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The Buffering
EffectofSocial SupportSubsequent
to an Important
LifeEvent*
NAN LIN
MARY W. WOELFEL
STEPHEN C. LIGHT
State Universityof New York,Albany
247
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248 JOURNAL OF HEALTH AND SOCIAL BEHAVIOR
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BUFFERING EFFECT OF SOCIAL SUPPORT 249
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250 JOURNALOF HEALTH AND SOCIAL BEHAVIOR
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BUFFERING EFFECT OF SOCIAL SUPPORT 251
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252 JOURNAL OF HEALTH AND SOCIAL BEHAVIOR
(2) Most importantlifeevent: The basic re- Hypothesis3: Amongthose who experi-
searchdesignfocuseson the singlemostim- enceda mostimportant lifeevent,an undesira-
portantevent;it assumesthatthedepressive ble eventratherthana desirableone is posi-
impactofthiseventon thoseexperiencing itis tivelyassociatedwiththe depressivesymp-
similarto or greaterthanthe impactof the toms.Thishypothesis verifiestheeffect ofde-
totality
ofeventson thoserespondents notre- sirability
oftheeventas a conditional variable.
porting a singlemostimportant one. This as- Hypothesis4: Interaction withstrongties
sumption mustbe verified, forunlessthesingle duringand subsequentto themostimportant
mostimportant eventcan be shownto exert and undesirablelifeeventwill be associated
suchimpact,anyfurther information on social witha lowerlevel of depressivesymptoms.
interactions and social supportin conjunction Thishypothesis teststhebuffering effectofthe
withthiseventwouldnotbe worthpursuing. strength of socialties.
Hypothesis2 belowaddressesthisissue. Hypothesis5: Interaction withthosemore
Utilizingall ourvariables,we nowexaminea homophilous withthe respondent duringand
seriesof hypotheses(depictedin Figure1). subsequent to themostimportant andundesir-
Threeof thehypotheses (1, 2, and 3) testthe able lifeeventwillbe associatedwitha lower
effectsofalllifeevents,themostimportant life levelofdepressivesymptoms. Thishypothesis
event,and the desirability of the event;the examinesthebuffering effectofthehomophily
remaining hypotheses(4 and 5) examinethe of theties.
buffering effectof social support. Somenotesaboutmeasurement areinorder.
Hypothesis1: The meanlevelofdepressive Although thisdesignfocusesmainlyon a per-
symptomsis positivelyrelatedto the total ceived singlemostimportant lifeeventthat
numberof significant lifeevents.This initial occurredto the respondent in the priorsix-
hypothesis establishes theoverallimpactoflife monthperiodalongwiththesocialsupportre-
eventson depressivesymptoms. ceivedduringand aftertheevent,it also ex-
Hypothesis2: Amongthose experiencingaminesthe effectsof the totalof lifeevents
significantlifeevents,the meanlevel of de- summated ina score.3Thistechniqueallowsa
pressivesymptoms is higherforthoseexperi- comparisonbetweenthe effectof the total
encingan eventtheyconsidermostimportantnumber ofsignificantlifeeventson depressive
thanforthosenot experiencing such an im- symptoms and the effectof the singlemost
portantevent.The hypothesis establishesthe important lifeeventon thesymptoms. Unless
relativesignificance ofthemostimportant life evidenceshowsthatthe presenceof a most
event.In otherwords,it teststheassumption important lifeeventhas an impacton depres-
thattheimpactoflifeeventscan be bestrepre- siongreaterthanor equal to thetotalevents
sentedby thesinglemostimportant lifeevent score,we willnotexaminethebuffering effect.
experienced. Furthermore, sincerecentdiscussionand em-
Y.;/
(High Depression) (Low Depression)
3. The Most Important Life Event
Urndesirah)le
YES 0
NO
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BUFFERING EFFECT OF SOCIAL SUPPORT 253
pirical evidence have pointed to the im- tie. Thisclassification is consistent withcom-
portanceof thedegreeof desirability
of a life monusageintheliterature. The dimensions of
event as a qualifying variable,attentionis interactions weredetermined byusinga series
givento thisvariableas well. ofquestionson thefrequency of
and intensity
interactions as follows:(1) numberof years
known,(2) frequency ofcontactinthelastsix
THE STUDY, DATA, months, (3) frequency ofrespondent to
talking
AND MEASUREMENT this personabout his/herproblems,(4) fre-
quencyof this persontalkingabout his/her
A panelofadultmalesandfemales,aged 18 problems torespondent, (5) ease withwhichto
to 70, residingin the Albany-Troy-Sche-getincontactwiththeperson,(6) talking freely
nectady(SMSA) area of New York Statehas to theperson,(7) importance ofthepersonto
been studiedover a periodof 4 years; data therespondent (Kaplan,1975).We includedan
were gatheredin 1979, 1980,and 1982.The additionaldimensionto assess (8) how much
initialsurveyconsistedof 1,091respondents,the personhelpedduringthe mostimportant
and in thesecondsurvey,871 (80Wo) of them lifeevent.5Theseitemswerescoredsuchthat
were reinterviewed. The thirdsurveydata is thelowerthe score,themore(or longer)the
beingprocessed.The data used forthisstudy relationship orthegreater itsease, freedom,or
came fromthesecondsurvey.Measurements importance. To avoid confusionin analysis,
of the major model variablesare presented thescorewas reversedso thatthehigherthe
below. score,thestronger thetie.
The stressful lifeeventsvariablesand the To measurehomophily a
of characteristics,
desirabilityoftheeventweremeasuredbythe set of questionswas askedaboutthehelper's
interviewer's presenting therespondent witha characteristics, including age,gender,occupa-
listof 118lifeeventsandasking:"Have anyof tion,education,and maritalstatus.An occu-
theseeventshappenedto you in thepast six pationalprestige score(Siegel,1971)was com-
months?" Thetotalnumber oflifeeventsexpe- puted.For thehomophily variable,theabso-
riencedwas summed.For anyeventthathad lutedifference in scoresbetweentherespon-
happened,therespondent was askedwhether dentandthehelperwas calculatedforeach of
theeventwas considered goodorbad. "Good" thesecharacteristics. The absolutescore dif-
was assigneda valueof 1, and "bad," a value ference was thenreversedso thatthehigher its
of 3. If therespondent was uncertain, thede- value, the greaterthe homophily (similarity)
sirabilityoftheeventwas assigneda valueof2. betweentherespondent andthehelperon that
To measuretheimportant lifeevent,each re- characteristic.
spondent was askedto nameone oftheevents The dependent variableintheanalysisis the
listedas mostimportant.4 A dichotomous vari- CenterforEpidemiologic Studies'depression
able was constructed to indicatewhether a re- scale (CES-D) (Markushand Favero, 1974;
spondentnamedan important event,and for Radloff,1977),whichis a simplesummated
thosewho namedan important event,thede- score of twentyitemsrelatedto depression
sirabilityof theeventwas ascertained. reported fortheweekpriortothesurvey.6 The
The strength of tieswas measuredin terms higherthe score, the greaterthe depressive
ofboththerolerelationships involvedandthe symptoms or thedepressedmood.The mean
dimensions of the interactions. Followingthe CES-D fortheentiresamplewas 8.63.
identificationofthemostimportant event,the
respondentwas asked whetheranyonehad
helpedduringor aftertheevent,and whatthe RESULTS
role relationship was betweenthe helperand
the respondent(spouse, close friend,etc.). Effectof the Most Important
The strength of the tie was represented by Life Event
the following categories: acquaintances
and helpingprofessionals (1), close friend(s) The analysesbeganwithan examination of
(2), otherrelative(s)(3), and spouse/lover (4). Hypotheses1, 2, and3, concerning theeffects
The higher thecategory value,thestronger the on depressionof thetotalsumof lifeevents,
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254 JOURNALOF HEALTH AND SOCIAL BEHAVIOR
the most important life event,and the de- portant life event. Based on t-tests of
sirability
of themostimportant lifeevent. significance,the mean difference is signifi-
Whenwe comparedthemeanCES-D levels cantlyhighbetweenthosewhoexperienced a
for those who did not experienceany life mostimportant lifeeventand thosewho did
events(X = 6.88) withthatforthosewho did not(p < .01betweenCategory1 andCategory
(X = 8.90),thedifference was significant (p < 3; p < .001betweenCategory2 and Category
.05). The zero-order correlationbetweenthe 3). Furthermore, themeanCES-D scoresfor
CES-D andthetotalnumber oflifeeventsex- thosewho did notexperienceanylifeevents
periencedwas .26. Whena dichotomized vari- and forthosewhoexperienced lifeeventsbut
ablewas constructed to representthepresence did not considerany of themimportant are
or absence of any (one or more)lifeevents bothlow (p > .10 betweenCategory1 and
experienced, itszero-order correlation withthe Category2). Hypothesis 2 was therefore con-
CES-D was much reduced (.07), but still firmed.Hence, althoughexperiencinglife
statistically
significant
(p < .05).In eithercase, events(Categories 2 and3 combined) is associ-
Hypothesis1 was confirmed. ated witha higherlevel of depressivesymp-
As arguedin Hypothesis2, however,this toms,theassociationis largelydependenton
associationmight primarily be due to themost theexperienceofa mostimportant lifeevent.
important life eventexperienced.The zero- We next examinedthe effectof the de-
ordercorrelation betweentheCES-D and the ofthemostimportant
sirability lifeevent(Hy-
presenceor absenceof a mostimportant life pothesis3). As shownin Figure3, 61 percent
eventwas .16. Figure2 presentsthe mean (256) of the respondents (excludingmissing
CES-D scoresforthreecategoriesof respon- data) who mentioneda most important life
dents(excludingmissingdata): (1) thosewho eventperceivedthe eventas "good," 30 per
didnotnameanylifeevent(s)duringtheprior cent(127) perceivedit as "bad," and there-
six months,(2) those who mentionedlife maining 9 percent(36) perceivedit as of un-
event(s)butdidnotsingleoutanyone as most certaindesirability.T-tests of significance
important, and (3) thosewhoidentified a most showa significant difference(p < .001)in the
important lifeevent. meanCES-D scoresbetweenthegoodandthe
As expected,the meanlevel of CES-D is bad event categories.Those perceivingthe
highestforthosewho mentioned a mostim- eventas undesirablescore much higheron
10.0 - 9.83
9.0
l
8.0..
Mean Depression Level
(CES-D Score)
7.0 -6.88
6.47
6.0 -
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BUFFERING EFFECT OF SOCIAL SUPPORT 255
FIGURE 3. Effectsof the Desirabilityof the Most ImportantLife Event on Depression(CES-D Scores)
14
13. 25
13 -
12
Mean-Depression Level 11 _
(NcS-u Score")
10 -99
9 - 8.55
riencing lifeeventsbutreporting
no important
life event did not show greaterdepressive
symptoms thanthosewhoexperienced no life
events(see Figure2). The undesirability
ofthe Mean Depression
Level (CES-D)
1
/4 /\
BufferingEffectsof Strong Ties If
(21) / (20)
lifeevent,thenrespondents experiencingsuch
an eventwho receivehelp fromstrongties 3
shouldshowlowerCES-D scoresthanthose
experiencing a similareventbutwithouthelp
fromsuchties.We nowexaminethesehypoth- 0 (5 AZ~~~55
eses (4 and5). We firstexplorethehypothesis
on theeffectofthestrength ofties(Hypothesis (105)
4). -snd desirable
- -desirable
event
49
(35)
event
Figure4 showsmeanCES-D scoresby the -*-*-(uncertain) ROLE RELATrIONShlIP
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256 JOURNALOF HEALTH AND SOCIAL BEHAVIOR
desirabilityof the eventand by the role re- FIGURE 5. Effectof Desirabilityof Most Important
lationshipwiththe helperforthose respon- Event and Strengthof Helper's Role Re-
dentswhoreceivedhelpwitha mostimportant lationshipfor Married Respondentson
Depression (CES-D Scores) (Number of
lifeevent.As expected,helpfromstronger ties respondentsin parentheses)
is generallyassociatedwithlowerlevelsofde-
pressedmood. For each level of event de-
helpfroma spouse/lover
sirability, is relatedto MeantDepression
Level (CES-D) AS
a lowerlevel of depressionthanis helpfrom Score b
1 / / _ __ _
accompaniedby helpfroma close friend,an I (IO4?* -
(5) (16)
strength ofrolerelationshipoftherespondent
to the person providing help. Several
anomalies,however,mustbe considered.For
bad events,closefriends areless effectivethan
weaktiesinreducing depression; andforgood Ma 0 (12) (29)
events,relativesare less effective thanclose (88) (26)
existsthatmaritaldisruption is accompanied
byhighlevelsofmentaldisorder, we wondered sideredgood,thestrength ofthetiemakesless
ifit also disruptsothernormative social sup- differenceon CES-D scores.
port:Intimeofmarital crisis,ties,suchas those For theunmarried, thehypothesis concern-
withclose friendsor relatives,mightbe ren- ingtheeffect of strengthoftieson depression
deredineffective inresolving thetensiondueto does not hold. For bothundesirableand un-
significant life events. Therefore,we con- certain events, for example, help from
ductedseparateanalysesforthose currentlyspouse/loverwas associated with a higher
marriedand thoseunmarried. The lattercate- ratherthanlowerlevel of depressivesymp-
gory consists of the single, separated,di- toms.On theotherhand,weaktieswereasso-
vorced,and widowed.Amongthose experi- ciatedwitha lowerlevelofCES-D inthecase
encing an importantlife event (excluding ofan undesirable event.Thus,anomaliesinthe
missingdata),63 percent(155) weremarried initialanalysiswereattributed to datafromthe
and 37 percent(89) wereunmarried. unmarried. Thisobservation led to further
ex-
Figure5 shows thatforthe married,the plorationof thepossibleeffectof maritaldis-
strength of social ties,as indexedby therole ruption.
relationship of thehelperto ego, is negatively Because data on maritalstatuswere col-
relatedto the level of depression(CES-D lectedin bothfirst(1979) and second (1980)
scores)wheneventsareuncertain or undesira- surveys,itwas possibleto examinechangesin
ble. For the undesirableor uncertainevent, maritalstatusover the one-yearperiod.We
those receiving help from strongestties constructed ninetypesof maritalengagement
(spouse/lover) showeda lowermeanCES-D and disengagement categories:(1) recently
thanthose receivinghelp fromweakerties married-thosemarriedduringthe one-year
(otherrelatives andweakties).Foreventscon- period;(2) alreadymarried-thosewho had
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BUFFERING EFFECT OF SOCIAL SUPPORT 257
Marital Engagement-Disengagement
Recently Already Recently Already Recently Already Recently Already
Relationshipof Married Married Widowed Widowed Separated Separated Divorced Divorced Single
Helper (N= 10) (N = 169) (N = 2) (N = 14) (N = 12) (N = 5) (N = 6) (N = 15) (N = 49)
Spouse/Lover 60.0o 52.7% 0%0 7.1% 8.3% 40.0o 33.3% 13.3% 18.8%
Other relative(s) 30.0 16.6 100.0 50.0 16.7 20.0 50.0 6.7 22.9
Close friend(s) 0 8.9 0 7.1 58.3 40.0 0 46.7 20.8
Weak ties 10.0 21.9 0 35.7 16.7 0 16.7 33.3 37.5
Average Depression
Level (CES-D Score) 7.4 9.1 26.6 10.6 21.1 12.5 8.1 11.2 9.9
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258 JOURNALOF HEALTH AND SOCIAL BEHAVIOR
Depression (CES-D)l
Total Not
Interaction
Dimensions2 Sample (N) Married (N) Married (N)
Years helper known - .04 (274) - .06 (175) .06 (99)
-.08 (241) -.11 (152) .009 (86)
Frequencyof contactwithhelper -.12* (280) -.21** (178) .02 (102)
- .12* (243) - .20** (153) - .003 (87)
Helpertalkedwithaboutproblem - .06 (279) - 13* (178) .05 (101)
-.04 (243) -.11 (153) -.07 (87)
Helper talkingabout own problem - .16** (278) - .21** (178) - .06 (100)
- .14* (242) - .21** (153) - .04 (86)
Helper easy to get in touch with - .18** (279) - .19** (178) - .10 (101)
- .17** (243) - .19** (153) - .10 (87)
Helpereasy to talkfreelywith -.04 (277) -.10 (177) .02 (100)
- .04 (241) - .12 (152) .04 (86)
Importanceof helper - .10* (278) - . 19** (175) .05 (101)
- .11 (242) -.23** (152) .04 (87)
Amountof help by helper - .08 (275) - .19** (171) .11 (100)
- .08 (239) - .22** (150) .14 (86)
*p .05.
**p .01.
1 Thefirst
coefficient
foreachitemis thezero-ordercorrelation
withCES-D, andthesecondcoefficient
is
thepartialcorrelation, fordesirability
controlling of event.
2 For"Frequency ofContact"through "AmountofHelp,"thesignshavebeenchangedso thatthehigher
thescore,thegreateramountof theparticular interaction.
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BUFFERING EFFECT OF SOCIAL SUPPORT 259
TABLE 3. Correlations
between
Depression ofRespondent
(CES-D)andHomophily andHelperCharacteristics
byMaritalStatus
Depression(CES-D)'
Characteristic Married (N) Not Married (N)
Age similarity -j 13* (169) .12 (90)
(- .09) (148) (.15) (90)
Sex similarity N.A. .11 (100)
(.08) (87)
Educationsimilarity -.12 (158) .09 (86)
(- .09) (138) (.17) (77)
Occupationalstatussimilarity
(SiegelScale) N.A. -.23* (73)
(-.24*) (62)
*p .05.
1
The firstcoefficient
foreach itemis the zero-order correlation,and the secondcoefficient
(within
parentheses)
is thepartialcorrelation, of event.
fordesirability
controlling
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260 JOURNALOF HEALTH AND SOCIAL BEHAVIOR
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BUFFERING EFFECT OF SOCIAL SUPPORT 261
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262 JOURNALOF HEALTH AND SOCIAL BEHAVIOR
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BUFFERING EFFECT OF SOCIAL SUPPORT 263
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