Juliet R. H. Wakefield

Comparing social contact and group identification as predictors of mental health

Current research on social integration and mental health operationalizes social integration as frequency of interactions and participation in social activities (i.e., social contact). This neglects the subjective dimension of social integration, namely group identification. We present two studies comparing the effect exerted by social contact and group identification on mental health (e.g., depression, stress) across two different groups (family; army unit), demonstrating that group identification predicts mental health better than social contact.

The Impact of Adopting Ethnic or Civic Conceptions of National Belonging for Others’ Treatment

National belonging is often defined in terms of “ethnic” ancestry and “civic” commitment (with the latter typically implying a more inclusive conception of belonging). The authors report three Scottish studies manipulating the prominence of these criteria. In Study 1 (N = 80), a Chinese-heritage target was judged more Scottish (and his criticisms of Scotland better received) when Scotland was defined in civic terms. In Study 2 (N = 40), a similar manipulation in a naturalistic setting showed a civic conception of belonging resulted in more help being given to a Chinese-heritage confederate. Study 3 (N = 71) replicated Study 2 and showed the effect was mediated by judgments of the confederate’s Scottishness. These studies emphasize the importance of exploring how ingroup identity is defined.

Greater number of group identifications is associated with healthier behaviour: Evidence from a Scottish community sample

OBJECTIVES This paper investigates the interplay between group identification (i.e., the extent to which one has a sense of belonging to a social group, coupled with a sense of commonality with in-group members) and four types of health behaviour, namely physical exercise, smoking, drinking, and diet. Specifically, we propose a positive relationship between ones number of group identifications and healthy behaviour. DESIGN This study is based on the Scottish portion of the data obtained for Wave 1 of the two-wave cross-national Health in Groups project. Totally 1,824 patients from five Scottish general practitioner (GP) surgeries completed the Wave 1 questionnaire in their homes. METHODS Participants completed measures of group identification, group contact, health behaviours, and demographic variables. RESULTS Results demonstrate that the greater the number of social groups with which one identifies, the healthier ones behaviour on any of the four health dimensions considered. CONCLUSIONS We believe our results are due to the fact that group identification will generally (1) enhance ones sense of meaning in life, thereby leading one to take more care of oneself, (2) increase ones sense of responsibility towards other in-group members, thereby enhancing ones motivation to be healthy in order to fulfil those responsibilities, and (3) increase compliance with healthy group behavioural norms. Taken together, these processes amply overcompensate for the fact that some groups with which people may identify can actually prescribe unhealthy behaviours.

Thanks, But No Thanks Women’s Avoidance of Help-Seeking in the Context of a Dependency-Related Stereotype

The stereotype that women are dependent on men is a commonly verbalized, potentially damaging aspect of benevolent sexism. We investigated how women may use behavioral disconfirmation of the personal applicability of the stereotype to negotiate such sexism. In an experiment (N = 86), we manipulated female college students’ awareness that women may be stereotyped by men as dependent. We then placed participants in a situation where they needed help. Women made aware of the dependency stereotype (compared to controls who were not) were less willing to seek help. They also displayed a stronger negative correlation between help-seeking and post help-seeking affect—such that the more help they sought, the worse they felt. We discuss the relevance of these findings for research concerning women’s help-seeking and their management of sexist stereotyping in everyday interaction. We also consider the implications of our results for those working in domains such as health care, teaching, and counseling, where interaction with individuals in need and requiring help is common.

Identification with social groups is associated with mental health in adolescents: Evidence from a Scottish community sample

The promotion and maintenance of mental health is an increasingly important societal issue. Previous research has shown that identification with social groups is positively associated with adult mental wellbeing, with multiple group identifications being particularly beneficial. The aim of the current study was to investigate whether the same is true for adolescents. 1111 Scottish secondary school students aged 13-17 completed a questionnaire investigating mental health symptoms and the extent of their identification with their family, school, and friendship groups. Higher identification with each group predicted better mental health. There was also an additive effect of group identification, with the odds of reporting psychiatric disturbance decreasing for every additional group with which participants identified strongly. These effects held even when age, gender, and group contact were controlled for. Our findings have implications for the prevention and treatment of mental problems, offering an alternative to traditional ways of viewing mental illness in adolescence and beyond.

The pain of low status: the relationship between subjective socio-economic status and analgesic prescriptions in a Scottish community sample.

There is a strong positive relationship between objective measures of socio-economic status (OSS) and general health. However, there is an increasing interest in the relationship between health and subjective socio-economic status (SSS), which describes one’s perceived rank in relation to the rest of the society, based on factors such as income, occupation and education. While the relationship between SSS and general health is well established, the relationship between SSS and pain has received little attention. Gathering both self-report questionnaire data and General Practitioner medical data from a large representative community sample in Scotland between 2012 and 2013 (N = 1824), we investigated the relationship between SSS and prescriptions for analgesic drugs. We found that higher levels of SSS significantly predicted lower odds of participants having been prescribed at least one analgesic drug in the previous six months. We obtained this result even after controlling for OSS-related variables (education, occupational status and geographical location) and demographic variables (age and gender). This suggests that, just like the relationship between SSS and general health, SSS has important effects on pain that go beyond the influence of OSS.

Help-Seeking Helps Help-Seeking and Group Image

Seeking help from an outgroup can be difficult, especially when the outgroup is known to stereotype the ingroup negatively and the potential recipient cares strongly about its social image. However, we ask whether even highly identified ingroup members may seek help from a judgmental outgroup if doing so allows them to disconfirm the outgroup’s negative stereotype of the ingroup. We presented participants with one of two negative outgroup stereotypes of their ingroup. One could be disconfirmed through seeking help, the other could not. Study 1 (n = 43) showed group members were aware of the strategic implications of seeking help for disconfirming these stereotypes. Study 2 (n = 43) showed high identifiers acted on such strategic knowledge by seeking more help from the outgroup when help-seeking could disconfirm a negative stereotype of their group (than when it could not). Implications for the seeking and acceptance of help are discussed.

Greater number of group identifications is associated with healthier behaviour in adolescents

We investigated the relationship between group identification (with the family, school, and friendship groups) and adolescent health behaviour (smoking, binge drinking, and cannabis use). 1,111 students from 4 Scottish secondary (high) schools completed a questionnaire which included measures of group identification, group contact, health behaviours, and demographic variables. We found that identification with the family and school groups predicted reduced odds of substance use, whereas identification with the friend group predicted increased odds of substance use. Furthermore, the greater the number of social groups with which the participant strongly identified, the lower the odds that he/she participated in negative health behaviours. In contrast, merely having contact (rather than identifying strongly) with these groups increased the odds of participation in these behaviours. We suggest that group identification influences behaviour to the extent that it encourages adherence to group norms.

Social Isolation Predicts Frequent Attendance in Primary Care

Background Frequent attenders in primary care have complex physical and mental healthcare needs as well as low satisfaction with their health care. Interventions targeting mental health or psychoeducation have not been effective in reducing attendance. Here, we test the proposition that both frequent attendance and poor health are partly explained by unmet social needs (i.e., limited social group support networks). Methods Study 1 (N = 1,752) was a large, cross-sectional community sample of primary care attenders in Scotland. Study 2 (N = 79) was a longitudinal study of a group of young people undergoing a life transition (moving countries and commencing university) that increased their risk of frequent attendance. Study 3 (N = 46) was a pre-post intervention study examining whether disadvantaged adults who joined a social group subsequently had reduced frequency of primary care attendance. Results All three studies found that low social group connectedness was associated with a higher frequency of primary care attendance. This was not attributable to poorer health among those who were socially isolated. In Study 3, joining a social group led to reduced primary care attendance to the extent that participants experienced a (subjective) increase in their social group connectedness. Conclusions Unmet social needs among frequent attenders warrant closer consideration. Interventions that target social group connectedness show promise for reducing overutilization of primary care services.

Help that Helps: Exploring Strategic Motivations in Intergroup Helping Transactions

This chapter considers how our understanding of intergroup helping transactions can be enhanced through attending to issues of strategy. First, we examine how ingroup members may help outgroup members as a way to manage and enhance the outgroup’s image of the ingroup. Second, we consider how similar image-related concerns may impact on the decision to seek or refuse help from outgroup members. Third, we consider the strategic construction of social identities and how these might promote helping and help-seeking. In doing so, we not only consider how social identity processes impact upon the proffering and acceptance of help, but we also explore how the discursive characterisation of ‘helping’ may feature in the strategic construction of group relations and social identities. Taken together, these strands highlight two different strategic dimensions to intergroup helping and help-seeking. The first concerns the use of intergroup helping transactions as a means to manage group reputation, while the second concerns the use of such transactions as a way to define group identity. We conclude by considering the implications of these observations for how acts of helping and help-seeking are conceptualised and understood, and how such understandings could be used to promote both behaviours in real-world contexts.