Samuels-Dennis Joan
School of Nursing, University of Western Ontario, London, Ontario, Canada.
Public Health Nurs. 2007 Nov-Dec;24(6):491-502. doi: 10.1111/j.1525-1446.2007.00661.x.
Single mothers, especially those on social assistance, report significantly more depressive symptoms than the general public. This article examines the relationships among employment status, stressful life events, and depressive symptoms among single mothers, with a special focus on the potential mediating and moderating roles of coping repertoire.
Cross-sectional survey design.
Ninety-six single mothers (48 employed and 48 single mothers on social assistance) who were the primary caregiver for at least 1 child 4-18 years old.
Mailed questionnaires that included an adapted version of the Social Readjustment Rating Scale, the Coping Strategy Inventory, and the Beck Depression Inventory, 2nd ed. were completed by study participants.
Coping repertoire did not mediate the relationship between either employment status or stress exposure and depressive symptoms. Coping had an antagonistic and differential moderating effect on the association between employment status and depressive symptoms for employed single mothers and mothers receiving social assistance.
Effective strategies aimed at promoting single mothers' mental health need to address both the severity of depressive symptoms found among single mothers, and the social-system factors that threaten single mothers' psychological well-being. The implications for practice and policy are discussed.
单亲母亲,尤其是那些依靠社会救助生活的单亲母亲,所报告的抑郁症状明显多于普通大众。本文探讨了单亲母亲的就业状况、压力性生活事件与抑郁症状之间的关系,特别关注应对方式的潜在中介和调节作用。
横断面调查设计。
96名单亲母亲(48名就业母亲和48名依靠社会救助生活的单亲母亲),她们是至少一名4至18岁儿童的主要照顾者。
研究参与者完成了邮寄问卷,问卷包括社会再适应评定量表的改编版、应对策略量表和第二版贝克抑郁量表。
应对方式并未在就业状况或压力暴露与抑郁症状之间起中介作用。应对方式对就业单亲母亲和接受社会救助的母亲的就业状况与抑郁症状之间的关联具有拮抗和差异调节作用。
旨在促进单亲母亲心理健康的有效策略需要同时解决单亲母亲中发现的抑郁症状的严重程度以及威胁单亲母亲心理健康的社会系统因素。文中讨论了对实践和政策的启示。