Santini Ziggi Ivan, Koyanagi Ai, Tyrovolas Stefanos, Haro Josep M
Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu/CIBERSAM, Dr. Antoni Pujades, 42, Sant Boi de Llobregat 08830, Barcelona, Spain.
Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu/CIBERSAM, Dr. Antoni Pujades, 42, Sant Boi de Llobregat 08830, Barcelona, Spain.
J Affect Disord. 2015 Jul 1;179:134-41. doi: 10.1016/j.jad.2015.03.015. Epub 2015 Mar 26.
Important associations have been found between social relationships and various mental health outcomes. However, limited data exists for these associations among older adults especially in terms of relationship quality in partnerships. This study aimed to examine the associations of positive and negative partner interactions and social networks with depression, anxiety and suicidal ideation.
Nationally-representative, cross-sectional data of the Irish Longitudinal Study on Ageing (TILDA) was analyzed. The analytical sample consisted of 4988 community dwelling adults aged >50 years in spouse/partner relationships. Information on sociodemographics and social relationships were assessed using standard questions. Validated scales for depression and anxiety, and a single-item question for suicidal ideation were used to assess mental health outcomes. Multivariable logistic regression was used to assess the association between social relationships and depression, anxiety, and suicidal ideation.
After adjusting for confounders, negative partner interactions were significantly associated with increased likelihood of depression, anxiety, and suicidal ideation, while positive partner interactions were significantly and inversely related to anxiety and suicidal ideation. Higher levels of social integration were significantly associated with lower odds for depression.
Given the cross-sectional nature of the research, no firm conclusions can be made in terms of directions of causality.
By assessing the available social network of older adults, as well as the areas in their social relationships that need to be addressed, it may be possible for practitioners and policy makers to maximize the benefits of network integration and minimize the potentially harmful aspects of social relationships, thereby improving overall mental health and emotional well-being.
社会关系与各种心理健康结果之间已发现重要关联。然而，关于老年人中这些关联的数据有限，尤其是在伴侣关系质量方面。本研究旨在探讨积极和消极的伴侣互动以及社交网络与抑郁、焦虑和自杀意念之间的关联。
对爱尔兰老龄化纵向研究（TILDA）具有全国代表性的横断面数据进行了分析。分析样本包括4988名年龄超过50岁、处于配偶/伴侣关系中的社区居住成年人。使用标准问题评估社会人口统计学和社会关系信息。采用经过验证的抑郁和焦虑量表以及一个关于自杀意念的单项问题来评估心理健康结果。多变量逻辑回归用于评估社会关系与抑郁、焦虑和自杀意念之间的关联。
在对混杂因素进行调整后，消极的伴侣互动与抑郁、焦虑和自杀意念增加的可能性显著相关，而积极的伴侣互动与焦虑和自杀意念显著负相关。更高水平的社会融合与更低的抑郁几率显著相关。
鉴于研究的横断面性质，无法就因果关系方向得出确凿结论。
通过评估老年人现有的社交网络以及他们社会关系中需要解决的领域，从业者和政策制定者有可能最大化网络整合的益处，并最小化社会关系的潜在有害方面，从而改善整体心理健康和情绪幸福感。
