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psyc 314 social support interventions.doc

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PSYC 314
Frances Chen

psyc 314 Social support interventions last slide from last class: mindfulness: people who participate in the mindfulness intervention show better CD4 count than those who had only one day of mindfulness. At baseline both groups are the same and at followup those who do the 8 weeks of mindfulness have declines less than the one day (having 8 weeks of mindfulness prevents the decline of the CD4 count) Social support interventions: • Spiegel, Lancet, 1989 • Women with metastatic breast cancer (Stage IV) • Intervention: social support group or control -weekly meetings for 1 year • Both groups had regular medical care • Outcome: survival over 10 years Spiegel, Lancet: women at an advanced stage (stage 4) of breast cancer (cancer spread from breast to other organs in their body--not a good prognosis) intervention group: they provided these women with a support group once a week for a year they talked about how to cope with cancer, the goal of this was to allow women to express their emotions regarding their illness (how it effects themselves and those around them), encouragement of finding meaning, showing these women how to deal with loss and how to prepare for death, based around emotions about and coping and adapting with cancer (not anything about treatment) The control group got usual medical care they follow these women for 10 years and looked to see who was still alive results: women who participate in the support group live significantly longer than those who got only usual medical care. The control group dies more rapidly than the women in the support group. On average the control group dies in about a year in a half, and the support group women dies in 3 years researchers think that if you allow women an opportunity to have this support, be able to talk about their emotions and be able to work through it with people who are facing it with them as well Is social belonging good for health? social belonging: positive relationships with others, and feeling like you belong within a certain context • Walton, Science, 2011 • First-year university students -African American & Caucasian • Intervention: foster sense of belonging as students transition to university life (written messages about belonging or control topics) • Outcomes (3 years later) - Self reported health - MD visits walton, 2011: looked at 1st year university students they targeted minority students (they think these students are less likely to have social networks there and will find that change from high school to university more challenging--they ask whether they really belong there) these groups are more likely to drop out--is this because they feel like they dont belong there? intervention: foster a sense of belonging by having students read written messages about belonging. 4th year students talking about how they first felt as though they did not belong but then adjusted over time and it is short lived and they got over it after a while, they framed it in a more positive way--it is not anything wrong with you, it is normal to feel this way. They had students write down their own feelings about belonging as well students either got these messages about belonging or they got a message about politics they followed them through the next three years and looked at health outcomes (self reported health outcomes and how many times they went to see a physician) the intervention took only an hour results: the intervention showed benefits in health only for the minority groups. for those who are in the majority who already feel as though they belong in university there is no difference among the control and intervention group when looking at their self assessed health. African american students showed an increase in self reported health when they were in the intervention group compared to the control group. Same results for the number of reported doctor visits. They also found that those in the belonging intervention in the minority group showed higher GPAthan the control group Effects of helping others: Is helping others good for health? • Fried, Journal of Urban Health, 2004 • Low SES, older adults • R
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