Increases in social support co-occur with decreases in depressive symptoms and substance use problems among adults in permanent supportive housing: an 18-month longitudinal study

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dc.creatorTan, Zhengqi
dc.creatorMun, Eun-Young
dc.creatorNguyen, Uyen-Sa D.T.
dc.creatorWalters, Scott T.
dc.creator.orcid0000-0002-1820-615X (Mun, Eun-Young)
dc.creator.orcid0000-0003-2715-9073 (Nguyen, Uyen-Sa D. T.)
dc.creator.orcid0000-0003-4074-6141 (Walters, Scott T.)
dc.creator.orcid0000-0002-2297-2770 (Tan, Zhengqi)
dc.date.accessioned2022-10-14T14:32:32Z
dc.date.available2022-10-14T14:32:32Z
dc.date.issued2021-01-06
dc.description.abstractBACKGROUND: Social support is a well-known protective factor against depressive symptoms and substance use problems, but very few studies have examined its protective effects among residents of permanent supportive housing (PSH), a housing program for people with a history of chronic homelessness. We utilized unconditional latent growth curve models (LGCMs) and parallel process growth models to describe univariate trajectories of social support, depressive symptoms, and substance use problems and to examine their longitudinal associations in a large sample of adults residing in PSH. METHODS: Participants were 653 adult PSH residents in North Texas (56% female; 57% Black; mean age: 51 years) who participated in a monthly health coaching program from 2014 to 2017. Their health behaviors were assessed at baseline and tracked every six months at three follow-up visits. RESULTS: Unconditional LGCMs indicated that over time, social support increased, whereas depressive symptoms and substance use problems decreased. However, their rates of change slowed over time. Further, in parallel process growth models, we found that at baseline, individuals with greater social support tended to have less severe depressive symptoms and substance use problems (coefficients: - 0.67, p < 0.01; - 0.52, p < 0.01, respectively). Individuals with a faster increase in social support tended to have steeper rates of reduction in both depressive symptoms (coefficient: - 0.99, p < 0.01) and substance use problems (coefficient: - 0.98, p < 0.01), respectively. CONCLUSIONS: This study suggests that plausibly, increases in social support, though slowing over time, still positively impact depressive symptoms and substance use problems among PSH residents. Future PSH programs could emphasize social support as an early component as it may contribute to clients' overall health.
dc.description.sponsorshipThis study was supported by a Medicaid 1115 Waiver to the State of Texas by Centers for Medicare and Medicaid Services (CMS) and in part by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) of the National Institutes of Health (NIH) under Award Number R01 AA019511. CMS had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication. Likewise, the content of this paper is solely the responsibility of the authors and does not necessarily represent the ofcial views of the NIAAA or the NIH.
dc.identifier.citationTan, Z., Mun, E. Y., Nguyen, U., & Walters, S. T. (2021). Increases in social support co-occur with decreases in depressive symptoms and substance use problems among adults in permanent supportive housing: an 18-month longitudinal study. BMC psychology, 9(1), 6. https://doi.org/10.1186/s40359-020-00507-0
dc.identifier.issn2050-7283
dc.identifier.issue1
dc.identifier.urihttps://hdl.handle.net/20.500.12503/31859
dc.identifier.volume9
dc.publisherBioMed Central Ltd.
dc.relation.urihttps://doi.org/10.1186/s40359-020-00507-0
dc.rights.holder© The Author(s) 2021.
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceBMC Psychology
dc.subjectDepressive symptoms
dc.subjectLatent growth modeling
dc.subjectPermanent supportive housing
dc.subjectSocial support
dc.subjectSubstance use problems
dc.subject.meshAdult
dc.subject.meshDepression / epidemiology
dc.subject.meshDepression / psychology
dc.subject.meshFemale
dc.subject.meshHomeless Persons
dc.subject.meshHousing
dc.subject.meshHumans
dc.subject.meshLatent Class Analysis
dc.subject.meshLongitudinal Studies
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPublic Housing
dc.subject.meshSocial Support
dc.subject.meshSubstance-Related Disorders / epidemiology
dc.subject.meshSubstance-Related Disorders / psychology
dc.titleIncreases in social support co-occur with decreases in depressive symptoms and substance use problems among adults in permanent supportive housing: an 18-month longitudinal study
dc.typeArticle
dc.type.materialtext

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