Predictors of romantic partner nomination reciprocity in adolescent social networks.

Network data uniquely allow relationships to be multiply reported, creating varying rates of relationship nomination reciprocation. However, what drives such variation is unclear. Variation in reciprocation may reflect substantive information about relationships (e.g., social salience or desirability) or study design (e.g., question wording or capped nominations). We examine predictors of nomination reciprocity in romantic network data from the PROSPER study to analyze individual and dyadic predictors of nomination reciprocity. Results show higher grades predict higher reciprocity, while same-sex relationships and behaviorally discordant dyads are less likely to be reciprocal.

Our Friends Keep Us Together: The Stability of Adolescents' Cross-Race Friendships.

Substantive racial integration depends on both access to cross-race friendship opportunities (demographic integration) and the development of stable and rewarding social relations (social integration). Yet, we know little about the relative stability of cross-race friendship nominations over time. Cross-race friendships are also experienced within social contexts, where other individual, dyadic, and contextual factors may simultaneously affect whether such ties persist. Based on longitudinal network data on over 2,000 students in multiple communities, we test whether cross-race friendships are more or less stable than same-race friendships. We find that cross-race friendships at first glance appear less likely to persist than same-race friendships, but cross-race ties become no less stable than same-race ties after accounting for other social factors, including reciprocity and shared friends. This pattern suggests a threshold process where strong, socially recognized ties embedded among peers face less threat to maintaining friendship stability.

To Make and Keep Friends: The Role of Health Status in Adolescent Network Tie Formation and Persistence.

Health status may shape network structure through network dynamics (tie formation and persistence) and direction (sent and received ties), net of typical network processes. We apply Separable Temporal Exponential Random Graph Models (STERGMs) to National Longitudinal Study of Adolescent to Adult Health survey data (n = 1,779) to differentiate how health status shapes network sent and received tie formation and persistence. Results indicate that networks are shaped by withdrawal of adolescents experiencing poor health, highlighting the importance of separating distinct and directed processes of friendship formation and persistence when considering how health relates to adolescent social life.

Associations of peer generational status on adolescent weight across Hispanic immigrant generations: A social network analysis.

BACKGROUND: Childhood obesity disproportionately impacts Hispanics in the United States (US), the nation's largest ethnic minority population. However, even among Hispanic children, those born in the US are at increased risk of developing obesity than those not born in the US (i.e. first-generation Hispanics). The objective of this study is to assess whether ethnic and generational differences in the friend networks of Hispanic adolescents moderate the association between immigrant generation and weight. METHODS: We analyzed data from first-generation, second-generation, and third-generation Hispanic 12 to 19 year-old participants in Wave 1 of the Longitudinal Study of Adolescent to Adult Health (Add Health). Using multivariable linear regression, we examined the association between generational status and body mass index (BMI), and whether the ethnic and generational composition of friends moderated that association. RESULTS: Higher generational status was associated with higher BMI. The ethnic and generational composition of friends was not independently associated with BMI among Hispanic adolescents. However, a social network with a greater proportion of second-generation Hispanics was positively associated with BMI among first-generation Hispanics, and negatively associated with BMI among second-generation Hispanics. CONCLUSIONS: The generational status of peers in Hispanic adolescents' social networks, particularly the proportion that are second-generation Hispanic, moderates the positive association between immigrant generation and BMI. Moreover, this moderation effect is different across immigrant generations so that the proportion of second-generation adolescents within a social network is associated with higher BMI in first-generation Hispanic adolescents, but with lower BMI among those who are second-generation. These results were confirmed in sensitivity analyses. Our findings suggest that the generational composition of social networks alters the association between the generational status and weight of Hispanic adolescents, and thus that social factors within those networks may contribute to those associations.

Pathways from peers to mental health: Adolescent networks, role attainment, and adult depressive symptoms.

Both adolescent peer networks and adult role attainment affect mental health in adulthood. However, whether adult roles mediate associations between adolescent networks and adult mental health is unclear. Using path analysis with survey data from the National Longitudinal Study of Adolescent to Adult Health (N = 8543) in the United States, we examine the direct impact of adolescent (grades 7-12) popularity (received ties) and sociality (sent ties) among school peers on adult (ages 33-43) depressive symptoms, and we assess mediation pathways through four key adult roles: marriage, employment, education, and residential independence. We then examine whether pathways differ across men and women. Results indicate that adolescent popularity, or how others view an adolescent's position in the peer network, benefits adult mental health through the attainment of marriage, employment, and education. Residential independence is a significant mediator for popularity in models for men. Sociality, or how an adolescent views their own position in the peer network, relates to adult depressive symptoms through the attainment of a college degree for women and marriage for men. Sociality also directly predicts lower depressive levels, independent of adult role attainment, in models for women. Overall, results indicate gendered pathways for how adolescent networks relate to mental health decades later through adult roles.

Embedded Distress: Social Integration, Gender, and Adolescent Depression.

In adolescence, teens manage close friendships while simultaneously evaluating their social position in the larger peer context. Conceptualizing distinct local and global network structures clarifies how social integration relates to mental wellbeing. Examining local cohesion and global embeddedness in the context of key factors related to mental health, such as gender and friends' depression, can further distinguish when the structure and content of social integration relate to higher and lower depressive levels. Analyses using survey data from PROSPER (n = 27,091, grades 9-12) indicate global embeddedness is generally protective, but for girls, greater global embeddedness when friends are more depressive is associated with increased depressive symptoms. For girls, greater local cohesion reduces associations between more depressive friends and increased depressive levels, while for boys, both local cohesion and friends' depression are largely irrelevant. Results indicate the importance of considering both local and global network integration in tandem with gender and friends' depression to understand how social integration relates to mental health.

Who Gets Help? A National Longitudinal Study of Personal Networks and Pandemic Support Among Older Adults.

OBJECTIVES: Personal networks provide social support for older adults, perhaps especially during the coronavirus disease 2019 (COVID-19) pandemic when traditional avenues may be disrupted. We provide one of the first population-based studies on how prepandemic personal networks predict support during the pandemic among older adults, with attention to gender and race variation. METHOD: We analyzed longitudinal data from the National Social Life, Health, and Aging Project Round 3 (2015/2016) and COVID-19 Round (2020; N = 2622, 55.68% female, 78.75% White, aged 50-99), a nationally representative survey of community-dwelling older Americans. We considered structure (i.e., size, density) and composition (i.e., proportion female and kin) of prepandemic personal networks, estimating multinomial logistic models to predict self-reported need and receipt of instrumental help and emotional support during the pandemic. RESULTS: Larger prepandemic confidant networks predicted higher risk of receiving needed pandemic help and support, higher risk of receiving help and support more often than prepandemic, and lower risk of being unable to get help. Denser prepandemic networks also predicted higher risk of receiving pandemic help and support. Furthermore, how network size and density related to support differed with respondent race and a greater proportion of kin in prepandemic networks predicted higher risk of receiving help for non-White older adults only. DISCUSSION: Older adults' prepandemic confidant network structure and composition can provide underlying conditions for receiving pandemic social support. Findings speak to policies and programs that aim to foster social support or identify vulnerable groups that suffer the greatest unmet need for support during a global crisis.

Social participation and self-reported depression during the COVID-19 pandemic among older adults.

OBJECTIVES: The COVID-19 pandemic has increased depressive symptoms and disrupted activities that might typically mitigate depressive symptoms. Pandemic restrictions to social participation that supports well-being in older adults may contribute to worse mental health outcomes, but how participation relates to pandemic depressive symptoms is unclear. METHODS: Using longitudinal data from the nationally representative National Health and Aging Trends Study (N = 3181), we assessed whether older adults' pandemic depressive symptoms were associated with participation in paid work, volunteering, religious services, and other organized activities during the pandemic, as well as changes in participation in these activities compared to pre-pandemic engagement. RESULTS: Of participation during the pandemic, only attending religious services predicted pandemic depression, with religious attendance associated with higher risk of mild pandemic depressive symptoms. However, for changes in participation, stopping paid work during the pandemic predicted higher risk of moderate/severe pandemic depressive levels, while stopping attending religious services predicted lower risk of mild pandemic depression. CONCLUSION: This work demonstrates the importance of social participation for mental health and indicates what types of disruptions may reduce integration to increase older adults' vulnerability to depressive symptoms during a global pandemic.

Marital Status Differences in Loneliness Among Older Americans During the COVID-19 Pandemic.

Guided by the social integration perspective, we conducted one of the first population-based studies on marital status differences in loneliness during the COVID-19 pandemic among older Americans. Analysis of data from the 2020 National Health and Aging Trends Study COVID-19 supplement (n = 2861) suggested that, compared to their married counterparts, divorced and widowed older adults reported higher levels of loneliness during the pandemic, and divorced older adults also felt lonely more often when compared to before the pandemic. These marital status differences in pandemic loneliness cannot be explained by changes in social participation (e.g., working for pay, volunteering, attending religious services, or attending clubs, classes, or other organized activities) or changes in contact frequency with family and friends (via phone calls, emails/texts/social media messages, video calls, or in-person visits). No gender difference was found in the association between marital status and loneliness during the pandemic. These results, coupled with the growth of the unmarried older population, highlight that policymakers, health care providers, and researchers should think creatively about ways to reduce the loneliness gap between married and unmarried groups to promote healthy aging for all older adults, particularly in the face of emerging pandemics that may complicate strategies to improve population health in the future.

Who Does Cohesion Benefit? Race, Gender, and Peer Networks Associated with Adolescent Depressive Symptoms.

Adolescence is a developmental period when peer network structure is associated with mental health. However, how networks relate to distress for youth at different intersecting racial/ethnic and gender identities is unclear. Using National Longitudinal Study of Adolescent to Adult Health survey data, cross-sectional models examine peer network cohesion predicting adolescent depressive levels for racial/ethnic and gender groups. The analytic sample is N = 13,055, average age 15.3 years, 50.2% female, 68.8 % White, 17.2% Black, 9.7% Hispanic, and 4.2% Asian. The results indicate that average cohesion, depressive levels, and cohesion associated with depressive levels differ by race/ethnicity and gender, with the greatest benefits for White and Black girls. This work clarifies patterns of adolescent networks and mental health by race/ethnicity and gender.

Parental Death and Mid-adulthood Depressive Symptoms: The Importance of Life Course Stage and Parent's Gender.

Traditional theories of grief suggest that individuals experience short-term increases in depressive symptoms following the death of a parent. However, growing evidence indicates that effects of parental bereavement may persist. Situating the short- and long-term effects of parental death within the life course perspective, we assess the combined influence of time since loss and life course stage at bereavement on mental health for maternal and paternal death. Using data from the National Longitudinal Study of Adolescent to Adult Health (N = 11,877) to examine biological parental death from childhood to mid-adulthood, we find that those who experience recent maternal or paternal death have heightened depressive symptoms. Furthermore, those who experience maternal death in childhood or paternal death in young adulthood exhibit long-term consequences for mental health. Our findings underscore the theoretical importance of early life course stages and parent's gender when determining whether depressive symptoms persist following parental bereavement.

When Friends Bring You Down: Peer Stress Proliferation and Suicidality.

Peers play a significant role in adolescent mental well-being and suicidality. While social integration among peers is often assumed to benefit mental health, a growing literature recognizes that peer relationships can increase suicidality. Conceptualizing friends' disclosure of mental distress as a stressor on teens' own mental health clarifies how distressed peers relate to suicidal ideation given integration in key social contexts, such as school. This study applies the stress process to examine peer depression and self-harm disclosure as stressors predicting teens' suicidal ideation. Using cross-sectional data from an understudied context, youth in Saudi Arabia (n = 545, 50% female, mean age = 16.8), models find friends' disclosure of depression and self-harm are associated with adolescents' higher suicidal ideation net of their own depression. Teens who are more attached to school see higher risk of suicidality from friends' depression, while friends' self-harm predicts higher suicidality overall. Results challenge assumptions of uniformly beneficial social integration by indicating that friends' mental distress, particularly self-harm, can act as a stressor increasing youth suicidality.

The Long Arm of Social Integration: Gender, Adolescent Social Networks, and Adult Depressive Symptom Trajectories.

Peer connections in adolescence shape mental health in ways that differ by gender. However, it is unclear whether this association has an enduring impact on life course mental health. Using growth models with survey data from the National Longitudinal Study of Adolescent to Adult Health (Add Health Waves I-IV, N = 13,821, 51% white, 49% male), we examine how two dimensions of social integration during adolescence-popularity and sociality-predict depressive symptom trajectories from adolescence to adulthood (ages 12-32) by gender. We find that for both men and women, low sociality predicts higher depressive levels through adolescence into adulthood. For women, higher popularity predicts greater depressive symptoms in adolescence, followed by a steeper decline to lower levels in early adulthood. Overall, this study suggests that social integration among peers in adolescence has long-term consequences for mental health that vary by gender.

Effect of soft tissue mobilization techniques on adhesion-related pain and function in the abdomen: A systematic review.

OBJECTIVE: To systematically review the effects of soft tissue mobilization (STM) on both surgical and non-surgical abdominal adhesion-related symptoms. STUDY DESIGN: Systematic Review. BACKGROUND: It is known that abdominal adhesions can cause a variety of symptoms with one of the most common being abdominal pain. To date, there is no known systematic review that documents the effects of STM on adhesion-related abdominal symptoms. METHODS AND MEASURES: A systematic review of literature was indexed in the following databases: PubMed, Cochrane, Google Scholar, OVID, and EBSCO. The quality of the studies was assessed using the MINORS scale. RESULTS: Nine studies satisfied the eligibility criteria for this systematic review. The studies' population age ranged from 10.7 to 89.4 years. Four articles were nonrandomized and had scores ranging from 3 to 14 out of 16 total on the MINORS scale. Five articles were randomized controlled trials or comparative studies and scores ranged from 16 to 23 out of 24 total on the MINORS scale. There were five articles that used pain as an objective measure and all of them reported a decrease in pain after treatment. Two studies looked at quality of life and function and both saw objective improvements following abdominal adhesion treatment. Collectively, there were also improvements seen in scar mobility, infertility, posture, a reduction in medication, increased pressure tolerance and decreased postoperative ileus. CONCLUSION: The results of this review indicate preliminary strong evidence for the benefits of STM on symptoms relating to acute post-surgical adhesions, preliminary moderate evidence for the benefits of STM on symptoms relating to chronic non-surgical related adhesions (fertility and SBO) and moderate evidence for the benefits of STM on symptoms relating to chronic post-surgical adhesions.

Social Ties Cut Both Ways: Self-Harm and Adolescent Peer Networks.

Peers play an important role in adolescence, a time when self-harm arises as a major health risk, but little is known about the social networks of adolescents who cut. Peer network positions can affect mental distress related to cutting or provide direct social motivations for self-harm. This study uses PROSPER survey data from U.S. high school students (n = 11,160, 48% male, grades 11 and 12), finding that social networks predict self-cutting net of demographics and depressive symptoms. In final models, bridging peers predicts higher self-cutting, while claiming more friends predicts lower cutting for boys. The findings suggest that researchers and practitioners should consider peer networks both a beneficial resource and source of risk associated with cutting for teens and recognize the sociostructural contexts of self-harm for adolescents more broadly.

Different Kinds of Lonely: Dimensions of Isolation and Substance Use in Adolescence.

Social isolation is broadly associated with poor mental health and risky behaviors in adolescence, a time when peers are critical for healthy development. However, expectations for isolates' substance use remain unclear. Isolation in adolescence may signal deviant attitudes or spur self-medication, resulting in higher substance use. Conversely, isolates may lack access to substances, leading to lower use. Although treated as a homogeneous social condition for teens in much research, isolation represents a multifaceted experience with structurally distinct network components that present different risks for substance use. This study decomposes isolation into conceptually distinct dimensions that are then interacted to create a systematic typology of isolation subtypes representing different positions in the social space of the school. Each isolated position's association with cigarette, alcohol, and marijuana use is tested among 9th grade students (n = 10,310, 59% female, 83% white) using cross-sectional data from the PROSPER study. Different dimensions of isolation relate to substance use in distinct ways: unliked isolation is associated with lower alcohol use, whereas disengagement and outside orientation are linked to higher use of all three substances. Specifically, disengagement presents risks for cigarette and marijuana use among boys, and outside orientation is associated with cigarette use for girls. Overall, the adolescents disengaged from their school network who also identify close friends outside their grade are at greatest risk for substance use. This study indicates the importance of considering the distinct social positions of isolation to understand risks for both substance use and social isolation in adolescence.

Dynamic Associations of Network Isolation and Smoking Behavior.

Prevailing social network frameworks examine the association between peer ties and behaviors, such as smoking, but the role of social isolates is poorly understood. Some theories predict isolated adolescents are protected from peer influence that increases smoking, while others suggest isolates are more likely to initiate smoking because they lack the social control provided by peer friendships. Building on a growing literature that seeks to explain these contradictions by moving beyond a homogeneous understanding of isolation, we identify the relationship between smoking and three distinct dimensions of isolation: avoided (adolescents who do not receive ties), withdrawn (adolescents who do not send ties), and externally oriented (adolescents who claim close out-of-grade friends). We examine the coevolutionary effects of these dimensions and cigarette smoking using an autoregressive latent trajectory model (ALT) with PROSPER Peers, a unique, longitudinal network dataset. These data include students (47% male and 86% white) from rural Iowa and Pennsylvania, ranging successively from grades 6-12 in eight waves of data. We find avoided isolation is associated with decreased subsequent smoking in high school. Smoking increases subsequent avoided and withdrawn isolation, but decreases external orientation.