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抑郁症状与性别视角下韧性对丧偶的缓冲作用。

Depressive Symptoms and the Buffering Effect of Resilience on Widowhood by Gender.

机构信息

Department of Sociology and Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee.

出版信息

Gerontologist. 2019 Nov 16;59(6):1122-1130. doi: 10.1093/geront/gny115.

Abstract

BACKGROUND AND OBJECTIVES

Spousal loss is a stressful life event that often results in significant depressive symptoms, with men often experiencing more significant depressive symptoms than women. Recent research suggests that psychological resilience may play a role in shaping how well people recover from the loss of a spouse. This study examined the moderating effect of resilience on widowhood in relation to changes in depressive symptoms for men and women.

RESEARCH DESIGN AND METHODS

This study used data from the Health and Retirement Study to examine a change in depressive symptoms for men and women who experience spousal loss compared to those who remain continuously married (N = 5,626). We used the Simplified Resilience Score, which is based on measures drawn from the psychosocial and lifestyle questionnaire. Ordinary least squares regression was used to assess depression following reported spousal loss for widows relative to their continuously married counterparts.

RESULTS

Results show resilience moderated depressive symptoms following spousal loss, but these effects varied by gender. Resilience was significantly and negatively associated with depressive symptoms for married but not for widowed women. However, for widowed men, resilience was significantly and negatively associated with depressive symptoms, and a high resilience score buffered the effect of widowhood.

DISCUSSION AND IMPLICATIONS

Our study suggests that having high levels of resilience prior to spousal loss may help offset persistent depressive symptoms, especially for men. Implications for future research and clinical practice are discussed.

摘要

背景与目的

丧偶是一种压力生活事件,常导致显著的抑郁症状,男性的抑郁症状往往比女性更严重。最近的研究表明,心理弹性可能在塑造人们从丧偶中恢复的程度方面发挥作用。本研究探讨了韧性对丧偶的调节作用,以及其对男性和女性抑郁症状变化的影响。

研究设计与方法

本研究使用健康与退休研究的数据,比较了经历丧偶和持续已婚的男性和女性的抑郁症状变化(N=5626)。我们使用了简化的韧性评分,该评分基于来自社会心理和生活方式问卷的测量。使用普通最小二乘法回归来评估丧偶妇女相对于持续已婚妇女的抑郁症状变化。

结果

结果表明,韧性调节了丧偶后的抑郁症状,但这些影响因性别而异。韧性与已婚女性的抑郁症状显著负相关,但与丧偶女性的抑郁症状不相关。然而,对于丧偶男性,韧性与抑郁症状显著负相关,高韧性评分缓冲了丧偶的影响。

讨论与意义

我们的研究表明,在丧偶前具有较高水平的韧性可能有助于减轻持续的抑郁症状,尤其是对男性而言。讨论了对未来研究和临床实践的意义。

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