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老年欧洲人丧偶与抑郁——性别、照料、婚姻质量和地区背景的作用。

Widowhood and depression among older Europeans--the role of gender, caregiving, marital quality, and regional context.

机构信息

GESIS-Leibniz Institute for the Social Sciences, B2, 1, 68159 Mannheim, Germany.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2013 May;68(3):431-42. doi: 10.1093/geronb/gbt015.

Abstract

OBJECTIVES

This study investigates the role of gender, caregiving, and marital quality in the correlation between widowhood and depression among older people within a European context by applying the theory of Social Production Functions as a theoretical framework.

METHOD

Fixed-effects linear regression models are estimated using the first 2 waves (2004, 2006) of "The Survey of Health, Ageing and Retirement in Europe" (SHARE). A subsample of 7,844 respondents aged 50 and older in 11 countries, who were married at baseline and are either continuously married or widowed at follow-up, is analyzed.

RESULTS

Respondents who experienced widowhood between the 2 waves report significantly more depressive symptoms than those continuously married, with respondents living in Denmark and Sweden reporting a lower increase in depressive symptoms than those living in Greece, Spain, or Italy. There is no statistically significant interaction between gender and widowhood. Widowed persons who report higher marital quality at baseline show a larger increase in the number of symptoms of depression than those with low marital quality; widowed persons who report being a caregiver for their partner at baseline report smaller increase in the symptoms of depression compared with widowed noncaregivers.

DISCUSSION

The results support the results of previous studies using longitudinal data. Furthermore, the effect of widowhood varies among the 11 countries in the subsample although only a small amount of the variation in the increase of depressive symptoms after becoming widowed can be explained by such contextual factors.

摘要

目的

本研究通过应用社会生产函数理论作为理论框架,探讨了在欧洲背景下,性别、照顾者角色和婚姻质量在丧偶与老年人抑郁之间的相关性中的作用。

方法

使用“欧洲健康、衰老和退休调查”(SHARE)的前 2 个波次(2004 年和 2006 年)数据,采用固定效应线性回归模型进行估计。对 11 个国家中年龄在 50 岁及以上、在基线时已婚且在随访时持续已婚或丧偶的 7844 名受访者进行了分析。

结果

在两个波次之间丧偶的受访者报告的抑郁症状明显多于持续已婚的受访者,而丹麦和瑞典的受访者报告的抑郁症状增加幅度低于希腊、西班牙或意大利的受访者。性别和丧偶之间没有统计学上显著的交互作用。丧偶者报告的婚姻质量较高的基线水平显示出更大的抑郁症状数量增加,而婚姻质量较低的丧偶者则表现出较小的抑郁症状增加;丧偶者报告自己是配偶的照顾者的基线水平显示出较小的抑郁症状增加,而丧偶非照顾者则表现出较小的抑郁症状增加。

讨论

研究结果支持了使用纵向数据的先前研究的结果。此外,尽管只有一小部分丧偶后抑郁症状增加的变化可以由这些情境因素来解释,但在子样本的 11 个国家中,丧偶的影响是不同的。

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