School of Social Work, University of South Florida, Tampa, Florida.
Department of Mental Health Law and Policy, University of South Florida, Tampa, Florida.
Health Soc Care Community. 2019 May;27(3):706-716. doi: 10.1111/hsc.12687. Epub 2018 Nov 28.
The purpose of this study was to examine whether loneliness mediates the relationship between social engagement and depressive symptoms and to determine how age moderates the mediation effect. Data for this study came from the survey with community-dwelling adults aged 18 and older in South Korea, from March to April 2017. The total of 1,017 respondents were drawn from three age groups (18-44, 45-64, or 65 and older). The mediating effect of loneliness was tested between each of three social engagement-related variables (family network, friend network, and perceived community support) and depressive symptoms. The results showed age differences in mediation: the effect was most pronounced in the relationship of family network with loneliness for the older group, whereas the size of friend network significantly predicted loneliness for younger adults. Both younger and older groups felt less lonely when they had a higher level of perceived community support; the middle age group remained uninfluenced by the mediation effects. Our findings confirm that loneliness is one of the mechanisms by which social engagement exerts its effect on depressive symptoms. As the Korean society embraces its growing proportions of older adults, the results of the study provide implications for adaptive strategies for changing social engagement need and mental health associated with ageing.
本研究旨在探讨孤独是否在社交参与和抑郁症状之间的关系中起中介作用,并确定年龄如何调节这种中介作用。本研究的数据来自于 2017 年 3 月至 4 月在韩国对 18 岁及以上社区居民进行的调查。共有 1017 名受访者来自三个年龄组(18-44 岁、45-64 岁或 65 岁及以上)。孤独在三种与社交参与相关的变量(家庭网络、朋友网络和感知社区支持)与抑郁症状之间的中介作用进行了测试。结果显示,中介作用存在年龄差异:在家庭网络与孤独感之间的关系中,老年组的影响最为显著,而年轻成年人的朋友网络规模则显著预测孤独感。当感知到的社区支持水平较高时,年轻组和老年组都会感到孤独感降低;而中年组不受中介效应的影响。我们的研究结果证实,孤独感是社交参与对抑郁症状产生影响的机制之一。随着韩国社会接纳越来越多的老年人,研究结果为适应与老龄化相关的社会参与需求和心理健康变化的策略提供了启示。
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