Hough E S, Brumitt G A, Templin T N
Wayne State University, Detroit, Michigan, USA.
Health Care Women Int. 1999 Jul-Aug;20(4):349-62. doi: 10.1080/073993399245656.
In this study we used structural equation analysis to examine the relationship between chronic illness and depression among urban women. The model included the number of chronic illnesses reported, the demands of illness, perceived social support, and salient demographic variables as predictors of depression. The number of chronic illnesses had no direct effect on depression but had a direct impact on the demands of illness which led to decreased social support and increased depression. Being married played a protective role by reducing depression both directly and indirectly through increased social support. Having children under 18 in the home increased depression by increasing the demands of illness. These results provide important information about women with chronic illness and their resultant risk of depression.
在本研究中，我们使用结构方程分析来检验城市女性慢性病与抑郁症之间的关系。该模型将报告的慢性病数量、疾病需求、感知到的社会支持以及显著的人口统计学变量作为抑郁症的预测因素。慢性病数量对抑郁症没有直接影响，但对疾病需求有直接影响，这导致社会支持减少，抑郁症增加。已婚通过直接和间接增加社会支持来降低抑郁症，从而起到保护作用。家中有18岁以下的孩子会因增加疾病需求而增加抑郁症。这些结果为患有慢性病的女性及其抑郁症风险提供了重要信息。
