Moos Rudolf H, Schutte Kathleen K, Brennan Penny L, Moos Bernice S
Center for Health Care Evaluation (152-MPD), VA Health Care System, 795 Willow Road, Menlo Park, CA 94025, USA.
J Gerontol B Psychol Sci Soc Sci. 2005 Jul;60(4):P199-206. doi: 10.1093/geronb/60.4.p199.
This study examined mutual predictive associations between life stressors and depressive symptoms in later life. A sample of late-middle-aged and older adults (N = 1,291) was surveyed at baseline and 1 year, 4 years, and 10 years later. At each contact point, participants completed an inventory that assessed chronic and acute life stressors and depressive symptoms. Over the 10-year interval, there was evidence of both social causation and social selection processes: More life stressors were associated with subsequent increases in depressive symptoms (social causation), and more depressive symptoms were associated with subsequent increases in stressors (social selection or stress generation). These findings reflect a mutual influence process in which life stressors and depressive symptoms can alter each other.
本研究考察了晚年生活压力源与抑郁症状之间的相互预测关联。对一组中老年成年人(N = 1291)在基线时以及1年、4年和10年后进行了调查。在每个接触点,参与者完成一份评估慢性和急性生活压力源以及抑郁症状的量表。在这10年期间,有证据表明存在社会因果关系和社会选择过程:更多的生活压力源与随后抑郁症状的增加相关(社会因果关系),更多的抑郁症状与随后压力源的增加相关(社会选择或压力产生)。这些发现反映了一个相互影响的过程,即生活压力源和抑郁症状会相互改变。