Achat H, Kawachi I, Levine S, Berkey C, Coakley E, Colditz G
Channing Laboratory, Department of Medicine, Harvard Medical School and Brigham and Women's Hospital, Boston, MA, USA.
Qual Life Res. 1998 Dec;7(8):735-50. doi: 10.1023/a:1008837002431.
Although evidence suggests that social networks reduce the risk of mortality and are negatively associated with severe mental disability, little is known about their relationship to everyday functioning and health-related quality of life (HRQoL). In addition, the importance of social networks in the presence of chronic stress remains unclear. We examined the association between social networks and aspects of mental functioning (mental health, vitality and role-emotional functioning) and the relationship between social networks and mental functioning in the presence of stressors. Multiple linear and logistic regression models were used to examine data in 47,912 middle-aged and older healthy women. The Medical Outcomes Study Shortform Health Survey measured dimensions of quality of life. We observed strong associations between levels of social networks and multivariate-adjusted quality of life scores, particularly in potentially high stress situations. Compared to the most socially integrated, women who were socially isolated had reductions in mental health and vitality scores of 6.5 and 7.4 points, respectively and a 60% increased risk of limitation in role-emotional functioning. Social networks are positively associated with mental functioning in women. This association is strongest for women reporting high levels of home and work stressors.
尽管有证据表明社交网络可降低死亡风险，且与严重精神残疾呈负相关，但对于社交网络与日常功能及健康相关生活质量（HRQoL）之间的关系却知之甚少。此外，社交网络在慢性应激情况下的重要性仍不明确。我们研究了社交网络与心理功能方面（心理健康、活力和角色情感功能）之间的关联，以及在存在压力源的情况下社交网络与心理功能之间的关系。使用多元线性和逻辑回归模型对47912名中老年健康女性的数据进行分析。医学结局研究简表健康调查测量了生活质量维度。我们观察到社交网络水平与多变量调整后的生活质量得分之间存在强关联，尤其是在潜在的高压力情况下。与社交融入度最高的女性相比，社交孤立的女性心理健康和活力得分分别降低了6.5分和7.4分，角色情感功能受限风险增加了60%。社交网络与女性的心理功能呈正相关。这种关联在报告家庭和工作压力水平较高的女性中最为明显。
