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战后背景下的生活压力事件与抑郁症状:哪种非正式支持能起作用?

Stressful life events and depressive symptoms in a post-war context: which informal support makes a difference?

作者信息

Jawad May H, Sibai Abla M, Chaaya Monique

机构信息

UCLA Center for Health Policy Research, Los Angeles, CA, USA.

出版信息

J Cross Cult Gerontol. 2009 Mar;24(1):19-32. doi: 10.1007/s10823-008-9059-5. Epub 2008 Apr 9.

Abstract

Gerontological literature utilizes the life stress paradigm to understand the impact of stress on psychological well-being, as well as the protective role that social resources play in buffering those effects; however these relationships are not well understood within various historical and social contexts. Utilizing a sample of 490 community-residing older adults in post-civil war Lebanon, this study investigates the moderating role of various social support factors in the stress-depression relationship. Contrary to expectations, results suggest that older Lebanese are more susceptible to the effects of health-decline and serious accident events than other types of stressors such as losses in the family and financial problems. Furthermore, findings provide evidence for a differential protective role for the respondent's spouse and children for only certain stressful events. The discussion highlights the role of family as a stress buffer in a shifting physical, social and political environmental context. Results from this study add to the discourse by emphasizing the importance of understanding the saliency of the stressor as well as source of support provided.

摘要

老年学文献运用生活压力范式来理解压力对心理健康的影响,以及社会资源在缓冲这些影响方面所起的保护作用;然而,在不同的历史和社会背景下,这些关系并未得到很好的理解。本研究以黎巴嫩内战后居住在社区的490名老年人为样本,调查了各种社会支持因素在压力与抑郁关系中的调节作用。与预期相反,结果表明,黎巴嫩老年人比其他类型的压力源(如家庭损失和经济问题)更容易受到健康衰退和严重事故事件的影响。此外,研究结果为受访者的配偶和子女仅在某些压力事件中发挥的不同保护作用提供了证据。讨论强调了家庭在不断变化的身体、社会和政治环境背景下作为压力缓冲器的作用。本研究的结果通过强调理解压力源的显著性以及所提供支持的来源的重要性,为相关论述增添了内容。

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