (CCHS) Mental Health component. On a national scale, individuals were more likely to report a decreased sense of belonging to a group of friends (social integration) and struggle to depend on others in stressful times (reliable alliance) while experiencing symptoms of anxiety and depression. These findings underscore the potential benefits of integrating peer support, socialization initiatives, and caregiver training into clinical programs designed for individuals with COPD.
... Social relationships have been investigated as social networks and social support [1][2][3][4][5][6], and from the 1990s onwards as social capital [7][8][9][10]. Social networks result in social support and social capital, but social networks as such also act as social health resources [1][2][3]9]. ...
... Social relationships have been investigated as social networks and social support [1][2][3][4][5][6], and from the 1990s onwards as social capital [7][8][9][10]. Social networks result in social support and social capital, but social networks as such also act as social health resources [1][2][3]9]. The concept was first used by the anthropologists Barnes and Bott in the 1950s [11], who defined that a social network is a social structure made of nodes which are individuals or organizations. ...
... From the 1960s onwards, social networks have been found to be associated with lower mortality, better prognoses in chronic illnesses, and well-being [1][2][3][13][14][15][16][17][18]. In the 1970s and 1980s, a series of population-based followup studies demonstrated that few or no social relationships predicted overall mortality [3,[19][20][21][22]. ...
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Background Social relationships are important health resources and may be investigated as social networks. We measured cancer patients’ social subnetworks divided into generic social networks (people known to the patients) and disease-specific social networks (the persons talked to about the cancer) during 3 years after diagnosis. Method Newly diagnosed patients with localized breast cancer ( n = 222), lymphoma ( n = 102), and prostate cancer ( n = 141) completed a questionnaire on their social subnetworks at 2–5 months after diagnosis and 9, 18, and 36 months thereafter. Generic and cancer-specific numbers of persons of spouse/partner; other family; close relatives, in detail; and friends were recorded as well as cancer-specific numbers of persons in acquaintances; others with cancer; work community; healthcare professionals; and religious, hobby, and civic participation. The data was analyzed with regression models. Results At study entry, most patients had a spouse/partner, all had close relatives (the younger, more often parents; and the older, more often adult children with families) and most also friends. The cancer was typically discussed with them, and often with acquaintances and other patients (74–86%). Only minor usually decreasing time trends were seen. However, the numbers of distant relatives and friends were found to strongly increase by the 9-month evaluation ( P < 0.001). Conclusion Cancer patients have multiple social relationships and usually talk to them about their cancer soon after diagnosis. Most temporal changes are due to the natural course of life cycle. The cancer widened the patients’ social networks by including other patients and healthcare professionals and by an increased number of relatives and friends.
... We propose subordinates' rumination about the supervisor's behavior as a cognitive mediator (Brosschot et al., 2006;Martin & Tesser, 1996) and subordinates' anger as a potential affective mechanism (Oh & Farh, 2017). In addition, we assume that coworkers can help subordinates deal with abusive supervision (Cohen & Wills, 1985;McKay, 1984). Therefore, we examine coworker reappraisal support (i.e., coworkers supporting cognitive reappraisal of negative work experiences; Tremmel & Sonnentag, 2018) as a moderator that buffers the association of abusive supervision with rumination and anger. ...
... Although theoretical approaches generally assume that social support buffers the effects of negative work experiences (Cohen & Wills, 1985;McKay, 1984), empirical evidence from betweenperson studies that investigated the moderating effect of social support on the association of abusive supervision with negative subordinate outcomes remains inconclusive (Hobman et al., 2009;Wu & Hu, 2009). Whereas Hobman et al. (2009) found that the association between abusive supervision in student-advisor relationships and students' well-being indicators was weaker when team member support was high, Wu and Hu (2009) found that-contrary to their predictions-the relationship between abusive supervision and emotional exhaustion was stronger when coworker support was high. ...
... Relatedly, we find evidence for the buffering effect of social support (Cohen & Wills, 1985;McKay, 1984). Our study reconciles inconsistent results from previous studies on abusive supervision that investigated the moderating effect of social support (Hobman et , 2009;Wu & Hu, 2009). ...
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Recovery from work is highly relevant for employees, yet understanding the interpersonal antecedents of impaired recovery experiences remains unclear. Specifically, because former research neglected supervisor behaviors as a predictor of impaired recovery and abusive supervision is a core stressor, we examine daily abusive supervision as a predictor of subordinates’ recovery experiences (i.e., psychological detachment and relaxation). We draw on research on the recovery paradox and propose that psychological detachment and relaxation will be impaired on days with high abusive supervision, although recovery would have been highly important on those days. We suggest a cognitive mechanism (via rumination) and an affective mechanism (via anger) to explain this paradox. We test coworker reappraisal support as a moderator that buffers the adverse effects of abusive supervision on rumination and anger. In a daily diary study (171 subordinates, 786 days), we found an indirect effect of abusive supervision on psychological detachment via rumination and indirect effects of abusive supervision on psychological detachment and relaxation via anger. Coworker reappraisal support moderated the association of abusive supervision and rumination, such that the relationship was weaker when coworker support was high. Our results suggest that including negative supervisor behaviors, such as abusive supervision, in recovery research is highly relevant. Coworkers can help cognitively process abusive-supervision experiences by providing reappraisal support.
... Research has consistently shown that burnout among nurses is in uenced by various factors, including job satisfaction, the work environment, and demographic characteristics such as age, sex, and years of experience [3]. Job satisfaction, encompassing elements such as job conditions, relationships with colleagues, and personal achievement, is a critical determinant of both nurse retention and performance [4]. High levels of job satisfaction are associated with lower burnout and better patient care quality [5]. ...
... This nding underscores the importance of supportive work environments, adequate resources, and recognition in enhancing nurses' morale and commitment to delivering high-quality care [3]. Organizations that prioritize nurse satisfaction through professional development opportunities, competitive compensation, and effective leadership are likely to foster a culture that promotes patient-centered care [4]. ...
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Objectives: To examine the relationships between burnout, job satisfaction, patient care quality, and retention intentions among nurses and to analyze the demographic factors influencing these variables. Methods: A cross-sectional study was conducted with 400 nurses from various acute care settings, including wards, intensive care units (ICUs), and emergency departments, across multiple hospitals. The data were collected using validated scales on burnout (Maslach Burnout Inventory), patient care quality, job satisfaction, and retention intentions. Descriptive statistics, correlation analyses, multiple linear regression, and ANOVA were used for data analysis. Results: The sample consisted of 53.7% female and 46.3% male nurses, with a fairly even distribution of age and years of experience. The average burnout score was 45.2 (SD = 11.3), with a range of 30–80. The mean patient care quality rating was 4.3 (SD = 0.8). Burnout was negatively correlated with patient care quality (r = -0.45, p < 0.001) and job satisfaction (r = -0.28, p < 0.05). Regression analysis indicated that burnout (β = -0.32, p < 0.001) and job satisfaction (β = 0.45, p < 0.001) were significant predictors of patient care quality. ANOVA revealed significant differences in burnout scores by age group (F = 9.88, p < 0.001) and years of experience (F = 7.70, p < 0.001) but not by sex (F = 2.01, p = 0.156). Patient care quality differed significantly by age (F = 2.83, p = 0.038) and experience (F = 3.33, p = 0.020) but not by sex (F = 0.31, p = 0.578). Conclusions: Higher burnout is associated with lower patient care quality and job satisfaction. More experienced nurses reported lower burnout and higher patient care quality. These findings highlight the need for targeted interventions to reduce burnout and enhance job satisfaction, particularly for less experienced nurses.
... Young children experience their world through their relationships with parents and other caregivers. When those relationships provide safe, stable, and nurturing environments, children are more likely to thrive physically and emotionally (Allen et al, 2003;Cohen & Wills, 2005;Brady et al, 2009). Consider what happens when those foundational relationships are unsafe, unstable or abusive, and it's not hard to imagine the long-term impact on a person's physical and emotional health. ...
... Assuring that all children experience safe, stable and nurturing environments is an important goal for public health. Adverse childhood experiences threaten healthy development in a child by undermining his or her sense of safety, security and being nurtured (Cohen & Wills, 2005). A groundbreaking study by Santrock (2014) found that trauma in childhood is associated with chronic diseases, depression and other mental illness in adulthood. ...
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Family support practices and its influence on senior secondary school adolescents' socio-emotional wellbeing in Port Harcourt city, Rivers State was studied. The study adopted the survey research design, with a study population of 8,332 public secondary school students in the 58 public secondary schools Port Harcourt City, Rivers State. The non-proportionate stratified random sampling technique was used to select 550 senior secondary school students for the study (275 males and 275 females). The instrument for data collection was a 65-item questionnaire designed on a four-point scale of Strongly Agree (SA), Agree (A), Strongly Disagree (SD) and Disagree (D) with scores 4, 3, 2, 1 respectively. Data were collected using the direct contact approach and the questionnaire return rate was 100%. Data obtained for this study were analyzed using mean scores and standard deviations. The decision rule was based on the midpoint for the scale of 2.50 Therefore, only mean scores of 2.50 and above were agreed with, while mean scores below 2.50 were regarded as disagreed with. The study revealed that marital instability and roles played by older family members have great impact on the social and emotional development of adolescents in Port Harcourt City, Rivers State. It is therefore recommended that families are sensitized on regular basis on the on the roles of older family members' in either promoting or undermining adolescent socio-emotional wellbeing. Also, marital instability and spousal conflicts especially to the notice of the children should be discouraged.
... The finding that network diversity did not play a role in SPA physical losses suggests that diverse social networks do not offer any considerable advantages for age-related perceptions of physical health. Past research indicates that the support essential to buffering against stress is provided by few close relationships (Cohen and Wills 1985) and that instrumental support to older adults is mostly provided by children (Seeman and Berkman 1988). This suggests that the fulfillment of essential needs regarding physical health in old age is assured by a network consisting of just a few, similar social roles, and that network diversity is not of relevance in this domain. ...
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While the link between self-perceptions of aging (SPA) and healthy aging is well established, less is known about the association between social factors and SPA. The present study investigated whether higher social network diversity is associated with more positive and less negative SPA and whether this association is moderated by age. We examined cross-sectional data from the German Ageing Survey of 2008 (DEAS; N = 6205, 40–85 years, 49.5% female). Network diversity was assessed as the number of social roles in an individual’s network (such as spouse, friend and colleague). Three domains of SPA were measured using the Aging-Related Cognitions Scale (AgeCog): ongoing development (positive SPA), social losses (negative SPA) and physical losses (negative SPA). We conducted multiple linear regression models and tested for a moderator effect of age using an interaction term of age and network diversity. Results showed that at higher ages older adults with higher network diversity reported more positive SPA related to ongoing development and more negative SPA related to social losses than those with less diverse networks, indicating that age has a moderating effect. We found no association between network diversity and negative SPA related to physical losses and no indication that age was relevant to this relationship. The present study adds to evidence on the role of social networks in SPA. Our findings suggest that in certain SPA domains and depending on age, network diversity is related to both more positive and more negative SPA, which emphasizes the importance of considering domain-specific SPA.
Chapter
In this chapter we describe much of the research literature focusing on workload management programs that organizations institutionalize to achieve higher levels of employee work-life balance. We also discuss how workload management programs are customarily implemented. We then discuss program implementation through four objectives, namely reducing workload and time pressure, providing mutual help, working smarter, and minimizing work demand during off-work time. We then describe conditions under which workload management programs are more effective: personal, organizational, and environmental moderators.
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Describes the Social Support Questionnaire (SSQ) and 4 empirical studies employing it. The SSQ yields scores for (a) perceived number of social supports and (b) satisfaction with social support that is available. Three studies (N = 1,224 college students) dealt with the SSQ's psychometric properties, its correlations with measures of personality and adjustment, and the relation of the SSQ to positive and negative life changes. The 4th study (40 Ss) was an investigation of the relation between social support and persistence in working on a complex, frustrating task. The research reported suggests that the SSQ is a reliable instrument and that social support is (a) more strongly related to positive than negative life changes, (b) more related in a negative direction to psychological discomfort among women than men, and (c) an asset in enabling a person to persist at a task under frustrating conditions. Clinical implications are discussed. (47 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved).
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Previous research indicates that relatively disadvantaged sociodemographic groups (women, the poor, the unmarried) are more vulnerable to the impacts of life events. More recently, researchers have hypothesized that the psychological vulnerability of these groups may be due to the joint occurrence of many stress events and few psychological resources with which to cope with such events. This latter hypothesis is called here the applied buffering hypothesis. Using data from the New Haven Community Survey, the existence of differential psychological vulnerability is first reconfirmed. Women; older adults; unmarried persons; those with less education, income, and occupational prestige; married women; and unmarried women are found significantly more distressed by the experience of life events than their sociodemographic counterparts. The applied buffering hypothesis is then tested with several measures of social support. Little support for the hypothesis is found. That is, the psychological vulnerability of low status groups cannot be explained by the interaction of many events and few available sources of social support. Limitations of the data and alternative explanations of these findings are discussed. The confirmation of psychological vulnerability in disadvantaged groups suggests new directions for future epidemiological research.
Chapter
Until recently, models of social exchange have portrayed the reward structure of relationships as constant over time. In a previous paper (Huesmann & Levinger, 1976) we described a new model, based on a framework we called incremental exchange theory, which incorporates such temporal changes in the reward structure. This model was applied to altruistic behavior, self-disclosure, attraction, and romatic involvement.