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新加坡老年男性和女性所获得的社会支持与抑郁症状之间的关联:个人掌控感是一个不一致的中介因素吗?

Association of received social support with depressive symptoms among older males and females in Singapore: Is personal mastery an inconsistent mediator?

作者信息

Ang Shannon, Malhotra Rahul

机构信息

Centre for Ageing Research and Education, Duke-NUS Medical School, Singapore.

Centre for Ageing Research and Education, Duke-NUS Medical School, Singapore; Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore.

出版信息

Soc Sci Med. 2016 Mar;153:165-73. doi: 10.1016/j.socscimed.2016.02.019. Epub 2016 Feb 13.

DOI:10.1016/j.socscimed.2016.02.019
PMID:26907863
Abstract

RATIONALE

Personal mastery has been shown to be a mediator of the relationship between perceived social support and depressive symptoms. Less is known about its role in the context of received social support. While there is some evidence that received social support may improve one's sense of personal mastery, other studies highlight that received social support may induce dependence and lower one's sense of personal mastery. In addition, less is known about structural factors such as gender that may alter this relationship.

OBJECTIVE

To examine gender differences in how personal mastery mediates the relationship between received social support and depressive symptoms.

METHODS

Using data from a nationally representative study of community dwelling older adults in Singapore, we test the hypothesis that personal mastery is an inconsistent mediator of the received social support-depressive symptoms association using mediation analysis and that gender is associated with this inconsistent mediation.

RESULTS

We find support for our hypothesis of personal mastery as an inconsistent mediator, and observe both the direct and indirect effects of received social support on depressive symptoms to be stronger in females than in males.

CONCLUSION

Depressive symptoms for females may be more sensitive to received social support than males, which may be due to gendered pathways and expectations of support. This study highlights the need to further examine both the beneficial and detrimental effects of received social support on psychological health in tandem, considering the effect of mediating variables such as personal mastery to understand its nuanced pathways.

摘要

理论依据

个人掌控已被证明是感知到的社会支持与抑郁症状之间关系的一个中介变量。对于其在获得的社会支持背景下的作用,我们了解得较少。虽然有一些证据表明获得的社会支持可能会提高个人掌控感,但其他研究强调,获得的社会支持可能会导致依赖并降低个人掌控感。此外,对于可能改变这种关系的性别等结构因素,我们了解得也较少。

目的

研究个人掌控在介导获得的社会支持与抑郁症状之间关系时的性别差异。

方法

利用一项对新加坡社区居住老年人进行的具有全国代表性研究的数据,我们使用中介分析来检验以下假设:个人掌控是获得的社会支持与抑郁症状之间关联的一个不一致的中介变量,并且性别与这种不一致的中介作用相关。

结果

我们的研究结果支持了个人掌控作为不一致中介变量的假设,并观察到获得的社会支持对抑郁症状的直接和间接影响在女性中比在男性中更强。

结论

女性的抑郁症状可能比男性对获得的社会支持更敏感,这可能是由于性别化的途径和对支持的期望。这项研究强调,考虑到个人掌控等中介变量的影响,需要进一步同时研究获得的社会支持对心理健康的有益和有害影响,以了解其细微的途径。

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