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Low Social Support (low + social_support)
Selected AbstractsFrailty predicts long-term mortality in elderly subjects with chronic heart failureEUROPEAN JOURNAL OF CLINICAL INVESTIGATION, Issue 12 2005F. Cacciatore Abstract Background, The elderly are characterized by a high prevalence of chronic heart failure (CHF) and frailty, which is a complex interaction of physical, psychological and social impairment. This study aimed to examine the predictive role of frailty on long-term mortality in elderly subjects with CHF. Materials and methods, The study assessed long-term mortality after 12-year follow up in 120 subjects with CHF and 1139 subjects without CHF, selected in 1992, from a random sample of the elderly population in the Campania region of Italy. Frailty was assessed according to a ,Frailty Staging System'. Results, Subjects with CHF were prevalently female (60%) and older than 75 years (mean 75·9 ± 6·7); subjects without CHF were prevalently female (56·4%) and younger than 75 years (mean 74·0 ± 6·3). In subjects with and without CHF stratified into classes of frailty there was a statistically significant increase in age, comorbidity, disability and low social support, and a decrease in MMSE score. Moreover, death progressively increased more with frailty in subjects (70·0% to 94·4%, P < 0·03) than in those without (43·8.% to 88·3%, P < 0·0001) CHF. The Kaplan,Meier analysis shows that at 9 years the probability of survival progressively decreased as frailty increased (45·5% to 0%) in subjects with CHF and from 62·8% to 25·9% in subjects without CHF. The Cox regression analysis indicated that frailty is predictive of mortality in the multivariate model adjusted for several variables including sex and age in subjects with and without CHF. Moreover, the analysis showed that frailty is more predictive of mortality in elderly subjects with CHF when it was analyzed either as continuous (1·48 vs. 1·36) or as a dummy (3 vs. 1 = 1·62 vs. 1·24) variable. Conclusions, Thus mortality among elderly subjects with or without CHF increases with frailty. Moreover, frailty is more predictive of long-term mortality in elderly subjects with than in those without CHF. Hence, frailty represents a new independent variable for predicting long-term mortality in elderly subjects with CHF. [source] Psychosocial adjustment in head and neck cancer: The impact of disfigurement, gender and social supportHEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 2 2003FRCPC, Mark R. Katz MD Abstract Background. The purpose of this study was to examine the psychosocial impact of disfigurement, gender, and social support after surgical treatment of head and neck cancer. Method. Eighty-two ambulatory head and neck cancer patients, 6 months or more after treatment and free of active disease were assessed. Ratings of disfigurement were obtained using a valid and reliable 9-point scale developed for the study. Standardized measures of social support, depressive symptoms, well-being, and life happiness were used. Results. The sample as a whole displayed high levels of life happiness, low levels of depression, and positive feelings of well-being. Women demonstrated higher levels of depression and lower life happiness; subjects with greater disfigurement were more depressed. Social support seemed to buffer the impact of greater levels of disfigurement on well-being for women but not for men. Conclusion. These results suggest that women with head and neck cancer who experience low social support and face disfiguring treatment are at greatest risk for psychosocial dysfunction. © 2003 Wiley Periodicals, Inc. Head Neck 25: 103,112, 2003 [source] Life satisfaction in teenage boys: The moderating role of father involvement and bullyingAGGRESSIVE BEHAVIOR, Issue 2 2002Eirini Flouri Abstract It has been suggested that bullying at school and low social support are related to relatively poor mental health in schoolchildren. Based on data from 1344 adolescent boys aged 13,19 years in Britain, this study explored whether father involvement, as an underestimated,in the related research,source of social support, can protect against low levels of satisfaction with life. Multiple regression analysis showed that low father involvement and peer victimization contributed significantly and independently to low levels of life satisfaction in adolescent boys. There was also evidence relating to a buffering effect of father involvement in that father involvement protected children from extreme victimization. Aggr. Behav. 28:126,133, 2002. © 2002 Wiley-Liss, Inc. [source] Stress-Induced Drinking in Parents of Adolescents with Externalizing Symptomatology: The Moderating Role of Parent Social SupportTHE AMERICAN JOURNAL ON ADDICTIONS, Issue 6 2008Elizabeth D. Handley MA Parenting adolescents with externalizing symptomatology has been repeatedly shown to be stress-inducing for parents. One possible coping strategy for parents dealing with this chronic stress may be drinking. The current study extended previous research by examining the prospective relations between adolescents' externalizing behaviors and parents' negative affect and alcohol consumption. Additionally, the present study tested whether this mediated effect is a function of parental social support. Adolescents' externalizing symptoms prospectively predicted mothers' negative affect. Interestingly, however, mothers' negative affect prospectively predicted mothers' drinking only for those mothers with low social support. Furthermore, the mediated effect (Wave 1 adolescent externalizing symptoms , Wave 2 mother negative affect , Wave 3 mother drinking) was significant only for mothers with low social support. There were no effects of adolescents' externalizing symptoms on fathers. [source] Prevalence of and risk factors for prostatitis in African American men: The Flint Men's Health StudyTHE PROSTATE, Issue 1 2009Lauren P. Wallner Abstract INTRODUCTION Prostatitis is a common, yet ill-defined condition without clear diagnostic criteria and treatment strategies. Previous studies examining the prevalence and correlates of prostatitis are limited in their inclusion of primarily white populations. The objective of the current study was to identify prevalence of and risk factors for prostatitis in a population-based sample of African-American men. METHODS In 1996, a probability sample of 703 African-American men, aged 40,79, residing in Genesee County, Michigan without a prior history of prostate cancer/surgery provided responses to a structured interview-administered questionnaire which elicited information regarding sociodemographics, current stress and health ratings, and past medical history, including history of physician diagnosed prostatitis, BPH and sexually transmitted diseases. Logistic regression was used to identify predictors of prostatitis after adjustment for age. RESULTS Forty-seven (6.7%) of the 703 men reported a history of prostatitis. Increased frequency of sexual activity and physical activity were significantly associated with decreased odds of disease. Moderate to severe lower urinary tract symptoms (LUTS) and a history of BPH were significantly associated with prostatitis after adjustment for age. CONCLUSION After adjustment for age, LUTS severity and history of BPH were associated with increased odds of prostatitis. BMI, physical activity and sexual frequency were associated with decreased odds of prostatitis. Finally, poor emotional and physical health, high perceived stress and low social support were associated with an increased risk of prostatitis history. Importantly, these findings suggest that the primary risk factors for this condition are largely modifiable and highlight potential targets for future prevention. Prostate 69: 24,32, 2009. © 2008 Wiley,Liss, Inc. [source] Perceived psychosocial job stress and sleep bruxism among male and female workersCOMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, Issue 3 2008Akinori Nakata Abstract,,, Objective:, Psychosocial job stress has been associated with sleep disturbances, but its association with sleep bruxism (SB), the stereotype movement disorder related to sleep, is not well understood. The aim of this epidemiological study was to examine the relationship between psychosocial job stress and SB. Methods:, 1944 male and 736 female factory workers participated in this study (response rate 78.1%). Perceived job stress was evaluated with the Japanese version of the generic job stress questionnaire, which covered 13 job stress variables. SB was assessed by the question, ,Do you grind or clench your teeth during your sleep or has anyone in your family told you that you grind your teeth during your sleep?' Response options were ,never', ,seldom', ,sometimes' or ,often'. SB was considered present if the answer was ,sometimes' or ,often'. Results:, Overall, 30.9% of males and 20.2% of females reported SB. In males, workers with low social support from supervisors [odds ratio (OR) = 1.34, 95% confidence interval (CI) 1.08,1.68] or from colleagues (OR 1.47, 95% CI 1.17,1.83), and high depressive symptoms (OR 1.60, 95% CI 1.26,2.03) had a significantly increased risk of SB after controlling for confounders. By contrast, no significant association was found in females. Conclusions:, We conclude that SB is weakly associated with some aspects of job stress in men but not in women among the Japanese working population. [source] | ||||||||||