Levels Of Emotional Support Research Articles

Variations in anxiety and emotional support among first-year college students across different learning modes (distance and face-to-face) during COVID-19.

College students with more emotional support experience lower levels of anxiety and other psychosocial and behavioral problems. During the COVID-19 pandemic, the emotional well-being of college students was additionally challenged by an abrupt shift to distance learning followed by a return to face-to-face classes. In this exploratory study, we compared the levels of perceived emotional support and anxiety among incoming first-year undergraduate students, prior to starting classes, which included different learning modes in five semesters of instruction from 2021-2023 (three distance semesters and two face-to-face semesters). Data from 8659 undergraduate students were extracted from a Mexican state university database, corresponding to students' responses collected during new student orientation week. Participants were students in the arts and humanities (9.7%), social and legal sciences (38%), life and health sciences (28.9%), and engineering and architecture (23.4%). Anxiety levels were measured with the GAD-7 scale, and emotional support was measured using a subscale of the PERACT-R (To go through with resilience) inventory. Comparisons of emotional support and anxiety scores among semesters revealed highly significant differences with small effect sizes. Anxiety levels increased significantly with mean average of 6.65 SD(5.52) during the baseline measure to the highest in 2022-2 to 7.53 SD(5.3) and Emotional Support decreased systematically each semester from baseline mean = 8.03 SD(2.0) to the lowest 7.52 SD(1.8) in 2022-2. The results show that a return to face-to-face classes was associated with increased anxiety levels, whereas levels of emotional support systematically decreased across the five semesters. MANOVA analysis revealed significant differences in anxiety and emotional support scores between semesters, with peaks during the learning mode semester that students returned to face-to-face classes after distance learning even after adjusting for gender. Given that the effect of emotional support on anxiety may be related to success in future educational and professional activities, it is important to develop interventions to restore and increase college students' emotional support levels and develop anxiety management strategies.

The Relation Between Classroom Adversity and Students’ Problem Behavior as a Function of Teachers’ Emotional Support

The purpose of this study was to examine the relation between teachers’ reports of classroom adversity, a measure of classroom hardship, and student problem behavior in a sample of students with or at risk of emotional/behavioral disorders. We also examined the extent to which this relation varied as a function of multiple domains of classroom quality. A series of multiple regression models, adjusting for the nesting of students within classrooms, were conducted. Models revealed a significant effect of the interaction between classroom adversity and classroom emotional support on teachers’ reports of student problem behaviors. This effect indicated that in low-adversity classrooms, teachers differed in their reports of students’ problem behaviors depending on their level of emotional support. In high-adversity classrooms, however, teachers’ reports of students’ problem behaviors were relatively similar regardless of their level of emotional support. Findings suggest classroom adversity is likely an important contextual factor to consider when examining student outcomes and that teacher emotional support may mitigate the influence of classroom adversity. We conclude with a discussion of the implications of this work for research and practice.

Gifts to whom? Towards a network view of gift receivers

PurposeThis research paper aims to understand how givers characterise and manage their gift giving networks by drawing on attachment theory (AT). This responds to the need to illuminate the givers–receivers’ networks beyond traditional role-based taxonomies and explore their changing dynamics.Design/methodology/approachA multi-method, qualitative approach was used involving 158 gift experiences captured in online diaries and 27 follow-up interviews.FindingsResults show that givers organise receivers into gifting networks that are grounded in a contextual understanding of their relationships. The identification of direct, surrogate and mediated bonds reflects three different dimensions that inform gift-giving networks of support, care or belongingness rooted in AT. The relative position of gift receivers in this network influences the nature of support, the type of social influences and relationship stability in the network.Research limitations/implicationsThis study illustrates the complexity of relationships based on the data collected over two specific periods of time; thus, there might be further types of receivers within a giver’s network that the data did not capture. This limitation was minimised by asking about other possible receivers in interviews.Practical implicationsThe findings set a foundation for gift retailers to assist gift givers in finding gifts that match their perceived relations to the receivers by adapting communication messages and offering advice aligned with specific relationship contexts.Originality/valueThis study illuminates gift-giving networks by proposing a taxonomy of gifting networks underpinned by AT that can be applied to study different relationship contexts from the perspective of the giver. This conceptualisation captures different levels of emotional support, social influences and relationship stability, which have an impact on the receivers’ roles within the giver’s network. Importantly, results reveal that the gift receiver is not always the target of gift-giving. The target can be someone whom the giver wants to please or an acquaintance they share with the receiver with whom they wish to reinforce bonds.

The supports provided by artificial intelligence to continuous usage intention of mobile banking: evidence from China

PurposeArtificial intelligence (AI) has been widely used as a financial technology (fintech) in the mobile banking (M-banking) domain. However, in the literature, how AI affects users' perceptions of social support and the users' satisfaction and continuance intention (CI) remains unknown. To fill this gap, the two core characteristics of AI, perceived intelligence (PI) and perceived anthropomorphism (PA), are combined with social support theory (SST) (including informational support (IS) and emotional support (ES)) to develop a research model to investigate how PI and PA affect IS and ES, which in turn affect users’ M-banking satisfaction and CI.Design/methodology/approachThis study adopted a random probability sampling method to collect a total of 360 valid responses to verify the proposed model. Partial least squares (PLS) was employed for data analysis.FindingsThe results showed that PI and PA both have a significant positive impact on consumers' perception of social support (IS and ES). IS was a direct driver of satisfaction and CI. Surprisingly, although ES was positively associated with satisfaction, the study found that higher levels of ES will decrease CI. This study exposed how AI affects consumers’ satisfaction and CI through SST, and the role of AI in M-banking applications has been further confirmed.Originality/valueThis study expanded the SST to creatively integrate with AI features to reveal the impact of PI and PA on IS and ES, which in turn influence users' M-banking usage.

Association of Low Emotional and Tangible Support With Risk of Dementia Among Adults 60 Years and Older in South Korea

The association between social support and dementia risk has been debated. Most previous prospective studies have not differentiated the subtypes of social support. To examine whether the association between social support and risk of dementia differs by subtype of social support and by sex. This nationwide prospective cohort study included randomly sampled South Korean adults 60 years or older. The study was launched November 1, 2010, with follow-up every 2 years until November 30, 2020. The 5852 participants who completed the assessment for social support and were not diagnosed as having dementia, severe psychiatric disorders including major depressive disorder, or major neurological disorders at the baseline assessment were included in the analysis. Geriatric psychiatrists administered the structured diagnostic interviews and physical examinations to every participant based on the Korean version of the Consortium to Establish a Registry for Alzheimer Disease (CERAD-K) Assessment Packet Clinical Assessment Battery. Baseline levels of emotional and tangible support using the Medical Outcomes Survey Social Support Survey. Among the 5852 participants (mean [SD] age, 69.8 [6.6] years; 3315 women [56.6%]; mean [SD] follow-up duration, 5.9 [2.4] years), 237 (4.0%) had incident all-cause dementia and 160 (2.7%) had incident Alzheimer disease (AD) subtype of dementia. Compared with women who reported having emotional support, those with low emotional support had almost a 2-fold higher incidence of all-cause dementia (18.4 [95% CI, 13.6-23.2] vs 10.7 [95% CI, 9.0-12.5] per 1000 person-years) and AD (14.4 [95% CI, 10.2-18.6] vs 7.8 [95% CI, 6.3-9.3] per 1000 person-years). Adjusted Cox proportional hazard analysis revealed that low emotional support was associated with increased risk of all-cause dementia (hazard ratio, 1.61 [95% CI, 1.10-2.36]; P = .02) and AD (hazard ratio, 1.66 [95% CI, 1.07-2.57]; P = .02) only in women. Low tangible support was not associated with a risk of all-cause dementia or AD regardless of sex. The findings of this cohort study suggest that older women with low emotional support constitute a population at risk for dementia. The level of emotional support should be included in risk assessments of dementia.

Chronic Vulvovaginal Pain in Patients of Color: Benefits of Partner Supportiveness in Relation to Sexual Dissatisfaction and Distress.

Within the social support literature, individuals who experience chronic pain have shown many positive outcomes and benefits when receiving the appropriate level of emotional support. In the current study, individuals who experience chronic vulvovaginal pain (CVVP) were asked about their partner’s supportiveness, other sources of emotional support, and their satisfaction and stress surrounding sexual activity. The participants (n = 333) also identified as people of color, with a majority identifying as African American or Black (n = 227). The participants indicated that their partners were overall supportive of their diagnoses and found other emotional support sources through medical professionals, vulvar/vaginal pain-specific medical information websites, and family or friends. After conducting linear regressions, results showed the partner supportiveness was associated with less distress and less dissatisfaction surrounding sexual activity. Future research is suggested to further examine social support’s role for minority patients who experience chronic vulvovaginal pain.

Change in early childhood classroom interaction quality after a professional development programme (Cambio en la calidad de las interacciones pedagógicas en Educación Infantil tras un programa de desarrollo profesional)

ABSTRACT The goal of this study was to analyse changes in classroom interaction quality in 85 early childhood classrooms in vulnerable social contexts in Santiago de Chile which participated in the first year of a professional development programme. Classroom interaction quality was measured using the Classroom Assessment Scoring System (CLASS) at the beginning and end of the school year. Contingency tables were built in the experimental and control groups and subsequently analysed with the chi-square and odds ratio. Results show that most classrooms maintained low quality levels, even after having received the intervention. A significant decrease in quality level of emotional support was also observed in the control group. These results have important implications for quality evaluation policy and practices and for the design and implementation of professional development programmes in early childhood education.

Decisional Balance of Smoking and Planning to Quit Smoking: A Moderated Mediation Model among Chinese Male Smokers

ABSTRACT Decisional balance in quitting smoking involves positive and negative attitudes toward smoking. This study explored the relationship between the decisional balance of smoking and planning to quit smoking, and examined the mediating role of willingness to quit smoking and the moderating role of social support. A questionnaire survey was conducted among 326 daily male smokers from China in 2016, including the decisional balance of smoking, willingness to quit smoking, social support, planning to quit, and nicotine dependence. The results showed: (1) willingness to quit smoking mediated the relationship between the decisional balance of smoking and planning to quit smoking; (2) the relationship between the decisional balance of smoking and planning to quit smoking was moderated by emotional support rather than instrumental support. Smokers with a higher level of emotional support for quitting smoking were more likely to progress to planning to quit smoking, while this relationship was not found among smokers with a lower level of emotional support. These findings suggested that smokers’ willingness to quit smoking would be key to promoting their planning to quit. Meanwhile, the dynamic process of planning to quit smoking was moderated by emotional support from others.

An integrated mixed methods approach to clarifying delivery, receipt and potential benefits of CHW-facilitated social support in a health promotion intervention

BackgroundSocial support plays a critical role in physical and emotional health, making it an important component of community health worker (CHW) health promotion interventions. Different types of support operate in different ways, however, and the relationship between the nature of CHW support and the subsequent health benefit for their clients is not well understood.MethodsThis paper describes an integrated mixed methods study of the emotional, informational, appraisal and tangible support CHWs provided to Latinx community members residing in three US-Mexico border communities. Using a cohort (n = 159) from a CHW community-based intervention, we identify and describe four clusters of social support in which participants are characterized by life situations that informed the types of social support provided by the CHW. We examine the association between each cluster and client perceptions of social support over the 6-month intervention.ResultsCHWs provided emotional, appraisal, informational and tangible support depending on the needs of participants. Participants who received higher levels of emotional support from the CHW experienced the greatest post intervention increase in perceived social support.ConclusionsStudy findings suggest that CHWs may be adept at providing non-directive social support based on their interaction with a client rather than a health outcome objective. Health promotion interventions should allow CHWs the flexibility to tailor provision of social support based on their assessment of client needs.

Emotional, informational and instrumental support needs in patients with breast cancer who have undergone surgery: a cross-sectional study

ObjectivesThis study evaluated emotional, informational and instrumental support needs in patients with breast cancer who had undergone surgery, then identified the variables associated with those needs.DesignThis was a cross-sectional survey...

The association between three key social determinants of health and life dissatisfaction: A 2017 behavioral risk factor surveillance system analysis

Poor health outcomes disproportionately impact certain populations in the United States owing to the inequitable distribution of social determinants of health (SDOH). Using the 2017 Behavioral Risk Factor Surveillance System (BRFSS), we estimated the association of three adverse SDOH (housing insecurity, food insecurity, and financial instability) with life dissatisfaction. Participants were from Wisconsin, Minnesota, and Ohio, the only states that included the SDOH and Emotional Support and Life Satisfaction modules (n = 25,850). Six percent of respondents reported life dissatisfaction. Those who reported housing insecurity (Prevalence difference (PD) = 14.2 per 100, 95% CI [7.6, 20.7]), food insecurity (PD = 10.9 [7.1, 14.7]), and financial instability (PD = 5.6 [4.9, 6.3]) had higher prevalence of life dissatisfaction. The differences in prevalence of life dissatisfaction, comparing those with and without an adverse SDOH, decreased with increased emotional support (for housing insecurity, food insecurity, and financial instability, respectively: low support, PD = 30.2 [11.6, 48.8], 22.1 [11.6, 32.6], 16.4 [12.0, 20.8]; high support, PD = 4.8 [−2.9, 12.6], 4.8 [0.0, 9.7], 1.7 [1.1, 2.3]). Participants with frequent mental distress (FMD) had greater prevalence differences than those without FMD (for housing insecurity, food insecurity, and financial instability, respectively: with FMD, PD = 15.4 [7.5, 23.3], 10.7 [4.7, 16.7], 14.4 [9.6, 19.3]; without FMD, PD = 6.1 [−0.5, 12.5], 5.3 [1.6, 9.0], 2.5 [2.0, 3.0]). Social determinants may not only influence physical health but also have an impact on psychological well-being. This impact may be altered by levels of emotional support and FMD.

Rural Hoarding in Older Adults: A Pilot Characterization Study

There has been limited research on geriatric hoarding disorder in rural areas. Older adults living in rural areas are more likely to feel stigmatized due to mental health difficulties and to have multiple barriers to healthcare. The purpose of this study is to present the clinical picture of eight older adults (mean age 68, range 57-92) with hoarding disorder who live in the rural southeastern U.S. Participants completed a semi-structured interview and the NIH Toolbox Emotion and Cognition Batteries in their homes. Participants were mostly female (n = 6) and identified as White (n = 5) or African American (n = 3). All participants reported being Christian. Most participants were divorced or had never married (n = 6). All participants reported having at least one current medical condition, with the most commonly reported diagnosis being high blood pressure (n = 4). Half of participants reported that they had experienced at least one intervention from their family; however, only one participant reported ever experiencing an intervention from another source (i.e., property manager). On average, participants reported having a low level of emotional support and life satisfaction and a high level of loneliness and somatic symptoms of fear. Participants’ performance on tests of cognitive functioning was worst for processing speed, with three out of the eight participants performing at the level of borderline impairment or worse. Understanding the clinical presentation of hoarding disorder in rural-dwelling older adults is the first step to the development and implementation of evidenced-based treatments in this population.

Older Caregivers’ Positive and Negative Experiences With Caregiving

U.S. population growth is greatest amongst the oldest-old who are most likely to need temporary or permanent reliance on formal or informal care-giving. With co-survival of older spouses, and greater longevity, informal care-giving is increasingly provided by older adults for other older adults. Little is known about the positive and negative care-giving experiences of older informal caregivers. This observational study examines the relationship between the care-giving situation and the positive and negative perceptions of care-giving in caregivers age 65 and older. A survey of 108 older informal caregivers utilizes well-validated instruments to measure perceptions of two positive (positive self image, positive life) and two negative (stress, uncertainty) experiences due to care-giving. Regressions statistically assess the relationship between care-giving situations and these positive and negative perceptions. We find that while some care-giving situations, such as higher amounts of unpaid support, are related to positive care-giving experiences, others, such as care-giving a recipient with a greater number of ADL deficits, having more care-giving responsibilities, and having increased hours of work due to care-giving, are related to more negative experiences. Some situations, such as lower income and greater involvement in care-giving, are related to both positive and negative perceptions. Higher levels of emotional support were related to mixed positive and less negative perceptions of care-giving. Result indicate that healthcare system and community support is needed to provide opportunities for unpaid support and assistance with caregivers of recipients with a high number of ADL deficits and caregivers who have more care-giving responsibilities.

Believers, Islamic Brotherhood and Mosque-Based Emotional and Informal Social Support System among Muslims in Pakistan

ABSTRACT Although many studies have been conducted in the Western context on congregational-based social support systems focusing on non-Islamic perspectives, studies among Muslims on mosque-based social support networks in Islamic context remained unexplored. The purpose of this study is to understand and empirically examine the religious behavior-based and demographic-related correlates of mosque-based social support among 240 Muslims (believers) from Pakistan. The study is based on dimensions that include providing and receiving emotional support, anticipating emotional support, and non-positive interactions with other believers of the believer’s mosque. Results indicated that one in every five respondents received higher levels of emotional support from their co-religionists, whereas half of the respondents received moderate levels of emotional support. Involvement in congregations and mosque attendance indicated positive relationships with receiving, providing, and anticipating social support from other believer congregants. Thus, co-religionists who were actively involved in their congregations received, provided, and anticipated higher levels of emotional support from other believers as compared to respondents not actively involved in such congregations and who did not attend the mosque frequently. Female believers were provided with and anticipated receiving higher levels of support from other believers than did male believers. The co-religionists who attend mosques frequently were expected to have high levels of emotional support compared to those who attend mosques less frequently. The respondents with high school or less education received more emotional support than the respondents with higher education. However, believers with higher qualifications reported few negative interactions with other believers than those having lower education levels. Overall, the findings show that the believers do care, provide support and assistance, cooperate and help other believers, instead of criticizing them. Such selflessness results in creating and strengthening social-ties that keep the co-religionists connected with each other backed by the bond of Islamic brotherhood, in which a believer provides support to others, considering it a religious obligation.

Patterns of physical and mental health well-being in older female cancer survivors.

173 Background: The majority of cancer survivors are older adults (≥65 years), but their lifestyle behaviors are understudied. Factors associated with improved physical and mental well-being in older female cancer survivors are not well understood. The objective of this study was to evaluate the factors associated with physical and mental well-being in older female cancer survivors, including the role of malnutrition, physical activity, and level of emotional support. Methods: Older female cancer survivors (n=171) completed surveys to assess health related quality of life (HRQoL) using SF-36, malnutrition screening tool (MST), and physical activity. Demographics were also collected. The data was analyzed using descriptive analyses, correlations, and ANCOVAs. Survivors were divided into four phenotypes for analysis using the SF-36 physical and mental composite scores (PCS; MCS) stratified based on the sample’s mean scores (table). Factors associated with the four groups were assessed including demographic characteristics, cancer type, level of emotional support, risk for malnutrition, and physical activity. Results: The majority of the cohort (mean age=74.5 years) were white and highly educated. 68.4% were breast cancer survivors, with 10.5% hematologic malignancy survivors, 5.3% gynecologic malignancy survivors, and 15.8% other. Mean PCS and MCS were 41.94 and 48.47, respectively, comparable to general older adult population means. When divided into four groups based on PCS/MCS, there were no significant differences by demographic characteristics or cancer type. Survivors with higher emotional support scores had significantly higher PCS/MCS scores (p<0.001). There was also a significant difference in risk for malnutrition, as those with high PCS/MCS were at lower risk for malnutrition (p≤0.001). Survivors with low PCS/MCS engaged in less moderate exercise as compared to those with high PCS/MCS (p=0.028). Conclusions: This study suggests that lower risk for malnutrition as well as higher levels of emotional support are associated with higher physical and mental well-being in older female cancer survivors. These are two potential modifiable targets for interventional studies to optimize physical and mental well-being among older cancer survivors. [Table: see text]

Multiple Approaches for Assessing Within-Day Stability in Teacher-Child Interactions

ABSTRACT Research Findings: This study employed multiple approaches to examine the stability of teacher–child interaction quality in Chinese preschools. Teacher–child interaction quality was measured using the Classroom Assessment Scoring System (CLASS) on five observational cycles within a school day. Several different metrics of stability were examined: (1) standard deviation; (2) correlation; (3) measurement invariance; (4) mean-level change, and (5) state–trait framework. Overall, results suggested that children in Chinese classrooms experienced the same facets of quality as measured by the CLASS as has been found in other countries. Furthermore, results indicated consistent quality levels of Emotional Support and Classroom Organization, and relatively inconsistent quality levels of Instructional Support within a school day. Practice or Policy: Building on previous work, this study contributed to the field by enhancing our understanding related to the dynamics of within-day variability of teacher-child interaction quality. Chinese teachers could benefit from evidence-based professional development guided by the CLASS framework. Tools such as the CLASS could be used to guide teachers to improve their instructional interactions in both quality level and stability.

Mindfulness and yoga self-care workshop for Northern Ugandan teachers: A pilot study

Teacher stress is evident in many developed countries; however, teacher stress is also evident in many low-income sub-Saharan countries such as Uganda where teachers face additional challenges compared to their North American/European counterpart. The goal of this study was to pilot test a mindfulness and yoga self-care workshop designed for teachers working in post-conflict Northern Uganda to help them cope with stress. Twenty teachers participated in the workshop and were compared to a group of matched wait-list teachers on psychological well-being measures. Results show that self-care teachers showed greater reductions in levels of anger, fear, sadness and perceived hostility, and greater increases in levels of emotional support and friendship compared to wait-list teachers. Moreover, longitudinal exploratory data analyses suggest that many of these effects gradually emerge over the course of the three-month school term. These finds are discussed in the context of how school psychologists can help teachers in developing countries through from yoga-based, mindfulness-type programs, and the need for more scaled-up research.

Adolescents with and without Physical Disabilities: Which Processes Protect Their Self-Esteem?

ABSTRACT The objective of the study was to analyse whether young people with physical disabilities have lower global self-esteem and less positive domain-specific self-concepts than peers without physical disabilities, as well as which processes protect their self-esteem. Data were collected from 179 German adolescents with physical disabilities and 296 adolescents without physical disabilities. Both groups did not differ in global self-esteem. However, adolescents with physical disabilities had lower self-concepts of athletic competence and social acceptance. Perceived athletic competence tended to show weaker associations with self-esteem in adolescents with physical disabilities than in the control group. Regarding processes of protecting self-esteem, adolescents with physical disabilities reported higher levels of emotional support when dealing with problems, a stronger tendency to present oneself in a favourable light, and stronger selection of goals that are easily attainable. A regression analysis indicated that a lower self-esteem of young people with physical disabilities compared to the control group emerged after statistically controlling for the elevated levels of self-protective processes in the former group. We conclude that social support, goal adjustments, and positive self-presentation protect the reports on self-esteem in young people with physical disabilities. Practitioners should be sensitive to the risk for biased self-reports when assessing self-esteem.

HUSBAND’S EMOTIONAL SUPPORT PROVISION TO ADULT CHILDREN AND WIFE’S MARITAL SATISFACTION IN LATER LIFE

The current study examined the association between intergenerational support exchange and marital satisfaction among older Korean couples. Prior work has not paid due attention to the fact that older parents and adult children often exchange various types of support in the context of marital relationships, and that provision or receipt of support could influence their marital relationships (see Lee, Zarit, Rovine, Biritt, & Fingerman, 2010; Polenick, Birditt, & Zarit, 2018, for exceptions). Using the 2008 Actual Living Condition of the Elderly and Welfare Need Survey (ALCEWNS), a nationally representative survey of community-dwelling adults 60 years and older, we evaluated the links between marital satisfaction and each spouse’s reports of emotional and instrumental support provided to or received from adult children. For analyses, a series of actor-partner interdependence models were estimated. Findings revealed that wives’ marital satisfaction was associated with their husband’s exchange of emotional support with adult children. By contrast, husbands’ marital satisfaction was unaffected by their wife’s emotional support exchange with adult children. More specifically, wives were more satisfied with their marriage when their husband reported providing greater emotional support to adult children than receiving it from adult children. In addition, wives indicated higher marital satisfaction when the couple provided similar levels of emotional support to their children. Provision or receipt of instrumental support had no bearings on marital satisfaction of either spouse. Taken together, our findings highlight how older couples may evaluate their relationship quality in the Korean cultural context.

PCV63 IMPACT OF DEPRESSION ON HEALTH-RELATED QUALITY OF LIFE AMONG OLDER ADULTS WITH MYOCARDIAL INFARCTION IN THE UNITED STATES

We assessed the effect of depression on health-related quality of life (HRQoL) among myocardial infarction (MI) survivors in the United States (US). Using the 2015 Behavioral Risk Factor Surveillance System (BRFSS) data, our final study sample consisted of MI survivors (identified by “yes” response to the question: “Has a doctor, nurse, or other health care professional ever told you that you had a heart attack, also called a myocardial infarction?”) aged 50 years and older, who completed the BRFSS survey. Depression was identified using a similar question. Our dependent variable (HRQoL) comprised of number of days physical health and mental health was poor during the past 30 days; activity limitations present (yes/no); received recommended sleep (yes/no); how often emotional support received (always/usually, sometimes, or rarely/never); life satisfaction (very satisfied/satisfied or dissatisfied/very dissatisfied); and perceived general health (excellent/very good, good, or fair/poor). We conducted multivariable binomial and multinomial logistic regression analyses examining the association of presence/absence of depression on HRQoL after adjusting for demographic, socioeconomic and other health variables (a-priori alpha=0.05). Our final study sample consisted of 20,483 adults with MI among whom 5,343 (26.19%) reported having depression. MI survivors with depression were more likely to report fair/poor general health, limitations in activity, dissatisfaction with life, and more poor mental and physical health days compared to those without depression. For example: MI survivors with depression reported 2.7 times more (Adjusted Odds Ratio: 2.65: 95% Confidence Interval 2.06-3.45; p<0.0001) fair/poor perceived general health than MI survivors without depression. There was no difference in level of emotional support or sleep quality. In this US nationally representative data, MI survivors with depression had poorer HRQoL compared to MI survivors without depression. These findings underline the need for developing appropriate supportive care for MI survivors with depression.