Summary
The effects of social network structure, support and physical health status on psychiatric morbidity were investigated among 1415 people over retirement age who took part in three independent but comparable surveys in London (urban area) and Essex (semi rural area). Multivariate analysis showed that the model explained between 14.3% and 28.6% of the variation in psychiatric morbidity in the three samples. Poor health status was a more powerful predictor of psychiatric morbidity than the social network variables. Age and sex contributed little to the model. The model was strongest among the two samples of Hackney respondents.
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References
Black M (1985) Health and Social Support in older adults in the community. Can J Aging 4: 213–227
Blazer D, Williams C (1980) Epidemiology of dysphoria and depression in an elderly population. Am J Psychiatry 137: 439–444
Bowling A (1990) The prevalence of psychiatric morbidity among people aged 85 and over living at home. Associations with reported somatic symptoms and with consulting behaviour. Soc Psychiatry Psychiatr Epidemiol 25: 132–140
Bowling A (1991) Measuring health status. Open University Press, Milton Keynes
Bowling A (1991) Social support and social networks: their relationship to the successful and unsuccessful survival of elderly people in the community. An analysis of concepts and a review of the evidence. Fam Pract 8: 68–83
Bowling A, Browne P (1991) Social support and emotional well-being among the oldest old living in London. J Gerontol 46: S20-S32
Bowling A, Charlton J (1987) Risk factors for mortality after bereavement: a logistic regression analysis. J R Coll Gen Pract 37: 551–554
Cartwright A (1983) Health surveys. King's Fund, London
Cartwright A, Anderson R (1981) General practice revisited. A second study of patients and their doctors. Tavistock Publications, London
Copeland JRM, Dewey ME, Wood N et al. (1987a) The range of mental illness amongst the elderly in the community: Prevalence in Liverpool using the GMS-AGECAT package. Br J Psychiatry 150: 815–823
Copeland JRM, Gurland BJ, Bewey ME et al. (1987) Is there more dementia, depression and neurosis in New York? A comparative community study in the elderly in New York and London using the computer diagnosis AGECAT. Br J Psychiatry 151: 464–473
Cox M, Blaxter M, Buckle A et al. (1987) The health and lifestyle survey. Health Promotion Trust, Cambridge
Cumming E, Henry WE (1961) Growing old: The process of disengagement. Basic Book, New York
D'Arcy C (1982) Prevalence and correlates of non-psychiatric symptoms in the general population. Can J Psychiatry 27: 316–24
Department of Health (1989) Terms of service for doctors in general practice. DoH, London
Goldberg DP (1972) Manual of the General Health Questionnaire. NFER-Nelson, Windsor
Goldberg DP, Williams P (1988) A user's guide to the General Health Questionnaire. NFER-Nelson, Windsor
Griffiths RA, Good WR, Watson NP et al. (1987) Depression, dementia and disability in the elderly. Br J Psychiatry 150: 482–493
Gurland B, Dean L, Cross P et al. (1980) The epidemiology of depression in the elderly: the use of multiple indicators of these conditions. In: Cole JO, Barrett JE (eds) Psychopathology of the aged. Raven Press, New York
Gurland BJ, Copeland JRM, Kelleher MJ et al. (1983) The mind and mood of ageing: the mental health problems of the community elderly in New York and London. Croom Helm, London Hawarth Press, New York
Hart D, Bowling A, Ellis M, Silman A (1990) Locomotor disability in very elderly people: value of a programme for screening and provision of aids for daily living. B M J 301: 216–220
Henderson AS, Kay DWK (1984) The epidemiology of mental disorders in the aged. In: Kay DWK, Burrows G (eds). Handbook of studies in psychiatry and old age. Elsevier, Amsterdam
Henderson S (1981) Social relationships, adversity and neurosis: an analysis of prospective observations. Br J Psychiatry 138: 391–398
Hirsch BJ (1980) Natural support systems and coping with major life changes. Am J Psychol 8: 159–172
Jarman B (1987) Deprivation data: North East Thames Regional Health Authority. St Mary's Hospital Medical School, Department of General Practice, London
Kay DWK, Beamish R, Roth M (1964) Old age mental disorders in Newcastle Upon Tyne, Part 1. A study of prevalence. Br J Psychiatry 110: 146–158
Kay DWK, Henderson AS, Scott R et al. (1985) Dementia and depression among elderly living in the Hobart community: the effect of the diagnostic criteria on the prevalence rates. Psychol Med 15: 771–788
Kessler RC, Price RH, Wortman CB (1985) Social factors in psychopathology: stress, social support and coping processes. Annu Rev Psychol 36: 531–72
Kruse A, Lehr U (1989) Longitudinal analysis of the development process in chronically ill and healthy persons-empirical findings from the Bonn longitudinal study aging (BOLSA). Int Psycho Geriatr 1: 75–83
Leavy RL (1983) Social support and psychological disorder: a review. Am J Community Psychol 11: 3–21
Lopata H (1979) Women as widows. Elsevier Press, New York
Lowenthal MF, Haven C (1968) Interaction and adaptation: intimacy as a critical yariable. Am Sociol Rev 33: 20–30
Mitchell JC (1969) The concept and use of social networks. In JC Mitchell (ed). Social networks in an urban situations: analysis of personal relationships in central African towns. Manchester University Press, Manchester
Morgan K, Dallosso T, Arie EJ, Byrne R, Waite J (1987) Mental health and psychological well-being among the old and very old living at home. Br J Psychiatry 150: 801–807
Murphy E, Smith R, Lindesay J, Slattery J (1988) Increased mortality rates in late life depression. Br Psychiatry 152: 347–353
Myers JK, Weissman MM, Tischler GL et al. (1984) Six month prevalence of psychiatric disorders in three communities. Arch Gen Psychiatry 41: 959–967
Nie NH (1983) Statistical package for the social sciences (Xth version) McGraw Hill, New York.
O'Brien J, Whitelaw N (1973) Analysis of community based alternatives to institutional care for the aged. Final report to Oregan State Program Aging and AoA. Department of Health and Welfare, USA
Payne RL, Graham-Jones J (1987) Measurement and methodological issues in social support. In: Kasl SV, Cooper CL (eds.). Stress and health, issues in research methodology. J Wiley and Sons, Chichester
Stokes JP (1983) Predicting satisfaction with social support from social network structure. Am J Community Psychol 11: 141–152
Todd J, Butcher R (1987) Electoral registration in 1981. Office of Population Censuses and Surveys, London
Townsend P (1965) The effects of family structure on the likelihood of admission to an institution in old age: the application of a general theory. In: Shanas E and Streib GF (eds). Social structure and the family, Prentice Hall, Englewood Cliffs
Townsend P (1979) Poverty in Britain. Penguin, Harmondsworth
Zung WWK (1967) Depression in the normal aged. Psychosomatics 8: 287–292
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Bowling, A., Farquhar, M. Associations with social networks, social support, health status and psychiatric morbidity in three samples of elderly people. Soc Psychiatry Psychiatr Epidemiol 26, 115–126 (1991). https://doi.org/10.1007/BF00782950
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DOI: https://doi.org/10.1007/BF00782950