Wang Qianrong, Wang Dahua, Li Chunhua, Miller Richard B
a Institute of Developmental Psychology, Beijing Normal University , Beijing , China.
Aging Ment Health. 2014;18(1):11-8. doi: 10.1080/13607863.2013.805730. Epub 2013 Jun 14.
Depression is one of the most prevalent mental disorders among older people. Consistent with the Marital Discord Model of Depression (MDMD), research in Western cultures has found that marital distress is one of the risk factors for depression among older adults. However, the effect of marital distress on depression among older adults has not been examined in a collectivistic society, such as China.
The purpose of this study was to examine the relationship between marital satisfaction and depressive symptoms in a sample of Chinese older adults. Considering the dyadic nature of the data, the Actor-Partner Interdependence Model was used to test for the actor and partner effects.
The study investigated 139 older couples who were recruited from communities in Beijing, the capital of China. The Lock-Wallace Marital Adjustment and the CES-D scales were administered to the participants.
The results indicated that neither of the actor effects was significant. One of the partner effects was significant, with the husbands' marital satisfaction predicting their wives' depressive symptoms.
The MDMD was only partially supported among older couples in China. An asymmetrical pattern of cross-spouse effects was found, suggesting that the husbands' perception of marital dissatisfaction could significantly predict their wives' depressive symptoms.
抑郁症是老年人中最普遍的精神障碍之一。与抑郁症的婚姻不和模型(MDMD)一致,西方文化中的研究发现,婚姻困扰是老年人患抑郁症的风险因素之一。然而,在集体主义社会,如中国,婚姻困扰对老年人抑郁症的影响尚未得到研究。
本研究旨在探讨中国老年人样本中婚姻满意度与抑郁症状之间的关系。考虑到数据的二元性质,采用actor - partner相互依赖模型来检验个体效应和伴侣效应。
该研究调查了从中国首都北京的社区招募的139对老年夫妇。对参与者进行了洛克 - 华莱士婚姻调适量表和流调中心用抑郁量表(CES - D)测试。
结果表明,个体效应均不显著。伴侣效应之一显著,丈夫的婚姻满意度可预测其妻子的抑郁症状。
在中国老年夫妇中,MDMD仅得到部分支持。发现了一种跨配偶效应的不对称模式,表明丈夫对婚姻不满的认知可显著预测其妻子的抑郁症状。