Social support intervention to promote resilience and quality of life in women living in Karachi, Pakistan: a randomized controlled trial

Hirani, Saima; Norris, Colleen M.; Vliet, K. Jessica Van; Zanten, Sander Veldhuyzen van; Karmaliani, Rozina; Lasiuk, Gerri

doi:10.1007/s00038-018-1101-y

Cited by 25 publications

(25 citation statements)

References 34 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Overall, results suggest that boosting social support on multiple fronts could produce the largest reductions in mental health risk. Social support-enhancing interventions often focus on the creation/use of support groups that provide a safe space for individuals to share concerns or interests (21,22) and may also include individual skill-building and network identification (23,24). Identifying which social support domains are perceived as high-quality versus lacking for a given individual may help in tailoring interventions.…”

Section: Discussionmentioning

confidence: 99%

Effects of social support on depression risk during the COVID-19 pandemic: What support types and for whom?

Choi

Lee

Liu

et al. 2022

Preprint

View full text Add to dashboard Cite

BackgroundRates of depression have increased worldwide during the COVID-19 pandemic. One known protective factor for depression is social support, but more work is needed to quantify the extent to which social support could reduce depression risk during a global crisis, and specifically to identify which types of support are most helpful, and who might benefit most.MethodsData were obtained from participants in the All of Us Research Program who responded to the COVID-19 Participant Experience (COPE) survey administered monthly from May 2020 to July 2020 (N=69,066, 66% female). Social support was assessed using 10 items measuring emotional/informational support (e.g., someone to confide in or talk to about yourself or your problems), positive social interaction support (e.g., someone to do things with to help you get your mind off things), and tangible support (e.g., someone to help with daily chores if sick). Elevated depression symptoms were defined based on having a moderate-to-severe (≥10) score on the Patient Health Questionnaire (PHQ-9). Mixed-effects logistic regression models were used to test associations across time between overall social support and its subtypes with depression, adjusting for age, sex, race, ethnicity, and socioeconomic factors. We then assessed interactions between social support and potential effect modifiers: age, sex, pre-pandemic mood disorder, and pandemic-related stressors (e.g., financial insecurity).ResultsApproximately 16% of the sample experienced elevated depressive symptoms. Overall social support was associated with significantly reduced odds of depression (adjusted odds ratio, aOR [95% CI]=0.44 [0.42-0.45]). Among subtypes, emotional/informational support (aOR=0.42 [0.41-0.43]) and positive social interactions (aOR=0.43 [0.41-0.44]) showed the largest protective associations with depression, followed by tangible support (aOR=0.63 [0.61-0.65]). Sex, age, and pandemic-related financial stressors were statistically significant modifiers of the association between social support and depression.ConclusionsIndividuals reporting higher levels of social support were at reduced risk of depression during the early COVID-19 pandemic. The perceived availability of emotional support and positive social interactions, more so than tangible support, was key. Individuals more vulnerable to depression (e.g., women, younger individuals, and those experiencing financial stressors) may particularly benefit from enhanced social support, supporting a precision prevention approach.

show abstract

Section: Discussionmentioning

confidence: 99%

Effects of social support on depression risk during the COVID-19 pandemic: What support types and for whom?

Choi

Lee

Liu

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…This finding was similar to other studies. Spouse and family support was the most important component of social support [ 26 , 27 ]. Evidence indicates that social support has a direct impact on cancer patients' health behavior [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

The Patient Health Engagement Model in Cancer Management: Effect of Physical Activity, Distress Management, and Social Support Intervention to Improve the Quality of Life in Breast Cancer Patients

Changizi

Ghahramani

Ahmadloo

et al. 2022

International Journal of Breast Cancer

View full text Add to dashboard Cite

Background. Providing better care and encouraging behaviors promoting health are effective measures to manage breast cancer patients. The present research was conducted to carry out an intervention based on the PHE model to promote physical activity, distress management, social support, and quality of life in breast cancer patients. Methods. This randomized control trial study was conducted on 123 women with breast cancer and their caregivers ( group 1 = 61 and group 2 = 62 ). Subjects entered the study from the oncology ward of a specialized clinic in Shiraz, Iran. The education was done through clips, pamphlets, and lectures in 8 sessions with a duration of 15 to 25 minutes. A posttest was carried out in the both groups in 2 times (the end and 3 months) after intervention. The SPSS25 software was used to analyze the data. Results. The mean and SD of age of group 1 were ( 45.77 ± 8.84 ) and control group 2 ( 45.58 ± 77.64 ). The fiding showed a significant difference between the mean scores of distress management, social support, physical activity, and cancer self-efficacy in group 1 vs. group 2 after intervention ( P < 0.001 ). Also, the educational intervention improved quality of life ( P = 0.003 ). Conclusion. Intervention program based on the PHE model may facilitate the cognitive, emotional, and behavioral processes in breast cancer patient. Thus, it appears that the PHE model might promote patients’ quality of life.

show abstract

“…Within the urban informal economy of Lyari there was little sign of what we refer to as Preparedness or Persistence since workers were frequently restricted to working only 2-3 days per week. Moreover, we encountered a gendered and different form of adaptability, whereby women played a prominent economic role through homebased work where they also faced exploitation by non-state (middle-men) and state (police) actors (Hirani et al 2018). In Lyari Transformation seems to have followed a fairly similar process to the experiences in Sadar and Orangi.…”

Section: Lyari: a Divided Historical 'Off-grid' Neighbourhoodmentioning

confidence: 97%

Multi-dimensional conflict and the resilient urban informal economy in Karachi, Pakistan

Mackie¹,

Brown²,

Mehmood³

et al. 2022

International Development Planning Review

View full text Add to dashboard Cite

This paper explores the resilience of the urban informal economy through multi-dimensional conflict. Karachi constituted an ideal case study for the research given the intensity and paradigmatic nature of the multi-dimensional conflict experienced in the city between 2008 and 2013. The paper applies a comparative frame in three sites (Sadar, Orangi and Lyari) to illustrate resilience of the informal economy and its role in supporting the urban poor in Karachi to survive and sometimes thrive, whilst also contributing to peaceful recovery and adaptation, albeit persistent divisions mean violence remains possible. The paper argues for greater recognition of and support for informal economies in urban policy, marking a shift away from the predominant neoliberal forms of governance that diminish the role of the state and burden already vulnerable people with the greatest risks, particularly in fragile, conflict-affected situations where half the world’s poor are predicted to live by 2030.

show abstract

Social support intervention to promote resilience and quality of life in women living in Karachi, Pakistan: a randomized controlled trial

Abstract: Community-based social support interventions are a gender-sensitive-, culturally appropriate-, and resource-sparing approach to promote women's resilience and improve their mental health.

Cited by 25 publications

References 34 publications

Effects of social support on depression risk during the COVID-19 pandemic: What support types and for whom?

Effects of social support on depression risk during the COVID-19 pandemic: What support types and for whom?

The Patient Health Engagement Model in Cancer Management: Effect of Physical Activity, Distress Management, and Social Support Intervention to Improve the Quality of Life in Breast Cancer Patients

Multi-dimensional conflict and the resilient urban informal economy in Karachi, Pakistan

Contact Info

Product

Resources

About