“…Today, we acknowledge that the relationship between social support and mental health is much more complicated than the buffer hypothesis suggests, and causal directions are far from clear. Some results support previous notions that social support may protect against later PTSD (the social causation hypothesis) (Freedman, Gilad, Ankri, Roziner, & Shalev, 2015). A high level of social support also relates to a rapid decline in symptoms (Birkeland, Nielsen, Hansen, Knardahl, & Heir, 2017), while poor social support may increase the risk of complex PTSD (Simon, Roberts, Lewis, van Gelderen, & Bisson, 2019).…”