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Published on: February 22, 2018
The association between social relationships and depression: a systematic review
Ziggi Ivan Santini1, Ai Koyanagi1, Stefanos Tyrovolas1
1Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu/CIBERSAM, Dr Antoni Pujades, 42, 08830, Sant Boi de Llobregat, Barcelona, Spain.
Strong social support and extensive social networks appear to protect against depression. This review highlights the importance of these social factors for mental well-being in the general population.
Area of Science:
- Social Sciences
- Psychology
- Public Health
Background:
- Depression is a widespread mental health issue with significant global impact.
- Previous research on social relationships and depression has yielded inconsistent findings.
- Understanding these associations is crucial for public health initiatives.
Purpose of the Study:
- To systematically review existing evidence on the relationship between social relationships and depression in the general population.
- To synthesize findings on social support, social networks, and social connectedness in relation to depression.
- To identify consistent patterns and gaps in the research literature.
Main Methods:
- A comprehensive literature search was conducted across major scientific databases (PubMed, ScienceDirect, PsycNet) in May 2014.
- Studies examining the association between social support, social networks, or social connectedness and depression were included.
- Fifty-one relevant studies met the inclusion criteria for the review.
Main Results:
- Perceived emotional support and instrumental support demonstrated significant protective effects against depression.
- Larger and more diverse social networks were consistently associated with a lower risk of depression.
- Limited evidence was found regarding the impact of social connectedness and negative social interactions on depression.
Conclusions:
- The review identified strong evidence for the protective role of social support and social networks against depression.
- Future research should focus on objective measures, standardized relationship assessments, and prospective designs to establish causality.
- Social connectedness and negative interactions warrant further investigation in population-based depression studies.
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