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夫妻年龄差异对抑郁症状的影响:来自韩国老龄化纵向研究(2006 - 2012年)的证据。

The impact of age differences in couples on depressive symptoms: evidence from the Korean longitudinal study of aging (2006-2012).

作者信息

Kim Jae-Hyun, Park Eun-Cheol, Lee Sang Gyu

机构信息

Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.

Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.

出版信息

BMC Psychiatry. 2015 Feb 5;15:10. doi: 10.1186/s12888-015-0388-y.

Abstract

BACKGROUND

Depression represents one of the most common psychiatric disorders among older adults. Married couples are affected frequently, and psychiatric problems usually affect marital satisfaction. Despite the frequency of such relationships, it appears that very few studies have examined the issues that arise in couples of this type of marriage. Therefore, we investigate whether age differences between couples affect extent of depressive symptoms among older adults.

METHODS

Our analysis included 2,881 couples (i.e., 2,881 households) at least 45 years of age at baseline (2006), in addition to 3,033 couples in 2008, 2,772 couples in 2010, and 2,711 couples in 2012. A generalized linear mixed model was used for the data analysis.

RESULTS

When the age difference between husbands and wives was 3 years or less, the estimated severity of depressive symptoms was 0.309 higher (SE = 0.084, p = 0.000) than that of same-aged couples. When the age gap was 3 years or more, the estimated severity of depressive symptoms was 0.645 higher (SE = 0.109, p < .0001) than that of same-aged couples. For every 1-2 years extra in age difference between wives and husbands, the estimated severity of depressive symptoms increased by 0.194 (SE = 0.082, p = 0.018), compared with same-aged couples.

CONCLUSIONS

Age differences between husbands and wives impact their relationship, including any particular marital issues encountered.

摘要

背景

抑郁症是老年人中最常见的精神疾病之一。已婚夫妇经常受到影响,精神问题通常会影响婚姻满意度。尽管这种情况很常见,但似乎很少有研究探讨这类婚姻中的夫妻所出现的问题。因此,我们调查夫妻间的年龄差异是否会影响老年人抑郁症状的严重程度。

方法

我们的分析纳入了2006年基线时年龄至少为45岁的2881对夫妻(即2881户家庭),此外还包括2008年的3033对夫妻、2010年的2772对夫妻和2012年的2711对夫妻。数据分析采用广义线性混合模型。

结果

当夫妻年龄差为3岁及以下时,抑郁症状的估计严重程度比同龄夫妻高0.309(标准误=0.084,p=0.000)。当年龄差距为3岁及以上时,抑郁症状的估计严重程度比同龄夫妻高0.645(标准误=0.109,p<0.0001)。与同龄夫妻相比,夫妻年龄差每增加1至2岁,抑郁症状的估计严重程度就增加0.194(标准误=0.082,p=0.018)。

结论

夫妻间的年龄差异会影响他们的关系,包括所遇到的任何特定婚姻问题。

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