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谁需要朋友?婚姻状况的转变与晚年的身体健康结果。

Who needs a friend? Marital status transitions and physical health outcomes in later life.

机构信息

Department of Psychology, Lafayette College.

Graduate School of Social Service, Fordham University.

出版信息

Health Psychol. 2014 Jun;33(6):505-15. doi: 10.1037/hea0000049.

Abstract

OBJECTIVE

This study assessed the moderating role of 2 types of confidante relationships in mitigating the negative health impact of transitions involving spousal loss in late life (widowhood and divorce/separation).

METHOD

The sample included 707 respondents who participated in the 1992 and 2004 waves of the Wisconsin Longitudinal Study (WLS, 2007) all of whom were married at Time 1 and by Time 2 experienced either an end of the marriage resulting from widowhood or divorce/separation or remained continuously married to the same spouse. The majority of the sample was female (n = 457) and 64.3 years old on average. Three indicators of physical health were examined, including somatic depressive symptomatology, self-rated health, and number of sick days in the preceding year.

RESULTS

Moderated regression analyses showed that the availability of a friend as confidante at Time 2 played a significant moderating role in the link between marital transitions and health outcomes, buffering the health impact of widowhood. Specifically, among those who became widowed between the 2 waves, those who had available a friend as confidante at Time 2 reported significantly lower somatic depressive symptoms, better self-rated health, and fewer sick days in bed during the preceding year than those who reported not having a friend as confidante. No support was obtained for the moderating role of having a family member as confidante at Time 2 in the link from marital transitions to health.

CONCLUSIONS

These results highlight the need to develop means to maintain and enhance confiding friendships among widowed older adults.

摘要

目的

本研究评估了 2 种密友关系在减轻晚年丧偶(鳏寡和离婚/分居)相关婚姻变化对健康产生负面影响方面的调节作用。

方法

该样本包括参加 1992 年和 2004 年威斯康星纵向研究(WLS,2007 年)的 707 名受访者,他们在第 1 次时均已婚,到第 2 次时经历了婚姻结束,丧偶或离婚/分居,或继续与同一配偶保持婚姻关系。该样本的大多数为女性(n=457),平均年龄为 64.3 岁。共检查了 3 项身体健康指标,包括躯体抑郁症状、自我评估健康状况和前一年的病假天数。

结果

调节回归分析显示,第 2 次时拥有朋友作为密友的可用性在婚姻变化与健康结果之间的联系中发挥了显著的调节作用,缓冲了丧偶对健康的影响。具体来说,在两次调查之间丧偶的人中,那些在第 2 次时拥有可作为密友的朋友的人报告的躯体抑郁症状明显较低,自我评估健康状况更好,前一年卧床病假天数更少,而那些报告没有朋友作为密友的人则情况更差。在婚姻变化与健康之间的联系中,没有得到第 2 次时拥有家庭成员作为密友的调节作用的支持。

结论

这些结果强调了需要开发维持和增强丧偶老年人大胆倾诉的密友关系的方法。

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