Psychology 407 - Health Psychology
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Week 4 Lecture 2: SOCIAL SUPPORT AND HEALTH OUTCOMES

I. Epidemiology of Social Networks and Health Outcomes

II. How Measured.

Quantitative vs. Qualitative Support.

Give Social Support Questionnaire (Book), Score and Discuss.

Note Friendship definition...

III. Causal Modeling

A. 3 Possibilities:

1. Is Causal Relationship

(note correlational aspect)

Considerable Evidence. (SEE TABLE on STUDIES, Table, p. 146). Illustrate.

2. Is Secondary to Poor Health Driving away support.

*AIDS (moral, fear of disease, ignorance)

*Tom H./NM Example.

NOTE: Seligman, Learned Helplessness

Depression and Social Community

Protection (Rosetta/Amish).

3. 3rd Mediating Variable accounts for both Social Support and Health Outcomes.

(Social Class/poor and disease; poverty/crime personality type (A); cultural and racial differences and vulnerabilities.) Maybe stress mediation.

Hokanson M/F study of PB and provocation of anger.

IV. Main Effects Model. p. 142 Fig.

Social Support directly effects health outcome.

V. Stess Buffering Model. see p. 144 model

VI. Social Suport in Chronic Disease:

A. Asthma

a. Negative Functional Effects (parental overprotection/coddling)

b. Positive Functional Effects.

B. CHD

Note Stanford deBusk Study on treadmill observation

My CVD patient sawing limbs/wife.

Sex HR fears.

C. Chronic (Back) Pain

D. Alcoholism:

+ vs. - Effect:

AA, Disease model and . Victimhood

(EAGLES song: "Get Over It")

CLASS DISCUSSION/ACTIVITIES:

1. How do We treat Chronic Diseases to enlist + social supp and limit - fn effect.

2. What are Barriers to social support enlistment or receipt for those with AIDS; Cancer; CHD.

3. Debate: Should attend. at social support groups be mandatory?

4. Which Model do you agree with: Main effects of Stress Buffer? and Why?