Social Relationships and Depression: Ten-Year Follow-Up from a Nationally Representative Study

Alan Teo, Hwa Jung Choi, Marcia Valenstein

Research output: Contribution to journalArticle

107 Citations (Scopus)

Abstract

Background:Social network characteristics have long been associated with mental health, but their longitudinal impact on depression is less known. We determined whether quality of social relationships and social isolation predicts the development of depression.Methods:The sample consisted of a cohort of 4,642 American adults age 25-75 who completed surveys at baseline in 1995-1996 and at ten-year follow-up. Quality of relationships was assessed with non-overlapping scales of social support and social strain and a summary measure of relationship quality. Social isolation was measured by presence of a partner and reported frequency of social contact. The primary outcome was past year major depressive episode at ten-year follow-up. Multivariable logistic regression was conducted, adjusting for the presence of potential confounders.Results:Risk of depression was significantly greater among those with baseline social strain (OR, 1.99; 95% CI, 1.47-2.70), lack of social support (OR, 1.79; 95% CI, 1.37-2.35), and poor overall relationship quality (OR 2.60; 95% CI, 1.84-3.69). Those with the lowest overall quality of social relationships had more than double the risk of depression (14.0%; 95% CI, 12.0-16.0; p<.001) than those with the highest quality (6.7%; 95% CI, 5.3-8.1; p<.001). Poor quality of relationship with spouse/partner and family each independently increased risk of depression. Social isolation did not predict future depression, nor did it moderate the effect of relationship quality.Conclusions:Quality of social relationships is a major risk factor for major depression. Depression interventions should consider targeting individuals with low quality of social relationships.

Original languageEnglish (US)
Article numbere62396
JournalPloS one
Volume8
Issue number4
DOIs
StatePublished - Apr 30 2013
Externally publishedYes

Fingerprint

Depression
Social Isolation
spouses
mental health
social networks
Social Support
risk factors
Logistics
Health
Spouses
sampling
Mental Health
social support
Logistic Models
methodology

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Social Relationships and Depression : Ten-Year Follow-Up from a Nationally Representative Study. / Teo, Alan; Choi, Hwa Jung; Valenstein, Marcia.

In: PloS one, Vol. 8, No. 4, e62396, 30.04.2013.

Research output: Contribution to journalArticle

@article{f61f1f7427fd4423b0c52d4e38c436f8,
title = "Social Relationships and Depression: Ten-Year Follow-Up from a Nationally Representative Study",
abstract = "Background:Social network characteristics have long been associated with mental health, but their longitudinal impact on depression is less known. We determined whether quality of social relationships and social isolation predicts the development of depression.Methods:The sample consisted of a cohort of 4,642 American adults age 25-75 who completed surveys at baseline in 1995-1996 and at ten-year follow-up. Quality of relationships was assessed with non-overlapping scales of social support and social strain and a summary measure of relationship quality. Social isolation was measured by presence of a partner and reported frequency of social contact. The primary outcome was past year major depressive episode at ten-year follow-up. Multivariable logistic regression was conducted, adjusting for the presence of potential confounders.Results:Risk of depression was significantly greater among those with baseline social strain (OR, 1.99; 95{\%} CI, 1.47-2.70), lack of social support (OR, 1.79; 95{\%} CI, 1.37-2.35), and poor overall relationship quality (OR 2.60; 95{\%} CI, 1.84-3.69). Those with the lowest overall quality of social relationships had more than double the risk of depression (14.0{\%}; 95{\%} CI, 12.0-16.0; p<.001) than those with the highest quality (6.7{\%}; 95{\%} CI, 5.3-8.1; p<.001). Poor quality of relationship with spouse/partner and family each independently increased risk of depression. Social isolation did not predict future depression, nor did it moderate the effect of relationship quality.Conclusions:Quality of social relationships is a major risk factor for major depression. Depression interventions should consider targeting individuals with low quality of social relationships.",
author = "Alan Teo and Choi, {Hwa Jung} and Marcia Valenstein",
year = "2013",
month = "4",
day = "30",
doi = "10.1371/journal.pone.0062396",
language = "English (US)",
volume = "8",
journal = "PLoS One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "4",

}

TY - JOUR

T1 - Social Relationships and Depression

T2 - Ten-Year Follow-Up from a Nationally Representative Study

AU - Teo, Alan

AU - Choi, Hwa Jung

AU - Valenstein, Marcia

PY - 2013/4/30

Y1 - 2013/4/30

N2 - Background:Social network characteristics have long been associated with mental health, but their longitudinal impact on depression is less known. We determined whether quality of social relationships and social isolation predicts the development of depression.Methods:The sample consisted of a cohort of 4,642 American adults age 25-75 who completed surveys at baseline in 1995-1996 and at ten-year follow-up. Quality of relationships was assessed with non-overlapping scales of social support and social strain and a summary measure of relationship quality. Social isolation was measured by presence of a partner and reported frequency of social contact. The primary outcome was past year major depressive episode at ten-year follow-up. Multivariable logistic regression was conducted, adjusting for the presence of potential confounders.Results:Risk of depression was significantly greater among those with baseline social strain (OR, 1.99; 95% CI, 1.47-2.70), lack of social support (OR, 1.79; 95% CI, 1.37-2.35), and poor overall relationship quality (OR 2.60; 95% CI, 1.84-3.69). Those with the lowest overall quality of social relationships had more than double the risk of depression (14.0%; 95% CI, 12.0-16.0; p<.001) than those with the highest quality (6.7%; 95% CI, 5.3-8.1; p<.001). Poor quality of relationship with spouse/partner and family each independently increased risk of depression. Social isolation did not predict future depression, nor did it moderate the effect of relationship quality.Conclusions:Quality of social relationships is a major risk factor for major depression. Depression interventions should consider targeting individuals with low quality of social relationships.

AB - Background:Social network characteristics have long been associated with mental health, but their longitudinal impact on depression is less known. We determined whether quality of social relationships and social isolation predicts the development of depression.Methods:The sample consisted of a cohort of 4,642 American adults age 25-75 who completed surveys at baseline in 1995-1996 and at ten-year follow-up. Quality of relationships was assessed with non-overlapping scales of social support and social strain and a summary measure of relationship quality. Social isolation was measured by presence of a partner and reported frequency of social contact. The primary outcome was past year major depressive episode at ten-year follow-up. Multivariable logistic regression was conducted, adjusting for the presence of potential confounders.Results:Risk of depression was significantly greater among those with baseline social strain (OR, 1.99; 95% CI, 1.47-2.70), lack of social support (OR, 1.79; 95% CI, 1.37-2.35), and poor overall relationship quality (OR 2.60; 95% CI, 1.84-3.69). Those with the lowest overall quality of social relationships had more than double the risk of depression (14.0%; 95% CI, 12.0-16.0; p<.001) than those with the highest quality (6.7%; 95% CI, 5.3-8.1; p<.001). Poor quality of relationship with spouse/partner and family each independently increased risk of depression. Social isolation did not predict future depression, nor did it moderate the effect of relationship quality.Conclusions:Quality of social relationships is a major risk factor for major depression. Depression interventions should consider targeting individuals with low quality of social relationships.

UR - http://www.scopus.com/inward/record.url?scp=84876964064&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876964064&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0062396

DO - 10.1371/journal.pone.0062396

M3 - Article

C2 - 23646128

AN - SCOPUS:84876964064

VL - 8

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 4

M1 - e62396

ER -