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The Social Dimension of Stress: Experimental Manipulations of Social Support and Social Identity in the Trier Social Stress Test
Published on: November 19, 2015
Is social support sometimes a mixed blessing?
1Clinical and Genetic Epidemiology Unit, Department of Psychiatry, Columbia University, New York, NY 10032, USA. dkp28@columbia.edu
Insights
Parental social support, unexpectedly, correlates with increased child behavioral issues in epilepsy. Further research is needed to understand this social support-as-risk factor hypothesis in pediatric epilepsy.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Social Determinants of Health
Background:
- Child behavioral problems in epilepsy are complex, influenced by intrinsic, family, and social factors.
- The interplay of these factors remains poorly understood.
- Identifying specific risk factors is crucial for effective interventions.
Purpose of the Study:
- To re-analyze data from a randomized controlled trial on antiepileptic treatment in rural India.
- To identify risk factors associated with behavioral problems in children with epilepsy.
- To investigate the unexpected correlation between social support and behavioral issues.
Main Methods:
- Utilized regression analysis on existing randomized controlled trial data.
- Focused on a cohort in rural India.
- Examined correlations between parental social support and child behavioral problems.
Main Results:
- Parental satisfaction with social support showed a positive and independent correlation with child behavioral problems (P=0.03).
- This finding was contrary to initial expectations regarding social support's protective role.
- The statistical significance (P=0.03) supports the observed correlation.
Conclusions:
- Parental interactions within informal social support networks may inadvertently increase the risk of behavioral problems in children with epilepsy.
- A novel hypothesis suggests social support can act as a risk factor.
- Further studies are recommended to explore this social support-as-risk factor hypothesis in pediatric epilepsy.
Background:
Child behavioural problems in epilepsy originate from a poorly understood interplay between intrinsic, family and social factors.
Methods:
We re-analysed data from a randomized controlled trial of antiepileptic treatment in rural India, using regression analysis to find risk factors for behavioural problems.
Results:
Parental satisfaction with social support was positively and independently correlated with child behavioural problems (P=0.03).
Conclusion:
Our findings suggest parents' interactions within their informal social support network, contrary to expectation, may increase risk for behavioural problems in their children. We suggest a possible explanation for this correlation as well as follow-up studies to investigate the social support-as-risk factor hypothesis.
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