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社会资本与抑郁症状:加拿大蒙特利尔的社会资本心理社会和网络维度与抑郁症状的关系。

Social capital and depressive symptoms: the association of psychosocial and network dimensions of social capital with depressive symptoms in Montreal, Canada.

机构信息

School of Kinesiology and Health Studies, Queen's University, Canada.

出版信息

Soc Sci Med. 2013 Jun;86:96-102. doi: 10.1016/j.socscimed.2013.03.005. Epub 2013 Mar 19.

Abstract

Depression is the most common mental illness worldwide, and although aspects of the social environment, including social capital, have been linked to depression, the underlying mechanisms are not well understood. In this study, we assessed whether (1) network and psychosocial dimensions of individual social capital were each associated with depressive symptoms, and (2) the association varied according to the location of the capital, i.e., outside or inside a person's neighbourhood. The current study used data from the Montreal Neighbourhood Networks and Healthy Ageing Study (MoNNET-HA). MoNNET-HA consisted of a representative sample of 2707 adults from 300 census tracts in the Montreal Metropolitan Area. The CESD-10 instrument was used to assess the presence of depressive symptoms with a cut off of more than three symptoms used to indicate depressive symptomatology. Name and position generator instruments were used to assess the existence of a core tie, core tie diversity, and network social capital both inside and outside the neighbourhood. Questions on generalized trust, trust in neighbours, and neighbourhood cohesion were used to assess psychosocial dimensions of social capital inside and outside the neighbourhood. Community and general group participation were also included as structural dimensions of social capital. Analyses adjusted for a range of socio-demographic and economic characteristics. Results from multilevel logistic regressions indicated that the core tie diversity as well as the psychosocial dimensions of generalized trust, trust in neighbours, and perceptions of neighbourhood cohesion reduced the likelihood of depressive symptoms in urban-dwelling adults. Network and psychosocial components of social capital within neighbourhood contexts should be considered when examining social capital and depressive symptoms.

摘要

抑郁症是全球最常见的精神疾病,尽管社会环境的各个方面,包括社会资本,都与抑郁症有关,但其中的潜在机制尚不清楚。在这项研究中,我们评估了以下两个问题:(1)个体社会资本的网络和心理社会维度是否与抑郁症状相关;(2)这种关联是否因资本的位置(即个人社区内或社区外)而异。本研究使用了来自蒙特利尔社区网络和健康老龄化研究(MoNNET-HA)的数据。MoNNET-HA 由来自蒙特利尔大都市区 300 个普查区的 2707 名成年人的代表性样本组成。使用 CESD-10 工具评估抑郁症状的存在,超过三个症状表明存在抑郁症状。使用名称和职位生成器工具评估核心关系、核心关系多样性以及社区内外的网络社会资本。关于普遍信任、对邻居的信任以及社区凝聚力的问题用于评估社区内外的社会资本的心理社会维度。社区和一般群体参与也被纳入社会资本的结构维度。分析调整了一系列社会人口和经济特征。多水平逻辑回归的结果表明,核心关系多样性以及普遍信任、对邻居的信任和对社区凝聚力的心理社会维度降低了城市居民成年人出现抑郁症状的可能性。在研究社会资本和抑郁症状时,应考虑社区环境中的社会资本的网络和心理社会组成部分。

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