The association of mental disorders with perceived social support, and the role of marital status: results from a nation
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(2020) 78:108
RESEARCH
Open Access
The association of mental disorders with perceived social support, and the role of marital status: results from a national crosssectional survey Janhavi Ajit Vaingankar1* , Edimansyah Abdin1, Siow Ann Chong1, Saleha Shafie1, Rajeswari Sambasivam1, Yun Jue Zhang1, Sherilyn Chang1, Boon Yiang Chua1, Shazana Shahwan1, Anitha Jeyagurunathan1, Kian Woon Kwok2 and Mythily Subramaniam1
Abstract Background: This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) ‘Married’ status influenced the relationship between mental state and perceived social support. Methods: Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. Results: All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder (β = - 0.299, 95% CI: -0.484 – -0.113, p = 002) and having any of the five mental disorders (β = - 0.133, 95% CI: -0.254 – -0.012, p = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by ‘Married’ status. Conclusion: Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship. Keywords: Marriage, Mediation, Multidimensional scale of perceived social support, Structural equation model, General population
* Correspondence: [email protected] 1 Research Division, Institute of Mental Health, 10, Buangkok View, Singapore 539747, Singapore Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the artic
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