Fukukawa Yasuyuki, Nakashima Chiori, Tsuboi Satomi, Niino Naoakira, Ando Fujiko, Kosugi Shotaro, Shimokata Hiroshi
Department of Epidemiology, National Institute for Longevity Sciences, Obu Aichi, Japan.
J Gerontol B Psychol Sci Soc Sci. 2004 Jan;59(1):P19-26. doi: 10.1093/geronb/59.1.p19.
In this study, we compared the impact of health problems (HPs) on everyday activities and depressive symptoms between middle-aged and older adults. We also examined what type and source of social interactions moderate the noxious effects of HPs. Longitudinal analyses of data with 1,802 Japanese community-dwelling adults indicated that HPs were significantly related to (a) an increase in depressive symptoms among middle-aged adults and (b) a decline in everyday activities among older adults. The former was buffered by emotional family support, whereas the latter (b) was buffered by instrumental family support and, surprisingly, by negative interactions with family. In contrast, social interactions with other friends and acquaintances did not show any moderating effect.
在本研究中，我们比较了健康问题（HPs）对中年人和老年人日常活动及抑郁症状的影响。我们还研究了何种类型和来源的社会互动可调节健康问题的有害影响。对1802名居住在日本社区的成年人的数据进行纵向分析表明，健康问题与以下情况显著相关：（a）中年成年人抑郁症状增加；（b）老年人日常活动减少。前者受到来自家庭的情感支持的缓冲，而后者（b）则受到来自家庭的工具性支持的缓冲，令人惊讶的是，还受到与家人的负面互动的缓冲。相比之下，与其他朋友和熟人的社会互动未显示出任何调节作用。
