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Life sciences · Journal article
Journal of Rawalpindi Medical College · September 30, 2026
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Objective: To assess the level of perceived social support among public sector employees diagnosed with mood disorders and examine its association with selected demographic and occupational factors among those receiving psychiatric care at a tertiary care hospital in Karachi. Methods: A cross-sectional study was conducted over six months in the Department of Psychiatry and Behavioral Sciences. Consecutive public-sector employees (≥18 years) with clinician-confirmed mood disorders (depressive disorders, bipolar affective disorder, dysthymia, and cyclothymia) were enrolled after providing informed consent (n=385). The data included demographics, occupational factors, clinical history, PHQ-9, Young Mania Rating Scale (YMRS), and the Multidimensional Scale of Perceived Social Support (MSPSS). The MSPSS totals were categorised as low (12–35), moderate (36–60), or high (61–84). Analyses were performed using SPSS v27, employing descriptive statistics and chi-square tests for association. Results: The mean age was 36.16±8.4 years, and 54% were married. The diagnoses were depressive disorder (59%), bipolar affective disorder (25%), dysthymia (11%), and cyclothymia (5%). The mean MSPSS total score was 58.51±9.31 (95% CI 57.58–59.44); distribution: moderate 58% (n=224), high 41% (n=157), and low 1% (n=4). Mean PHQ-9 was 9.14±5.58 (95% CI 8.58–9.70); YMRS 8.05±8.17 (95% CI 7.23–8.87) (no mania/hypomania 81%). MSPSS categories did not differ significantly by age (χ²=12.98, df=8, p=0.14), monthly income (χ²=6.73, df=8, p=0.716), duration of service (χ²=9.54, df=6, p=0.137), weekly work hours (χ²=2.50, df=6, p=0.881), or marital status (χ²=7.95, df=8, p=0.437). Conclusion: Perceived social support in this clinical workforce cohort was generally moderate to high and did not vary significantly across common demographic and occupational groups. Despite the substantial depressive symptom burden and minimal manic activity, these findings suggest that strengthening family- and peer-based support within routine psychiatric care may further improve clinical outcomes. Future longitudinal research is needed to determine whether higher levels of perceived social support, as measured by the Multidimensional Scale of Perceived Social Support (MSPSS), predicts symptom improvement and functional recovery over time. Keywords: Social Support, Mood Disorders; Depression; Bipolar Disorder; Psychiatric Care, Mental Health Services.