The role of social support in the lives of the 16.8 million caregivers for children with special needs in the U.S. is not adequately understood. Many studies have explored seeking health information online, but failed to consider information exchanged through social networks (i.e., family, friends, colleagues, neighbors, etc.). Caregivers of children with special needs spend on average 30 hours per week providing such care. The burden of caregiving can negatively affect caregivers physically, mentally and emotionally, socially, and financially. Social support is one potential mediator for the effects of caregiver burden. The objective of this study was to explore the flow of four dimensions of social support within the social networks of maternal caregivers for children diagnosed with an autism spectrum disorder (ASD). A convenience sample was gathered via electronic distribution lists for Indiana parents of children with special needs. Participants could elect to complete a face-to-face interview or an anonymous online survey. The typical participant was Caucasian, married, college-educated, and located in Central Indiana. Respondent social networks are composed of multiplex relations, indicating strong ties. Significant correlations were found for participant age, child age, and the age of diagnosis, and network members for various networks. Specifically, a later age of child diagnosis is associated with fewer network members for the caregiver. Correlational analyses between dimensions of social support and network characteristics suggest options for further study. Overall, the results of this exploratory study are inconclusive, but can provide direction for future research.

Stigma surrounding substance use has been documented as a roadblock to recovery, posing a greater barrier to care for some populations more than others. In particular, pregnant and parenting women are an often overlooked and understudied demographic who could benefit considerably from targeted resources. Though, due to stigma surrounding substance use and motherhood, this demographic is routinely subject to judgement and discrimination resulting in delayed treatment entry. In the midst of the COVID-19 pandemic, issues of access have been compounded by a reduction in services despite heightened mental health struggles caused by prolonged periods of isolation and abrupt changes in lifestyle and environment. The purpose of this study is to understand how stigmatization affects help-seeking behaviour and to explore the impact of COVID-19 on women’s mental health and treatment experiences. Semi-structured telephone interviews were conducted from October 2020-February 2021, with current and past clients of integrated treatment programs in Ontario (n=24). Using an interpretive description approach, data was constructed to identify how stigma is internalized, anticipated, and embodied in the context of help-seeking behaviour, as well as to determine the extent to which the pandemic has interfered with maternal wellbeing. The following themes emerged: (1) stigma and help-seeking (2) COVID-19 and maternal wellness (3) stigma at the structural level: barriers to care and (4) mitigating stigma to enhance help-seeking: facilitating recovery through relationships. This research contributes evidence to a growing body of literature emphasizing the importance of relationships in the recovery process for combatting the effects of stigma and promoting early treatment entry and lends insight into the ways in which pregnant and parenting women with problematic substance use have navigated recovery during COVID-19. / Graduate

When COVID-19 hit the United States in spring of 2020, collegiate student-athletes, who had sport seasons canceled and were forced to move off-campus, were uniquely and significantly impacted. Psychosocial resources, such as social support, self-compassion, and resilience, may have been used to help athletes cope with the stress of COVID-19. I used structural equation modeling to analyze the relationship of resilience, self-compassion, and social support to collegiate female athlete's (n = 3,924) psychological well-being at the beginning of the COVID-19 pandemic. Collectively, the more supported, self-compassionate, and resilient the athletes reported being, the less psychological distress they said they were experiencing (resilience to psychological distress (β = -.215, p < .001), self-compassion to psychological distress (β = -.533, p < .001), and social support to psychological distress (β = -.187, p < .001)). Further, self-compassion and social support were related indirectly (and inversely) to psychological distress, to the extent that they contributed to the athletes perceiving themselves as more resilient (Self Compassion X Resilience X Psychological Distress: β = -.106, 90% CI [-.148, -.069]; Social Support X Resilience Psychological Distress: β = -.065, 90% CI [-.099, -.041]). The total effect of social support, which included the direct and indirect effects, also was significant (β = -.253, 90% CI -.307, -.196]), as was the total effect of self-compassion (β = -.639, 90% CI [-.679, -.597]). Although I collected my data in the context of this pandemic, the supported relationships have application beyond it and can guide how sports medicine professionals intervene with athletes and their general mental health concerns.

OBJECTIVES: Religiousness and spirituality have been shown to be beneficially associated with substance abuse, yet little is known regarding specific aspects thereof. Forgiveness has been shown to be associated with alcohol-related outcomes largely through better mental health. The indirect role of social support, broadly defined, has also been examined but little if any association has been detected. METHODS: Through cross-sectional multiple mediation analyses we examined 2 dimensions of social support, constructive social support and social undermining, as possible mediators of the forgiveness-alcohol outcome relationship. RESULTS: Among college students identified as likely to be hazardous or harmful drinkers (n=126; ♀=60%; white=85%), we found social undermining but not constructive social support, to play a role in the relationship between forgiveness and overall problems with alcohol, consumption, dependence symptoms, negative consequences of use, and risk for relapse. Further, such relationships were observed for forgiveness of self and feeling forgiven by God, but not forgiveness of others. CONCLUSIONS: Both forgiveness of self and feeling forgiven by God were individually associated with less perceived social undermining, which in turn was associated with fewer alcohol-related problems. In addition, in certain instances, direct associations between forgiveness and fewer alcohol-related problems remained. In sum, examining multidimensional social support provides clarity to its role in the forgiveness-addiction association and reinforces the importance of understanding the multidimensional nature of all variables under consideration when conducting forgiveness-based research.

Religiousness and spirituality are important to most Americans, and evidence suggests that they may contribute to both addiction and recovery. Forgiveness is a specific dimension of religiousness and spirituality that may enhance recovery, but the mechanism(s) through which it operates is unknown. We hypothesized that higher levels of forgiveness would be associated with higher levels of mental health and social support, which, in turn, would be associated with improved alcohol-related outcomes. Baseline and 6-month longitudinal data from a sample of 149 individuals with alcohol use disorders seeking outpatient substance abuse treatment were analyzed through multiple-mediation statistical techniques. While previous research has shown direct associations among forgiveness, alcohol-related outcomes, mental health, and social support, this study found that the direct associations between forgiveness and alcohol-related outcomes were no longer significant when mental health and social support were analyzed as mediator variables. At baseline, for each alcohol-related outcome measured (alcohol-related problems, percent heavy drinking days, percent days abstinent, and drinks per drinking day), mental health individually played a role in the relationship with both forgiveness of self and forgiveness of others, fully mediating or operating through an indirect-only pathway. For alcohol-related problems only, mental health fully mediated the relationship with forgiveness of self at follow-up and operated through an indirect-only pathway with forgiveness of others longitudinally. Social support and feeling forgiven by God were nonsignificant variables at baseline, follow-up, and longitudinally.

Objective: Gratitude, or thankfulness for positive aspects of life, is related to psychosocial well-being and decreased psychopathology, and may reduce suicide risk. We explored four potential hypotheses purported to explain the beneficial outcomes of gratitude (schematic, positive affect, broaden-and-build, and coping), hypothesizing that hopelessness (schematic), depression (positive affect), social support (broaden-and-build), and substance use (coping) would mediate the gratitude-suicide linkage. Participants: 913 undergraduate students from a mid-size, southeastern U.S. university. Methods: Respondents completed online self-report questionnaires including the Suicidal Behaviors Questionnaire-Revised, Gratitude Questionnaire, Beck Hopelessness Scale, Beck Depression Inventory, Duke Social Support Index, Alcohol Use Disorders Identification Test, and Drug Abuse Screening Test. Results: Supporting theory and hypotheses, gratitude was related to less suicide risk via beneficial associations with hopelessness, depression, social support, and substance misuse. Conclusions: The linkage between gratitude and suicide risk appears to be predicated on the beneficial association of gratitude to negative mood and interpersonal functioning.

Objective: Social support for physical activity (PA) has been shown to enhance PA levels in adolescents. Although social support has been examined extensively in the literature, less is known about the role of social support for PA for high school adolescents in rural southern Appalachia. PA is important because adolescent obesity is greater in Appalachia than in the rest of the United States. Methods: This was a qualitative secondary analysis of focus groups conducted in 2013-2014 among parents, teachers, and high school students (N = 77) in 6 counties across rural southern Appalachia. Beets' typology of social support was used to categorize themes. Results: Participants discussed instrumental supports, including providing transportation and paying fees, enrolling child in recreation/sports, and providing PA equipment at home. Performing PA with adolescents and modeling, watching/supervising, and prioritizing PA were identified as conditional supports. Several motivational supports were identified: encouragement, force, and the admiration of people who are active. Participants also identified key informational supports, including discussing the importance/health benefits of PA, how to be physically active, and general advice/information. Barriers to PA engagement (eg, body image issues, bullying, competitive nature of PA opportunities) and the role of referent groups (eg, family, peers, teachers) emerged as important concepts in the discussion. Conclusion This study identifies opportunities and practical ways for families and schools to provide, build, and strengthen supports for PA among adolescents in rural Appalachia.

No description available.

Stress affects individuals' physiology, mood, behavior, and cognitive abilities. Social support has been found effective in buffering stress. The social networking site Facebook allows individuals to connect to others to share stories, pictures, and general life events and, in so doing, offers a means of social support that bridges geographical distances for friends and family. There is limited research, however, on whether using Facebook buffers against stress. The purpose of this quantitative study was to examine the use of Facebook for social support using the conservation of resources theoretical model of stress management. Fifty-seven Facebook users over the age of 18, participated in the study. Multiple regressions were used to test hypotheses for two research questions. These questions examined the combined and relative effects of face-to-face social support, Facebook social support, stress, age, sex, number of Facebook friends, and percentage of Facebook friends who are also in the participant's face-to-face support group in accounting for variance in resource loss, resource threat, and resource gain, as well as the extent the set of predictors differentially predict resource loss, resource threat, and resource gain. This resulted in several key findings. Facebook social support and being female predicted Facebook resource gain. Face-to-face social support positively predicted face-to-face resource gain and negatively predicted Facebook resource loss whereas stress positively predicted resource threat. The results of this study may contribute to positive social change by providing research-based results on how individuals might gain additional social support to help replenish their resource pools and buffer against stress.

Caregivers of individuals with autism often report increased levels of stress and a lack of social support to help them cope with various stressors as they provide care. Without coping mechanisms or social support, as individuals with autism present various behavioral and emotional challenges, caregivers can experience a decline in well-being. Thus, the purpose of this qualitative study was to explore the processes that caregivers of individuals between the ages of 9-18 diagnosed with autism use to cope with stress and social support in Southeast Georgia. Grounded theory was used to describe the perceived thoughts caregivers have about stress and well-being and how they gain control over their situation through adaptation. Individual semi-structured interviews were used to collect data from 20 caregivers of children (ages 9-18) with at least a moderate to severe autism spectrum disorder. Findings reveal that caregivers used problem-focused coping in the identification of stressors that impacted them physically and emotionally. The degree to which stress impacts a caregivers' life is dependent on the way caregivers respond to the stressor. Because coping strategies play a role in response to stress, those strategies led to the development of a theoretical model that aim to understand the processes that generate a response to stress. Data were coded and organized into themes using open and axial coding procedures; a theory was then generated using selective coding, yielding a theory of caregiver coping processes. The improved understanding of the challenges that caregivers face as they provide care for individuals with autism holds potential to minimize the negative outcomes of stressors and harness the potential for more positive coping mechanisms to improve caregiver well-being and promote positive social change.