Social Subscale Research Articles

Family Behavioral Repertoires and Family Interaction Influence the Adaptive Behaviors of Individuals With Hikikomori.

Background: Family support is key in the initial stages of psychological support for individuals with hikikomori. However, it remains necessary to confirm the relationship between families’ cognitive behavioral factors and the severity of hikikomori to understand ways of improving hikikomori. We examined the influences of family behavioral repertoires for coping with hikikomori and family interaction on the adaptive behaviors of individuals with hikikomori. We employed a control group to examine whether the influence of these adaptive behaviors was unique to families of individuals with hikikomori. Methods: We asked 185 parents of individuals with hikikomori (hikikomori group) and 460 parents of individuals with no experience of hikikomori (control group) to complete the Family Behavioral Repertoire Scale for coping with hikikomori (FBS-H), the Family Interaction Scale for Hikikomori (FIS-H), and the Adaptive Behaviors Scale for Hikikomori (ABS-H). Using the subscales of the ABS-H as the dependent variables, we conducted hierarchical multiple regression analyses wherein family behavioral repertoire was added in Step 1, experience frequency and cognition of contingency were added in Step 2 as control values, family interaction was added in Step 3, and the interaction terms were added in Step 4. Results: The ABS-H total and subscale scores were significantly lower in the hikikomori group than in the control group. The social participation subscale showed the largest difference, while the family subscale showed the smallest. In the hikikomori group, we observed a significant adjusted R 2 for the family and value subscales (Step 1). The ΔR 2 in Step 3 was significant for the interaction and family subscales of the ABS-H. In the control group, significant adjusted R 2 values were found for all ABS-H subscales in Step 1, but the ΔR 2 in Step 3 was not significant for any subscales. Conclusion: Family-related cognitive behavioral factors, such as family behavioral repertoire and family interaction, appear to relate to improvement in hikikomori. Of course, these findings warrant further investigation because we did not examine the longitudinal, causal relations between these variables. In the future, we might also test the effect of family support interventions that target families’ behavioral repertoire and family interaction.

Values of College Students in Iran and the United States Who Admire Celebrities.

This study had two goals. The first goal was to compare scores on the Celebrity Attitude Scale (CAS) and values of college students in Iran and the United States on how they differ in their admiration for their favorite celebrities. The second goal was to examine additional psychometric data on the Twenty Item Values Inventory (TWIVI). We administered the TWIVI, the CAS, and demographic items to 200 students at a university in Iran, and 199 students at one university and two colleges in the United States. The results revealed that Iranian students scored about the same as American students on the CAS, and both samples scored higher per item on Celebrity Attitude Scale Entertainment-Social, the entertainment or social subscale as compared with the two more problematic subscales of the CAS. Stepwise multiple regressions showed that Hedonism and Power predicted total CAS scores for Americans and Tradition and Stimulation predicted total CAS scores for Iranians. We found that the TWIVI performed reasonably well given its brevity. That is, predictions stemming from Schwartz's values theory were generally confirmed in both samples by data obtained from the TWIVI.

Autistic traits, personality, and evaluations of humanoid robots by young and older adults

While research with individuals on the autistic spectrum has increased strongly, there is still a lack of research on autism/autistic traits in older adults. Children with autism have been proposed to benefit from interactions with social robots; for older adults, the potential role of robotics is currently being discussed. We combined these topics by assessing both young and older (Mean age = 22 vs. 69 years) neurotypical adults’ evaluations of various humanoid robots presented in video clips, on multiple dimensions (likeability, companionship, dominance, threat, human-likeness). We additionally assessed autistic traits (Autism Spectrum Questionnaire – AQ) and Big-Five personality traits. Remarkably, older adults evaluated robots as more likeable. Compared to young adults, older adults also showed significantly higher levels of autistic traits (particularly in the AQ social interaction subscale), higher levels of conscientiousness, and lower levels of openness. We found strong positive correlations between ratings of likeability and human-likeness of robots across groups, and particularly in participants with high levels of autistic trait. Across robots, data also provided evidence for the uncanny valley phenomenon. Favourable evaluations of robots by older adults suggest potential for older adults on the autistic spectrum to benefit from social robots.

The effect of warts on quality of life in Turkish pediatric patients

The negative effect of genital and extragenital warts on adult patient quality of life (QoL) is well known; however, the literature lacks data on the effect of extragenital warts on Turkish pediatric patient QoL. The aim of this study was to determine the effect of extragenital warts that persist for ≥6 months on Turkish pediatric patient QoL, as well as to determine the relationship between patient demographic and clinical characteristics, and QoL. The Pediatric Quality of Life Inventory Version 4.0 (PedsQLTM 4.0) was administered to 85 children and their parents (patient group), and 85 age- and gender-matched children without any skin disease and their parents (control group). Children`s Dermatology Life Quality Index (CDLQI) was administered to the patients. Higher CDLQI and PedsQLTM are indicative of lower QoL. Median wart duration and median age at the time of wart onset was 12 months (range 6-84) and 10 years (range 1-16), respectively. In the patient group mean (±Standard deviation [SD]) CDLQI score was 5.20 ± 5.97, and warts had the greatest negative effect on CDLQI symptoms and feelings scores. Mean (±SD) PedsQLTM total score was higher in the affected patients than that for the controls (23.42 ± 12.33 versus 15.81 ± 7.37, P < 0.001), and school, social and emotional functionality subscales exhibited the greatest differences between these groups. Mean (±SD) PedsQLTM total score for the patients` parents was higher than that for the controls` parents (25.94 ± 12.49 versus 17.81 ± 6.87, P < 0.001), and social and emotional functionality subscales exhibited the greatest difference between these groups. The findings show that Turkish children with warts that persist for ≥6 months had lower QoL than the controls.

Association between insight and internalized stigma and other clinical factors among patients with depression: A cross-sectional study.

Background:Insight influences treatment adherence among patients with depression. These patients also experience considerable social and self-stigma. The relationship between insight and internalized stigma has been extensively studied among patients with schizophrenia but not patients with depression.Aim:This study aimed to determine the relationship between the level of insight in illness and internalized stigma among patients with depression and to identify the clinical factors associated with impaired insight.Materials and Methods:A cross-sectional survey was conducted among adult psychiatric outpatients with depressive disorders at a teaching hospital in Kuala Lumpur for 10 months. Sociodemographic and illness-related data were gathered. Two questionnaires, Mood Disorder Insight Scale (MDIS) and Internalized Stigma of Mental Illness Scale (ISMI), were administered.Results:Ninety-nine respondents participated in the study (female: 63.6%; Malay: 41.4%; mean age: 46.4 years). The median duration of illness was 6.0 years. More respondents were taking combination therapy (59.6%). There was a statistically significant correlation between ISMI and MDIS scores (rs = 0.339, P = 0.001). On bivariate analyses, intact insight was associated with non-Malay race, combination therapy, higher average ISMI scores and subscores for alienation, stereotype endorsement, discrimination experience, and social withdrawal. Combination therapy, higher scores for alienation, and social withdrawal subscales were associated with a greater likelihood for intact insight in logistic regression model.Conclusions:Significant association exists between insight and internalized stigma in patients with depression. Interventions to reduce the impact of internalized stigma while improving patients' insight are required.

The influence of the Brazilian school health program on the oral-health-related quality of life of adolescents.

The aim of this study was to evaluate the influence of the Brazilian School Health Program (SHP) on dental clinical disorders such as caries, gingivitis, and dental trauma as well as on the oral-health-related quality of life (OHRQoL) of adolescents in Nova Friburgo, RJ, Brazil. The study consisted of a non-probabilistic (convenience) sample comprising 319 12-year-old adolescents, both participants and non-participants of the SHP, for at least two years. Socio-demographic and OHRQoL questionnaires (CPQ11-14, the Child Perceptions Questionnaire) were applied as well as clinical examinations for caries, periodontal disease, and dental trauma following the World Health Organization (WHO) criteria by calibrated researchers. Mann-Whitney, chi-square tests, and multiple logistic regression models were used for the data analysis. Statistically significant differences were observed between the groups covered and not covered by the SHP for gingivitis (p = 0.0373) and OHRQoL on the social welfare subscale (p = 0.0265) and total scale (p = 0.0449) of CPQ11-14. Multivariate analysis showed that female adolescents were 1.74 times more likely to present a lower OHRQoL (OR = 1.74, 95%IC = 1.10-2.77, p = 0.0183) than males. In addition, non-SHP subjects were 1.56 times more likely to have poor OHRQoL (OR = 1.56, 95%IC = 0.94-2.59, p = 0.0873) than program participants. In conclusion, SHP positively influenced the OHRQoL of adolescents. However, follow-up studies are needed to verify the continued effectiveness of this Brazilian SHP in improving the oral health levels and quality of life of adolescents.

Inclusion of the homeless in health equity curricula: a needs assessment study

ABSTRACT Exposure to homeless patients is a potential strategy to teach about social determinants of health and health inequities. Little is known about student attitudes and preferences for learning about the homeless in curricula addressing vulnerable populations. A needs assessment to determine student readiness may inform strategies for teaching. A mixed-methods study of one matriculating physician assistant student class, with a cross-sectional survey and 3 focus groups (FG). The validated 19-item Health Professionals’ Attitudes Toward Homelessness inventory (HPATHI) and new 7-item Learning Attitudes scale were administered to explore perceptions and preferences about relevance of caring for the homeless to future practice. FGs were conducted to theme saturation. Verbatim transcripts were independently read and coded by 3 researchers using constant comparison. Survey response rate was 100% (N = 60). Overall HPATHI mean score was 3.97 ± 0.04 of 5, indicating positive attitudes toward the homeless. The highest mean score (4.26 ± 0.04) was for the social advocacy subscale; the lowest (3.02 ± 0.06) for personal advocacy. The Learning Attitude scale (Cronbach’s alpha 0.89) mean score was 4.47 ± 0.07 out of 5, showing a positive attitude toward curricular exposure. Older students and those with prior experience with the homeless had higher HPATHI scores (p < 0.05). Four major themes emerged: vulnerable patients cannot advocate for themselves; learning about homelessness is relevant to future practice; preference for multiple teaching strategies and adequate preparation for street rotations; and anticipated anxiety about safety. Students recognize the value of learning from homeless patients as part of gaining skills in caring for vulnerable populations. Experiential learning opportunities focusing on this group are seen as an acceptable and valuable way to gain skills applicable to all vulnerable patients. Students express fear and anxiety around non-traditional settings such as the street. Their anxieties should be adequately addressed when designing clinical rotations.

Cyberbullying and Social Anxiety: A Latent Class Analysis among Spanish Adolescents.

Cyberbullying is a common social maladjustment that has negative repercussions on the wellbeing and development of adolescents, but numerous questions remain as to the relationship between cyberbullying and social anxiety in adolescence. This study analyzes cyberbullying profiles (screening of harassment among peers) and assesses whether these profiles vary with respect to the level of social anxiety (social anxiety scale for adolescents). The sample consisted of 1412 Spanish secondary education students aged 12 to 18 (M = 14.36, SD = 1.65). Latent class analysis and ANOVA were performed. Analyses revealed three profiles: high cyberbullying (high victimization, aggression, and aggression-victimization), low cyberbullying (moderate victimization, aggression, and aggression-victimization), and non-cyberbullying. The cyberbullying patterns varied significantly for all social anxiety subscales. Students with the high cyberbullying profile (bully–victims) presented high scores on social avoidance and distress in social situations in general with peers, whereas these students presented lower levels of fear of negative evaluation and distress and social avoidance in new situations as compared to the low cyberbullying (rarely victim/bully) and non-involved student profiles. Implications for psychologists and educational counselors and cyberbullying preventive interventions are discussed.

Association between perceived social support and recovery among patients with schizophrenia

BackgroundRecovery from schizophrenia is a recent concept that antagonizes the well rooted persuasion of the impossibility to recover from mental illnesses. Recovery is viewed as the final outcome for schizophrenic patients, implying long term absence of psychiatric symptomatology and suitable occupational and social functioning. AimThis study aimed to find out the association between perceived social support and recovery among patients with schizophrenia. MethodsThe study was carried out using a descriptive cross-sectional research design on a convenience sample of 176 schizophrenic patients at the department of psychiatry in Mansoura University Hospitals. Three tools were used in the current study. The first was related to socio demographic and clinical features of the studied patients, the second tool was Recovery Assessment Scale–Domains and Stages, and the third tool was Multidimensional perceived social support scale. ResultsBoth perceived social support subscales and total score had a statistically significant (≤0.001) association with recovery. ConclusionThe study provides evidence that the quality of the social support plays an important role in recovery among schizophrenic patients. Mental health services can provide social inclusion program for schizophrenic patients. Re-building of social relationships may be a major aim of psychiatric nursing interventions in mental health services.

Factors affecting emotional eating and eating palatable food in adults.

BACKGROUND/OBJECTIVESThe aim of this study was to determine the relationship among emotional eating behavior, tendency to eat palatable foods, and several risk factors.SUBJECTS/METHODSThis study was carried out on 2,434 persons (1,736 women and 698 men) aged between 19 and 64 years. A questionnaire form was used as a data collection tool, which consisted of items for the socio-demographic characteristics, anthropometric measurements, Emotional Appetite Questionnaire (EMAQ), and the Palatable Eating Motives Scale (PEMS).RESULTSA positive significant correlation was observed between the BMI groups and the negative emotions, negative situations, and negative total scores of EMAQ (P < 0.01). The regression results on negative subscales showed that a one unit increase in BMI resulted in a 0.293 unit increase in negative situations scores, a 0.626 unit increase in negative emotions scores, and a 0.919 unit increase in negative total EMAQ scores. When the BMI groups and PEMS subscale scores were examined, a significant relationship was found in the social motives, rewarding, and conformity subscales (P < 0.01). A one unit increase in BMI increased the coping motives scores by 0.077 units.CONCLUSIONSThe emotional states have a significant effect on the eating behavior. On the other hand, an increase in eating attacks was observed, particularly in people who were under the effect of a negative emotion or situation. Nevertheless, there were some limitations of the study in terms of quantitative determination of the effects of this eating behavior depending on the BMI.

Sudanese paediatric residents' perception towards training environment in Sudan Medical Specialisation Board, 2020.

The training environment is a determinant of learning outcomes. Paediatric residents spend most of their training programme activities in hospitals and related health centres. Measurement of the educational environment for residents is important to detect strengths and weaknesses and to ensure quality training.The overall aim is to determine the perception of postgraduate paediatric residents of a hospital educational environment. A descriptive cross-sectional study was conducted by using the modified Postgraduate Hospital Educational Environment Measure (PHEEM) to evaluate the training environment of paediatric residents in Sudan who spent 4 years of training after the curriculum was updated in 2014. PHEEM questionnaire was used to collect data from 150 final-year paediatric residents. Additional data about the programme were collected using checklists. Data were analysed using Statistical Package for the Social Science version 23. Of 101 residents who completed the forms, 19 (18.8%) were male and 82 (81.2%) were female. The total Cronbach's alpha score was 0.894. The total scale score was 74/160, which indicated an overall suboptimal response. The overall score was 74.66, autonomy score was 25.75, teachers score was 29.17 and social support score was 19.73. The overall mean ranged between 0.9604 and 2.9109. There were no significant differences between male and female responses. The examination results showed high scores despite the suboptimal educational environment. Perception of the training environment by residents showed suboptimal responses. All subscales showed problems that needed attention and urgent interventions. The social subscale score was the lowest and needed special attention with regard to the large number of females. It is vital to evaluate the whole training in order to make decisions about the weaknesses for improvements and continuation.

BİSİKLET KULLANIMINA İLİŞKİN MOTİVASYON KAYNAKLARI ÖLÇEĞİNİN GELİŞTİRİLMESİ

In this study, it was aimed at developing a scale to measure the cycling motivation sources of adults as physical health/exercise, social and emotional motivation based on goal setting theory. To ensure the validity and reliability of the scale the study included two separate study samples, the first of which consisted of 305 adults aging from 18 to 70. With the data gained from this first group of participants, the explanatory factor analysis is performed and three factor structure is found to explain 57.02% of the variation. As the reliability measure, internal consistency coefficients are found as .90 for the total scores of the scale, .88 for social motivation subscale, .84 for emotional motivation subscale, and .81 for physical health/exercise motivation subscale. As the second section of the study, confirmatory factor analysis is carried out to verify the factor structure of the 21-item cycling motivation scale found in the results of explanatory factor analysis. This section of the study consisted of a different group of participants aging from 18 to 56 (111 males and 367 females). In the results of analysis, the indexes of goodness-of-fit are found to support a three-factor cycling motivation scale. As the reliability coefficients, a 7-item social motivation subscale is .86, a 7-item emotional motivation subscale .81, a 7-item physical health/ exercise motivation subscale is .85 and .89 for the total scale. To conclude, the study presents the psychometric qualities of the cycling motivation sources scale as a 21-item instrument including three subscales (social, emotional and exercise) and provides evidence for the validity and reliability of the scale.

Participation Following Inpatient Rehabilitation for Traumatic Disorders of Consciousness: A TBI Model Systems Study.

Severe traumatic brain injury (TBI) may result in a disorder of consciousness (DoC) and lead to substantial long-term disability. While level of independence with activities of daily living, especially for persons who recover consciousness during inpatient rehabilitation, generally improves over time, the degree of change in participation remains unknown. We determined level of participation among persons with TBI between 2005 and 2017 who were admitted to inpatient rehabilitation unable to follow commands and subsequently enrolled in the TBI Model Systems National Database. Participation on the Participation Assessment with Recombined Tools-Objective (PART-O) Productivity, Social Relations, and Out and About subscales was evaluated at 1–5 years post-injury. We used a mixed-effects model to longitudinally compare participation between persons who did and did not regain command-following during inpatient rehabilitation. We further explored the level of participation associated with increasing levels of functional independence (FIM). The analysis included 333 persons (229 recovered command-following during rehabilitation, mean age = 35.46 years, 74.9% male). Participation across groups, at all follow-up time points, on all PART-O subscales, was remarkably low (mean range = 0.021–1.91, maximum possible score = 5). Performance was highest on the Social Relations subscale and lowest on the Productivity subscale. Longitudinal analyses revealed no difference in level of participation or change in participation across time for persons who regained command-following during rehabilitation compared to those who did not. While productivity increased over time, social participation did not and participation outside the home increased more for younger than for older persons. Across all three PART-O subscales, FIM Motor scores positively predicted participation. FIM Cognitive scores positively predicted level of participation on the Productivity and Social Relations subscales. Exploratory analyses revealed that even persons who achieved independence on the FIM Motor and Cognitive subscales had low levels of participation across domains and follow-up years. In summary, persons with severe TBI who were admitted to inpatient rehabilitation unable to follow commands were found to be unlikely to participate in productive tasks, social endeavors, or activities outside of the home up to 5 years post-injury, even if functional independence was recovered.

Strategies used by families to cope with chronic mental illnesses: Psychometric properties of the family crisis oriented personal evaluation scale.

This study was aimed at investigating the psychometric properties of the Family Crisis Oriented Personal Evaluation Scale (F-COPES) for Turkish society, which assesses the coping skills of caregivers of individuals with chronic mental illnesses. The study was conducted with 153 family caregivers of patients with a chronic mental illness admitted to the inpatient and outpatient units of two university hospitals and İzmir Schizophrenia Solidarity Association. For the language validity, the translation-back translation method was performed, for the content validity, expert opinions were obtained, for the construct validity, exploratory and confirmatory factor analysis was performed. For the reliability analysis, Cronbach α reliability coefficient was calculated and the test-retest reliability analysis was performed. The content validity index of the scale was 0.96. The Cronbach's α reliability coefficient for the overall scale was .80. Factor loadings of the subscales ranged between 0.56 and 0.69 for the Acquiring Social Support subscale, between 0.43 and 0.74 for the Reframing subscale, between 0.53 and 0.74 for the Seeking Spiritual Support subscale. The model fit indexes were as follows: χ2 = 176.369, df = 116, χ2 /df = 1.52, RMSEA = 0.059, CFI = 0.90, IFI = 0.91, GFI = 0.88. The results of the present study show that the levels of psychometric properties of F-COPES in Turkish society are acceptable. It is thought that it would be useful to use the F-COPES in the assessment of coping behaviors of individuals who give care to patients with a chronic mental illness and that it can be used as measurement tool in studies to be conducted with caregivers of patients with a chronic mental illness to assess their coping skills.

Comparison of Nutritional Habits, Physical Activity Levels and Quality of Life among Normal Cognition Elderly Individuals Living in Nursing Homes or at Their Residence

Background: The process of ageing affects an individual's nutritional status, quality of life and physical activity level. This study aimed to compare these parameters among elderly individuals living either in nursing homes or at their residence. Methods: The study included 88 elderly individuals aged ≥ 65 years, 59 living at their residence and 29 in a official nursing home. The patients' sociodemographic characteristics, quality of life, physical activity levels, hand-grip strength and nutritional habits were evaluated. Results: The mean ages of those individuals living in nursing homes and at their own residence were 72.58 ± 6.62 and 68.39 ± 3.89 years, respectively. Those living in nursing homes skipped meals less frequently. Therefore, their energy and nutrient intake levels were significantly higher than in those living at their residence (p ＜ 0.05). Regarding quality of life, those living in nursing homes provided more favourable responses to questions regarding emotional role difficulties and social functioning subscales (p ＜ 0.05). No difference was observed between the two groups in terms of physical activity levels and hand-grip strength (p ＞ 0.05). Conclusion: Compared with those living at their residence, elderly individuals living in official nursing homes were less likely to skip meals and therefore had better energy and nutrient intake levels. They also demonstrated better quality of life in terms of social functioning subscales and emotional role difficulties.

The Relationship between Transplant Status and Patient-Reported Outcomes in Patients with FLT3-Mutated Relapsed/Refractory (R/R) Acute Myeloid Leukemia (AML): Results from the Phase 3 Admiral Study

The Relationship between Transplant Status and Patient-Reported Outcomes in Patients with FLT3-Mutated Relapsed/Refractory (R/R) Acute Myeloid Leukemia (AML): Results from the Phase 3 Admiral Study

QOLP-26. PATIENT REPORTED SOCIAL FUNCTION AND SURVIVAL IN GLIOMA PATIENTS

Abstract PURPOSE Research among patients with cancer suggests that health related quality of life (HRQOL) may be more predictive of survival than performance status. Social function is a HRQOL outcome influenced by both physical and mental health. To our knowledge, no work has analyzed the potential association between survival and social function in patients with brain tumors. METHODS In the SEER Medicare Health Outcomes Survey, 158 patients were identified with 1) diagnosis of glioma between 1976 and 2013 2) no other cancer diagnosis 3) at least one post-diagnosis HRQOL survey. We examined the relationship between social function and mortality using a multivariable Cox proportional hazard model. We also examined factors correlated with social function score using linear regression. RESULTS At last follow up, 48% of the patients had died, 53% were female, 59% had trouble with ≥1 ADL, 53% were married, 27% had glioblastoma, 74% were white, and 32% had no reported comorbidities. Median time from cancer diagnosis to survey was 79 months and median age at survey was 60 years. For patients alive at last follow-up, there was a difference of &gt;5 points for the social function subscale (38.2 vs 30.6) compared to those who died during the median 163 month follow up interval. On multivariable Cox proportion hazard model adjusting for covariates, higher social function scores were significantly associated with improved survival (5 point increase in score, HR 0.86, p = 0.0029). Worse social function was associated with patient-reported neurologic deficits in vision and speech and report of depression, but not marital status, sex, race, or patient-reported income. DISCUSSION Patient-reported social function score on post-diagnosis surveys, even after accounting for important clinical factors, was significantly associated with survival. The impact of patient reported social function in those with glioma should be further examined in confirmatory longitudinal studies.

ETHNIC DIFFERENCES IN THE RELATIONSHIP BETWEEN SOCIAL CAPITAL AND PSYCHOLOGICAL DISTRESS IN OLDER CALIFORNIANS

Seniors aged 65 and older are at great risk of psychological distress given their functional decline, which is known to limit participation and engagement in community life. The purpose of this study is to examine whether higher indices of social capital have a positive impact on the mental health of older, ethnic Californians. We conducted a secondary analysis of data for 7,485 Californians 65 and older from the 2016 California Health Interview Survey (CHIS). A principal components analysis generated two social capital measures; one measuring safety and social cohesion, the other civic engagement. Hierarchical linear regression analyses were conducted to assess the independent effects of social capital subscales on the severity of psychological distress as measured by the Kessler-6 (K6).Respondents were on average moderately distressed, with small yet significantly higher K6 scores observed among African Americans, Asians, and Native Americans. The addition of our social capital variables in subsequent steps resulted in little yet significant change in explaining psychological distress (ΔR2 = .02, p < .001) with only neighborhood safety and social cohesion being inversely associated with K6 (β = -.15, p < .001). The interaction between ethnicity and neighborhood safety and social cohesion resulted in non-significant associations with K6 scores for all ethnic minority subgroups; however, for African Americans the relationship with psychological distress actually increased significantly (β = .24, p < .001). Our findings suggest that specific types of social capital may be helpful in remediating psychological distress for certain ethnic minority groups.

INVESTIGATING THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND COGNITION AS MEDIATED BY HEALTH AND POSITIVE AFFECT

Decreased social networks are common in old age after major life events such as retirement, loss of loved ones, and declining health (Shankar et al., 2013). Diminished social ties are associated with increased feelings of loneliness and perceived isolation, which can have negative effects on cognition and physical health. The current study examines the relationship between social support (assessed via the Social Network Questionnaire) and overall cognitive performance (assessed as a latent construct comprising indicators that represent mean verbal episodic memory, processing speed, reasoning, and spatial visualization), and investigates positive affect and self-rated health as mediators of this relationship. The current study included 5,125 participants between the ages of 18-99 years from the Virginia Cognitive Aging Project (VCAP). Cross-sectional analyses were conducted using structural equation modeling. After controlling for age and education, results showed that a social support construct (comprising indicators representing each social network subscale) significantly and positively predicted cognitive performance (.59, p< .001). This relationship was reduced to .22 (p <.001) when positive affect was included as a mediator, and to .14 (p< .001) when self-rated health was included as a mediator. When the variables were included in a joint mediation model the relationship between social support and cognition was .20 (p < .001). Thus, health and positive affect are partial mediators of the relationship between social support and cognition and may help explain the relationship between social support and cognition. Furthermore, these findings provide additional evidence that social networks may play an important role in successful aging.

THE PROTECTIVE ROLE OF SOCIAL SUPPORT ON DEPRESSIVE SYMPTOMS AMONG AGING SEXUAL MINORITY CANADIANS

Sexual minority older adults face minority stressors that are associated with higher rates of mental illness. The stress buffering effects of social support within majority populations are well documented. Using a large population-based sample of aging Canadians, we sought to examine the relationship between sexual orientation and depressive symptoms, and determine whether this relationship is moderated by social support and sex. Baseline data from the Canadian Longitudinal Study on Aging (CLSA) were used (n = 46147). Participants were between the ages of 45-85 years at time of recruitment (mean age = 62.46, SD = 10.27), and self-reported their sexual orientation as heterosexual or lesbian, gay, or bisexual (LGB) (2.1%). Social support and depressive symptoms were measured using validated instruments. Four functional social support subscales were derived: tangible, positive social interaction, affectionate, and emotional/informational. Multiple linear regression models adjusted for relevant covariates were conducted. LGB identification was associated with greater depressive symptoms when compared to heterosexual participants (p = 0.032). As evidenced by a significant 3-way interaction (p = 0.030), increasing tangible social support was associated with a corresponding decrease in the risk of depressive symptoms; this relationship was most pronounced for lesbian and bisexual women. A significant 2-way interaction (p = 0.040) revealed that as emotional/informational social support increased, depressive symptoms decreased, with greater disparity between LGB and heterosexual participants at lower levels of social support. The results highlight the importance of social support in promoting mental health, especially among sexual minority older adults.