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老年人抑郁症状的性别和婚姻状况差异:家庭支持和朋友支持的作用。

Gender and marital status differences in depressive symptoms among elderly adults: the roles of family support and friend support.

机构信息

Center on Aging Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.

出版信息

Aging Ment Health. 2011 Sep;15(7):844-54. doi: 10.1080/13607863.2011.569481. Epub 2011 May 23.

DOI:10.1080/13607863.2011.569481
PMID:21562986
Abstract

OBJECTIVES

The objective of this study is to examine the relationship between gender and depressive symptoms as well as between marital status and depressive symptoms in elderly populations, and to examine the roles of friend support and family support in the relationship between gender and depressive symptoms as well as marital status and depressive symptoms.

METHOD

In a national sample of 1428 elderly adults randomly selected from major Chinese mainland cities, depressive symptoms, friend support, and family support were assessed.

RESULTS

The results revealed a significant relationship between marital status and depressive symptoms; however, the effect of marital status on depressive symptoms was mediated by family support and moderated by friend support. Unlike many previous studies which have found a significant relationship between gender and depressive symptoms, this study failed to reveal any such relationship.

CONCLUSION

Widowed elderly adults experienced more depressive symptoms than did married. The differences in depressive symptoms between married and widowed elderly people could be explained by the inverse of the level of family support. The subjects' perception of friend support had different effects on the depressive symptoms of elderly adults with different marital statuses. For finding no relationship between gender and depressive symptoms in this elderly Chinese population, similarities between the sexes in their experience of stressful life events may a possible explanation.

摘要

目的

本研究旨在探讨老年人群中性别与抑郁症状之间的关系,以及婚姻状况与抑郁症状之间的关系,并探讨朋友支持和家庭支持在性别与抑郁症状之间以及婚姻状况与抑郁症状之间关系中的作用。

方法

在中国内地主要城市随机抽取的 1428 名老年成年人的全国样本中,评估了抑郁症状、朋友支持和家庭支持。

结果

结果表明,婚姻状况与抑郁症状之间存在显著关系;然而,婚姻状况对抑郁症状的影响是通过家庭支持来介导的,并且受到朋友支持的调节。与许多先前的研究发现性别与抑郁症状之间存在显著关系不同,本研究未能发现这种关系。

结论

丧偶的老年人比已婚的老年人经历更多的抑郁症状。已婚和丧偶的老年人之间抑郁症状的差异可以用家庭支持水平的相反来解释。朋友支持对不同婚姻状况的老年人抑郁症状的影响不同。对于在中国老年人群体中未发现性别与抑郁症状之间的关系,性别在经历压力性生活事件方面的相似性可能是一个可能的解释。

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