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. 2010 Jun;25(6):612-21.
doi: 10.1002/gps.2383.

Emotional support, negative interaction and DSM IV lifetime disorders among older African Americans: findings from the National Survey of American Life (NSAL)

Karen D Lincoln  1 , Robert Joseph Taylor, Kai McKeever Bullard, Linda M Chatters, Amanda Toler Woodward, Joseph A Himle, James S Jackson
Affiliations

Emotional support, negative interaction and DSM IV lifetime disorders among older African Americans: findings from the National Survey of American Life (NSAL)

Karen D Lincoln et al. Int J Geriatr Psychiatry. 2010 Jun.

Abstract

Objectives: Both emotional support and negative interaction with family members have been linked to mental health. However, few studies have examined the associations between emotional support and negative interaction and psychiatric disorders in late life. This study investigated the relationship between emotional support and negative interaction on lifetime prevalence of mood and anxiety disorders among older African Americans.

Design: The analyses utilized the National Survey of American Life.

Methods: Logistic regression and negative binomial regression analyses were used to examine the effect of emotional support and negative interaction with family members on the prevalence of lifetime DSM-IV mood and anxiety disorders.

Participants: Data from 786 African Americans aged 55 years and older were used.

Measurement: The DSM-IV World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to assess mental disorders. Three dependent variables were investigated: the prevalence of lifetime mood disorders, the prevalence of lifetime anxiety.

Results: Multivariate analysis found that emotional support was not associated with any of the three dependent variables. Negative interaction was significantly and positively associated with the odds of having a lifetime mood disorder, a lifetime anxiety disorder and the number of lifetime mood and anxiety disorders.

Conclusions: This is the first study to investigate the relationships among emotional support, negative interaction with family members and psychiatric disorders among older African Americans. Negative interaction was a risk factor for mood and anxiety disorders among older African Americans, whereas emotional support was not significant.

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Figures

Figure 1
Figure 1
Level of Emotional Support by DSM-IV Disorder F-test (1.99,65.58) for mood disorder = 1.353, p-value = 0.266; F-test (1.94,64.16) for anxiety disorder = 1.722, p-value = 0.188
Figure 2
Figure 2
Level of Negative Interaction by DSM-IV Disorder F-test (1.92,63.25) for mood disorder = 4.065, p-value = 0.023; F-test (1.83,60.43) for anxiety disorder = 9.419, p-value < 0.001
Figure 3
Figure 3
Level of Emotional Support and Negative Interaction by Number of Disorders F-test (3.72,122.78) for emotional support = 1.428, p-value = 0.232; F-test (3.05,100.49) for negative interaction = 6.162, p-value < 0.001
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