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Life Events, Social Support and Clinical Psychiatric Disorder

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Social Support: Theory, Research and Applications

Part of the book series: NATO ASI Series ((ASID,volume 24))

Abstract

My aim in this paper is to review the current state of findings on recent life events and, to a lesser extent, social support in clinical psychiatric disorder. Life events are highly relevant to the discussion of social support, since social support is postulated to have major protective effects against them and they are often studied together with it. The life event field is now well developed and in the last few years has produced its own reaction in the form of a vigorously critical lobby. This will also enable me to make some methodological points which I believe are equally important for social support but are sometimes disregarded.

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References

  • Ambelas, A. (1979). Psychologically stressful events in the precipitation of manic episodes. British Journal of Psychiatry. 135. 15–21.

    Article  PubMed  CAS  Google Scholar 

  • Barrett, J. E. (1979). The relationship of life events to onset of neurotic disorders. In J. E. Barrett (Ed.), Stress and Mental Disorder, (pp. 87–109 ) New York: Raven Press.

    Google Scholar 

  • Bebbington, P. E., Tennant, C., & Hurry, J. (1981). Adversity and the nature of psychiatric disorder in the community. Journal of Affective Disorders. 3. 345–366.

    Article  PubMed  CAS  Google Scholar 

  • Beck, J. C., & Worthen, K. (1972). Precipitating stress, crisis theory and hospitalization in schizophrenia and depression. Archives of General Psychiatry. 26, 123–129.

    PubMed  CAS  Google Scholar 

  • Benjaninsen, S. (1981). Stressful life events preceding the onset of neurotic depression. Psychological Medicine. 11. 369–378.

    Article  Google Scholar 

  • Blazer, D. G. (1983) Impact of late-life depression on the social network. American Journal of Psychiatry. 140. 162–166.

    PubMed  CAS  Google Scholar 

  • Brown, G. W. (1981). Life events, psychiatric disorder and physical illness. Journal of Psychosomatic Research. 25. 461–473.

    Article  PubMed  CAS  Google Scholar 

  • Brown, G. W., & Birley, J. L. T. (1968). Crises and life changes and the onset of schizophrenia. Journal of Health and Social Behavior. 9, 203–214.

    Article  PubMed  Google Scholar 

  • Brown, G. W., & Harris, T. (1978). The Social Origins of Depression: a study of psychiatric disorder in women. London: Taviatock.

    Google Scholar 

  • Brown, G. W., & Harris, T. (1982). Fall-off in the reporting of life events. Social Psychiatry. 17. 23–28.

    Article  Google Scholar 

  • Brown, G. W., Bhrolchain, NI. M., & Harris, T. O. (1979). Psychotic and neurotic depression. Part 3. Aetiological and background factors. Journal of Affective Disorders. 1, 195–211.

    Article  PubMed  CAS  Google Scholar 

  • Brown, G. W., Sklair, F., Harris, T. O., & Birley, J. L. T. (1973a). Life-events and psychiatric disorders. Part I. Some methodological issues. Psychological Medicine. 3, 74–87.

    Article  PubMed  CAS  Google Scholar 

  • Brown, G. W., Harris, T. O., & Peto, J. (1973b). Life events and psychiatric disorders. Part 2: Nature of causal link. Psychological Medicine. 3, 159–176.

    Article  PubMed  CAS  Google Scholar 

  • Brugha, T., Conroy, R., Valsh, N., Delaney, W., O’Hanlon, J., Dondero, E., Daly, L., Hickey, N., & Bourke, G. (1982). Social networks, attachments and support in minor affective disorders: a replication. British Journal of Psychiatry. 141. 249–255.

    Article  PubMed  CAS  Google Scholar 

  • Cadoret, R. J., Vinokur, G., Dorzab, J., & Baker, M. (1972). Depressive disease: life events and onset of illness. Archives of General Psychiatry. 26. 133–136.

    PubMed  CAS  Google Scholar 

  • Casey, R. L., Masuda, H., & Holmes, T. H. (1967). Quantitative study of recall of life events. Journal of Psychosomatic Research. 11. 239–247.

    Article  PubMed  CAS  Google Scholar 

  • Chatterjce, R. N., Mukhcrjcc, S. P., & Nandi, D. N. (1981) Life events and depression. Indian Journal of Psychiatry. 23. 333–337.

    Google Scholar 

  • Cochrane, R., & Robertson, A. (1975). Stress in the lives of parasuicides. Social Psychiatry. 10, 161–171.

    Article  Google Scholar 

  • Cooper, B., & Sylph, J. (1973). Life events and the onset of neurotic illness: an investigation in general practice. Psychological Medicine. 3. 421–425.

    Article  PubMed  CAS  Google Scholar 

  • Davies, M. H., Rose, S., & Cross, K. W. (1983) Life events, social interaction and psychiatric symptoms in general practice: a pilot study. Psychological Medicine. 13. 159–163.

    Article  PubMed  CAS  Google Scholar 

  • Dohrenwend, B. S., & Dohrenwend, B. P. (1981). Life stress and illness: formulation of the issues. In B. S. Dohrenwend and B. P. Dohrenwend (Ed.), Stressful life events and their context. New York: Prodist.

    Google Scholar 

  • Eisler, R. M., & Polak, P. R. (1971). Social stress and psychiatric disorder. Journal Nervous and Mental Disorders. 227–233.

    Google Scholar 

  • Fava, C. A., Munari, F., Pasvan, L., & Kellner, R. (1981). Life events and depression. A replication. Journal of Affective Disorders. 3, 159–165.

    Article  PubMed  CAS  Google Scholar 

  • Finlay-Jones, R., & Brown, G. W. (1981). Types of stressful life event and the onset of anxiety and depressive disorders. Psychological Medicine. 11. 803–815.

    Article  PubMed  CAS  Google Scholar 

  • Flaherty, J. A., Gaviria, F. M., Black, E. M., Altaian, E., & Mitchell, T. (1983). The role of social support in the functioning of patients with unipolar depression. American Journal of Psychiatry. 140. 473–475.

    PubMed  CAS  Google Scholar 

  • Forrest, A. D., Fraser, R. H., & Priest, R. G. (1965). Environmental factors in depressive illness. British Journal of Psychiatry. 111. 243–253.

    Article  PubMed  CAS  Google Scholar 

  • Fowler, R. C., Liskow, B. I., & Tanna, V. L. (1980). Alcoholism, depression and life events. Journal of Affective Disorders. 127–135.

    Google Scholar 

  • Glassmer, B., & Haldipur, C. VG. (1983). Life events and early and late onset of bipolar disorder. American Journal of Psychiatry. 140, 215–217.

    Google Scholar 

  • Grant, I., Sweetwood, H. L., Yager, J., & Gerst, M. (1981). Quality of life events in relation to psychiatric symptoms. Archives of General Psychiatry. 38. 335–339.

    PubMed  CAS  Google Scholar 

  • Hagnell, O., & Rorsman, B. (1980). Suicide in the Lundby study: a controlled prospective investigation of stressful life events. Neuropsychobiology. 6, 319–332.

    Article  PubMed  CAS  Google Scholar 

  • Hall, K. S., Dunner, D. L., Zeller, G., & Fieve, R. R. (1977). Bipolar illness: a prospective study of life events. Comparative Psychiatry. 18. 497–502.

    Article  CAS  Google Scholar 

  • Henderson, A. S. (1983). Vulnerability to depression. The lack of social support docs not cause depression. In J. Angst et al. (Ed.), The origins of depression: Current concepts and approaches. Berlin: Dahlem Foundation.

    Google Scholar 

  • Henderson, S., Duncan-Jones, P., McAuley, H., & Ritchie, K. (1978). The patient’s primary group. British Journal of Psychiatry. 121, 74–86.

    Google Scholar 

  • Henderson, S., Byrne, D. G., & Duncan-Jones, P. (1981). Neurosis and the Social Environment. Australia: Academic Press.

    Google Scholar 

  • Hendrie, H. C., Lachar, D., & Lennox, K. (1975). Personality trait and symptom correlates of life changc in a psychiatric population. Journal of Psychosomatic Research. 19. 203–208.

    Article  PubMed  CAS  Google Scholar 

  • Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Research. 11. 231–218.

    Article  Google Scholar 

  • Horowitz, M., Schaefer, C., Hiroto, D., Willner, N., & Levin, B. (1977). Life event questionnaires for measuring presumptive stress. Psychosomatic Medicine. 39. 413–431.

    PubMed  CAS  Google Scholar 

  • Hudgens, R. W. (1974). Personal catastrophe and depression: A consideration of the subject with respect to medically ill adolescents, and a requiem for retrospective life-event studies. In B. S. Dohrenwend, and B. P. Dohrenwend (Eds.), Stressful life events: Their nature and effects. New York: Wiley.

    Google Scholar 

  • Hudgens, R. W., Morrison, J. R., & Barchha, R. (1967). Life events and onset of primary afffective disorders. A study of 40 hospitalised patients and 40 controls. Archives of General Psychiatry, 134–145.

    Google Scholar 

  • Hudgens, R. W., Robins, E., & DeLong, W. B. (1970) The reporting of recent stress in the lives of psychiatric patients. British Journal of Psychiatry. 117. 635–643.

    Article  PubMed  CAS  Google Scholar 

  • Isherwood, J., Adam, K. S., & Hornblow, A. R. (1982). Life event stress, psychosocial factors, suicide attempt and auto-accident proclivity. Journal of Psychosomatic Research, 26. 371–383.

    Article  PubMed  CAS  Google Scholar 

  • Jacobs, S., & Myers, J. (1976). Recent life events and acute schizophrenic psychosis: a controlled study. Jounal of Nervous and Mental Disorders. 162. 75–87.

    Article  CAS  Google Scholar 

  • Jacobs, S. C., Prusoff, B. A., & Paykel, E. S. (1974). Recent life events in schizophrenia and depression. Psychological Medicine. 4, 444–453.

    Article  PubMed  CAS  Google Scholar 

  • Jenkins, C. D., Hurst, M. V., & Rose, R. M. (1979). Life changes. Do people really remember ? Archives of General Psychiatry. 36, 379–84.

    PubMed  CAS  Google Scholar 

  • Kennedy, S., Thompson, R., Stancer, H. C., Roy, A., & Persad, E. (1983). Life events precipitating mania. British Journal of Psychiatry. 142. 398–403.

    Article  PubMed  CAS  Google Scholar 

  • Kosten, T. R., Rounsaville, B. J., & Kleber, H. D. (1983). Relationship of depression to psychosocial stressors in heroin addicts. Journal of Nervous and Mental Disorders, 171, 97–104.

    Article  CAS  Google Scholar 

  • Lahniers, C. E., & White, K. (1976). Changes in environmental life events and their relationship to psychiatric hospital admissions. Journal of Nervous Mental Disorders, 163. 154–158.

    Article  CAS  Google Scholar 

  • Leff, J., & Vaughn, C. (1980). The interaction of life events and relatives’ expressed emotion in schizophrenia and depressive neurosis. British Journal of Psychiatry. 136. 146–153.

    Article  PubMed  CAS  Google Scholar 

  • Leff, J. P., Hirsch, S. R., Gaind, R., Rohde, P. D., & Stevens, B. (1973). Life events and maintenance therapy in schizophrenic relapse. British Journal of Psychiatry. 123. 659–660.

    Article  PubMed  CAS  Google Scholar 

  • Levi, L. D., Fales, C. H., Stein, M., &. Sharp, V. H. (1966). Separation and attempted suicide. Archives of General Psychiatry. 158–165.

    Google Scholar 

  • Luscomb, R. L., Clum, G. A., & Patsiokas, A. T. (1980). Mediating factors in the relationship between life stress and suicide attempting. Journal Nervous and Mental Disorders. 168, 644–650.

    Article  CAS  Google Scholar 

  • McDonald, B. W., Pugh, W. M., Gunderson, E. K. E., & Rahe, R. H. (1972). Reliability of life change cluster scores. British Journal of Social and Clinical Psychology. 11. 407–409.

    Article  PubMed  CAS  Google Scholar 

  • Maltnquist, C. P. (1970). Depression and object loss in psychiatric admissions. American Journal of Psychiatry. 126. 1782–1787.

    Google Scholar 

  • Mendels, J., & Cochrane, C. (1968). The nosology of depression: the endogenous-reactivc concept. American Journal of Psychiatry,. 124, 1–11.

    PubMed  Google Scholar 

  • Miller, P. McC., Ingham, J. C., and Davidson, S. (1976). Life events, symptoms and social support. Journal of Psychosomatic Research. 20 515–522.

    Article  PubMed  CAS  Google Scholar 

  • Monroe, S. M. (1982). Assessment of life events. Archives of General Psychiatry. 39. 606–610.

    PubMed  CAS  Google Scholar 

  • Murphy, E. (1982). Social origins of depression in old age. British Journal of Psychiatry. 141. 135–142.

    Article  PubMed  CAS  Google Scholar 

  • Murphy, E. (1983). The prognosis of depression in old age. British Journal of Psychiatry. 14, 111–119.

    Article  Google Scholar 

  • Murphy, G. E., Armstrong, J. W., Hermele, S. L., Fischer, J. R., & Clendenin, W. W. (1979). Suicide and alcoholism. Archives of General Psychiatry. 36, 65–69.

    PubMed  CAS  Google Scholar 

  • Ndetei, D. M., & Vadher, A. (1982). Types of life events associated with depression in a Kenyan setting. Acta Psvchiatrica Scandinavica. 66. 163–168.

    Article  CAS  Google Scholar 

  • Neugebauer, R. (1983). Reliability of life event interviews with outpatient schizophrenics. Archives of General Psychiatry. 40. 378–383.

    PubMed  CAS  Google Scholar 

  • O’Brien, S. E. M., & Farmer, R. D. T. (1980). The role of life events in the aetiology of episodes of self-poisoning. In R. Farmer and S. Hirsch (Ed.), The Suicide Syndrome. London: Croomhelm.

    Google Scholar 

  • Paykel, E. S. (1974). Recent life events and clinical depression. In E. K. Gunderson and R. H. Rahe (Ed.), Life Stress and Illness. (pp. 134–163 ). Springfield, Illinois: Charles Thomas.

    Google Scholar 

  • Paykel, E. S. (1978). Contribution of life events to causation of psychiatric illness. Psychological Medicine,18, 245–253.

    Article  Google Scholar 

  • Paykel, E. S. (1979). Causal relationships between clinical depression and life events. In J. E. Barrett (Ed.), Stress and Mental Disorder. (pp. 71–86). Raven Press.

    Google Scholar 

  • Paykel, E. S. (1980). Recall and reporting of life events. Arrives of General Psychiatry, 37. 485.

    CAS  Google Scholar 

  • Paykel, E. S. (1982). Life events and early environment. In E. S. Paykel (Ed.), Handbook of Affective Disorders. (pp. 146–161 ). Edinburgh: Churchill-Livingstone.

    Google Scholar 

  • Paykel, E. S. (1983). Methodological aspects of life events research. Journal of Psychosomatic Research. 27. 341–352.

    Article  PubMed  CAS  Google Scholar 

  • Paykel, E. S., Emms, E. M., Fletcher, J., & Rassaby, E. S. (1980). Life events and social support in puerperal depression. British Journal of Psychiatry. 136. 339–346.

    Article  PubMed  CAS  Google Scholar 

  • Paykel, E. S., McGuincss, B., & Gomez, J. (1976). An Anglo-American comparison of the scaling of life events. British Journal of Medical Psychology. 49. 237–247.

    Article  PubMed  CAS  Google Scholar 

  • Paykel, E. S., Myers, J. K., Dienelt, M. N., Klerman, G. L.,Lindenthall, J. J., & Pepper, M. P. (1969). Life events and depression: a controlled study. Archives of General Psychiatry. 21. 753–760.

    PubMed  CAS  Google Scholar 

  • Paykel, E. S., Prusoff, B. A., & Myers, J. K. (1975). Suicide attempts and recent life events: A controlled comparison. Archives of General Psychiatry. 32 327–333.

    PubMed  CAS  Google Scholar 

  • Paykel, E. S., Prusoff, B. A., & Uhlenhuth, E. (1971). Scaling of life events. Archives of General Psychiatry, 25. 340–347.

    PubMed  CAS  Google Scholar 

  • Paykel, E. S., & Tanner, J. (1976). Life events, depressive relapse and maintenance treatment. Psychological Medicine. 6, 481–485.

    Article  PubMed  CAS  Google Scholar 

  • Pokorny, A. D., & Kaplan, H. B. (1976). Suicide following psychiatric hospitalization. Journal of Nervous and Mental Disorders. 162. 119–125.

    Article  CAS  Google Scholar 

  • Prusoff, B., Thompson, V. D., Sholomskas, D., & Riordan, C. (1977). Psychosocial stressors and depression among former heroin-dependent patients maintained on methadone. Journal of Nervous and Mental Disorder. 165. 57–63.

    Article  CAS  Google Scholar 

  • Rahe, R. H. (1974). The pathway between subjects’ recent life-changes and their near future illness reports: representative results and methodological issues. In B. S. Dohrenwend and B. P. Dohrenwend (Ed.), Stressful Life Events: their nature and effects. New York: John Wiley.

    Google Scholar 

  • Roy, A. (1981b). Vulnerability factors in depression in men. British Journal of Psychiatry. 138. 75–77.

    Article  PubMed  CAS  Google Scholar 

  • Roy, A. (1981c). Specificity of risk factors for depression. American Journal of Psychiatry, 38, 959–961.

    Google Scholar 

  • Roy, A. (1981d). The role of past loss in depression. Archives of General Psychiatry. 38. 301–302.

    PubMed  CAS  Google Scholar 

  • Roy, A., Thompson, R., & Kennedy, S. (1983). Depression in chronic schizophrenia. British Journal of Psychiatry. 142.

    Google Scholar 

  • Schless, A. P., & Mendels, J. (1978). The value of interviewing family and friends in assessing life stressors. Archives of General Psychiatry. 35, 565–567.

    PubMed  CAS  Google Scholar 

  • Schmid, I., Scharfetter, C., & Binder, J. (1981). Lebensereignisse in Abhangigkeit von soziodemographiscen variablen. Soc. Psychiat. 16. 63–68.

    Article  Google Scholar 

  • Schwartz, C. C., & Myers, J. K. (1977a). Life events and schizophrenia. I. Comparison of schizophrenics with a community sample. Archives of General Psychiatry. 34. 1238–1241.

    PubMed  CAS  Google Scholar 

  • Schwartz, C. C., & Myers, J. K. (1977b). Life events and schizophrenia. II. Impact of life events on symptom configuration. Archives of General Psychology. 34. 1242–1245.

    Google Scholar 

  • Sethi, B. B. (1964). Relationship of separation to depression. Archives of General Psychiatry. 10, 186–195.

    Google Scholar 

  • Slater, J., & Depue, R. A. (1981). The contribution of environmental events and social support to serious suicide attempts in primary depressive disorder. Journal Abnormal Psychology. 90. 275–285.

    Article  CAS  Google Scholar 

  • Steele, G. P., Henderson, S., & Duncan-Jones, P. (1980). The reliability of reporting adverse experiences. Psychological Medicine 10, 301–306.

    Article  PubMed  CAS  Google Scholar 

  • Stein, M., Levy, M. T., & Glasberg, M. (1974). Separations in black and white suicide attenpters. Archives of General Psychiatry. 31. 815–821.

    PubMed  CAS  Google Scholar 

  • Steinberg, H. R., & Durell, J. (1968). A stressful social situation or a precipitant of schizophrenia symptoms: An epidemiological study. British Journal of Psychiatry. 114. 1097–1105.

    Article  PubMed  CAS  Google Scholar 

  • Surtees, P. G. (1980). Social support, residual adversity and depressive outcome. Social Psychiatry. 15. 71–80.

    Article  Google Scholar 

  • Tennant, C., & Bebbington, P. (1978). The social causation of depression: a critique of the work of Brown and his colleagues. Psychological Medicine. 8. 565–575.

    Article  PubMed  CAS  Google Scholar 

  • Thomson, K. C., & Hendrie, H. C. (1972). Environmental stress in primary depressive illness. Archives of General Psychiatry. 26. 130 - 132.

    PubMed  CAS  Google Scholar 

  • Thurlow, H. J. (1971). Illness in relation to life situation and sick-role tendency. Journal of Psychosomatic Research. 15. 73 - 88.

    Article  PubMed  CAS  Google Scholar 

  • Uhlenhuth, E. H., & Paykel, E. S. (1973). Symptom configuration and life events. Archives of General Psychiatry. 28. 743–748.

    Google Scholar 

  • Uhlenhuth, E. H., Haxoberman, S. J., Baiter, H. D., & Lipman, R. S. (1977). Remembering life events. In J. S. Strauss, H. M. Babigian, & M. Roff (Ed.), The origins and course of psychopatholgy: Methods of longitudinal research. New York: Plenum Press.

    Google Scholar 

  • Vadher, A., & Ndetei, D. M. (1981). Life events and depression in a Kenyan setting. British Journal of Psychiatry. 139. 134–137.

    Article  PubMed  CAS  Google Scholar 

  • Weissman, M. M., & Paykel, E. S. (1974). The depressed woman: & study of social relations. Chicago: University of Chicago.

    Google Scholar 

  • Yager, J., Grant, I., Sweetwood, H. L., & Gerst, H. (1981). Life event reports by psychiatric patients, non-patients, and their partners. Archives of General Psychiatry. 38. 343–347.

    PubMed  CAS  Google Scholar 

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Paykel, E.S. (1985). Life Events, Social Support and Clinical Psychiatric Disorder. In: Sarason, I.G., Sarason, B.R. (eds) Social Support: Theory, Research and Applications. NATO ASI Series, vol 24. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-5115-0_18

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