1 University College London, UK.
2 University of Michigan, Ann Arbor, USA.
J Aging Health. 2019 Jun;31(5):760-782. doi: 10.1177/0898264317747077. Epub 2017 Dec 14.
We describe changes in depressive symptoms and positive and negative social support from the spouse/partner in a representative sample of older people in England.
Men and women aged 50+ ( N = 7,171) from the English Longitudinal Study of Ageing reported social support and depressive symptoms (Center for Epidemiologic Studies Depression Scale) on up to five occasions between 2002-2003 and 2010-2011. Parallel process latent growth models estimated their bidirectional associations, adjusted for gender, wealth, education, and limiting illness.
In age- and gender-adjusted models, positive spousal support decreased and negative support increased over time, especially among women. Greater increases over time in depressive symptoms were seen in those with lower positive support or higher negative support at baseline. More baseline depressive symptoms predicted greater declines in positive support and greater increases in negative support from the spouse.
Improving older couple's relationship quality may help reduce depressive symptoms.
我们描述了在英格兰有代表性的老年人样本中,抑郁症状以及配偶/伴侣的积极和消极社会支持的变化。
年龄在 50 岁及以上的男性和女性(N=7171)来自英国老龄化纵向研究,他们在 2002-2003 年至 2010-2011 年期间最多在五个时间点报告了社会支持和抑郁症状(流行病学研究中心抑郁量表)。平行过程潜在增长模型估计了他们的双向关联,调整了性别、财富、教育和限制疾病。
在年龄和性别调整模型中,积极的配偶支持随时间减少,消极的支持随时间增加,尤其是在女性中。在基线时积极支持较低或消极支持较高的人群中,抑郁症状随时间的增加而增加。更多的基线抑郁症状预示着配偶的积极支持下降和消极支持增加。
改善老年夫妇的关系质量可能有助于减少抑郁症状。