ArticleBMC psychology2021
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.
Article in BMC psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 14 citations in OpenAlex.
- Relationship between social support and substance use among American Indian people with a self-identified substance use problem.Cultural diversity & ethnic minority psychology · 2026Article
- Co-occurrence of symptoms of substance and behavioral addictions over time: A secondary analysis of longitudinal data from the Cohort Study on Substance Use Risk Factors.Journal of behavioral addictions · 2025Article
- A scoping review of social determinants of health's impact on substance use disorders over the life course.Journal of substance use and addiction treatment · 2024Article
- Peer support and whole health coaching to address the healthcare needs of homeless veterans: a pilot study.BMC primary care · 2022Article
- Trajectories of perceived economic hardship: Relations with mother's and child's mental health and the role of self-esteem.Current psychology (New Brunswick, N.J.) · 2022Article
- The Relational Vulnerability of People Experiencing Multiple Exclusion Homelessness (MEH) in Spain.International journal of environmental research and public health · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
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Abstract
backgroundSocial 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.
methodsParticipants 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.
resultsUnconditional 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.
conclusionsThis 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.
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