Schrimshaw Eric W
Center for the Psychosocial Study of Health & Illness, Mailman School of Public Health, Columbia University, City University of New York-Graduate Center, New York, New York, USA.
J Behav Med. 2003 Aug;26(4):297-313. doi: 10.1023/a:1024200910092.
Although unsupportive social interactions have demonstrated strong relations with psychological adjustment to illness, little research has been directed at the differential effects of unsupportive interactions from different relationship sources (i.e., family, friends, or a lover/spouse). The present study examines whether the source of unsupportive social interactions has differential main and interactive relations with depressive symptoms among an ethnically diverse sample of women living with HIV/AIDS (N = 146). After imposing demographic controls, unsupportive social interactions from family were found to have a main effect predicting more depressive symptoms. Furthermore, a significant interaction was identified between unsupportive interactions from a lover/spouse and from friends, such that high levels of unsupportive interactions from either or both sources predicted high levels of depressive symptoms. Only when neither source of unsupportive interactions was at a high level were nonclinical levels of depressive symptoms predicted.
尽管缺乏支持的社会互动已被证明与对疾病的心理调适密切相关，但针对来自不同关系源（即家人、朋友或恋人/配偶）的缺乏支持的互动所产生的差异影响的研究却很少。本研究调查了在一个种族多样化的感染艾滋病毒/艾滋病的女性样本（N = 146）中，缺乏支持的社会互动的来源与抑郁症状之间是否存在不同的主效应和交互效应。在进行人口统计学控制后，发现来自家人缺乏支持的社会互动具有预测更多抑郁症状的主效应。此外，还发现恋人/配偶和朋友缺乏支持的互动之间存在显著的交互作用，即来自这两个来源中任何一个或两个来源的高水平缺乏支持的互动都预示着高水平的抑郁症状。只有当缺乏支持的互动的两个来源都不处于高水平时，才会预测出非临床水平的抑郁症状。
