1 School of Public Health, Jilin University, Changchun, China.
2 Department of Science and Education, Weifang People's Hospital, Weifang, China.
Int J Soc Psychiatry. 2017 Dec;63(8):699-707. doi: 10.1177/0020764017736543. Epub 2017 Oct 23.
This study aims to study internal relations and functionary mechanism between social support, coping style, negative life events and depressive symptoms and compare these relations in healthy older adults and older adults with chronic disease.
A cross-sectional study was conducted in 2015. In total, 1,264 older adults with chronic disease and 749 healthy older adults participated in this investigation which consist of socio-demographic characters, negative life events, social support, coping style and depressive symptoms.
The path and direction of variable function in healthy older adults were inconsistent with older adults with chronic disease. Older adults with chronic disease had more severe depressive symptoms and negative life events, and lower social support and positive coping style. Negative life events, subjective support, positive coping style and negative coping style were significantly predicted depressive symptoms. Objective support may weaken the influence of negative life events on depressive symptoms in chronic disease group. Utilization of support and positive coping style worsen the effect of negative life events on depressive symptoms in healthy older adults.
This study implied that to improve their mental health, attention should be paid to the role of biological, psychological and social stress factors and its inherent law of interaction.
本研究旨在探讨社会支持、应对方式、负性生活事件与抑郁症状之间的内在关系和作用机制，并比较健康老年人和慢性病老年人中这些关系的差异。
2015 年进行了一项横断面研究。共纳入 1264 名慢性病老年人和 749 名健康老年人，调查内容包括人口学特征、负性生活事件、社会支持、应对方式和抑郁症状。
健康老年人与慢性病老年人的变量功能路径和方向不一致。慢性病老年人抑郁症状和负性生活事件更严重，社会支持和积极应对方式更低。负性生活事件、主观支持、积极应对方式和消极应对方式均能显著预测抑郁症状。客观支持可能会削弱慢性病组负性生活事件对抑郁症状的影响。支持的利用和积极的应对方式会加重健康老年人负性生活事件对抑郁症状的影响。
本研究提示，改善老年人的心理健康，应重视生物、心理和社会应激因素及其内在交互作用的规律。
