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中年时期独居与心理健康:伴侣关系史有影响吗?

Living alone and psychological well-being in mid-life: does partnership history matter?

作者信息

Demey Dieter, Berrington Ann, Evandrou Maria, Falkingham Jane

机构信息

ESRC Centre for Population Change, University of Southampton, , Southampton, UK.

出版信息

J Epidemiol Community Health. 2014 May;68(5):403-10. doi: 10.1136/jech-2013-202932. Epub 2014 Jan 9.

Abstract

BACKGROUND

Previous studies have found that the duration since a union dissolution and the number of union dissolutions are associated with psychological well-being. However, these two aspects of partnership history have rarely been considered jointly in models of mental health. This study aims to investigate how the time since the most recent union dissolution and the number of union dissolutions are related to two indicators of psychological well-being-life satisfaction and the General Health Questionnaire-among middle-aged solo-living British men and women.

METHODS

Data from the United Kingdom Household Longitudinal Study from 2009 to 2010 are analysed for 1201 50-64 year olds who were living alone and have ever been in a co-resident union (472 men and 729 women). Logistic regression analysis is used to investigate how life satisfaction and General Health Questionnaire 12 (GHQ-12) caseness are associated with partnership characteristics.

RESULTS

GHQ-12 caseness is significantly and positively associated with the number of union dissolutions and negatively with the duration since the most recent union dissolution. This is the case among both genders, in models in which these partnership characteristics are entered separately and jointly, and in models controlling for parenthood status, socioeconomic status and physical health.

CONCLUSIONS

The results suggest that there is a short-term deterioration in mental health after a partnership break-up and that experiencing multiple union dissolutions is detrimental for psychological well-being. The association between partnership characteristics and the two measures of psychological well-being differs, which is in line with previous research showing that negative affect and life satisfaction are two separate constructs.

摘要

背景

先前的研究发现,婚姻解体后的持续时间以及婚姻解体的次数与心理健康状况相关。然而,在心理健康模型中,很少将伴侣关系历史的这两个方面综合考虑。本研究旨在调查最近一次婚姻解体后的时间以及婚姻解体的次数与心理健康的两个指标——生活满意度和一般健康问卷——在英国独居的中年男性和女性中的关系。

方法

对英国家庭纵向研究2009年至2010年的数据进行分析,研究对象为1201名年龄在50 - 64岁之间、独居且曾有过共同居住伴侣关系的人(472名男性和729名女性)。采用逻辑回归分析来研究生活满意度和一般健康问卷12项(GHQ - 12)病例状态如何与伴侣关系特征相关。

结果

GHQ - 12病例状态与婚姻解体次数显著正相关,与最近一次婚姻解体后的持续时间显著负相关。无论男性还是女性,在分别和综合纳入这些伴侣关系特征的模型中,以及在控制了父母身份、社会经济地位和身体健康的模型中,均是如此。

结论

结果表明,伴侣关系破裂后心理健康会出现短期恶化,经历多次婚姻解体对心理健康有害。伴侣关系特征与两种心理健康指标之间的关联有所不同,这与先前研究表明消极情绪和生活满意度是两个不同的概念一致。

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