Department of Psychiatry, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.
Department of Psychiatry, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo 060-8638, Japan.
Psychiatry Res. 2019 Apr;274:352-357. doi: 10.1016/j.psychres.2019.02.061. Epub 2019 Feb 25.
Subjective social status (SSS) is associated with major depression, but its association with depressive symptoms remains unknown. In this study, we hypothesized that SSS mediates the effects of the quality of parenting (care and overprotection) on self-esteem and depressive symptoms in adulthood in non-clinical self-selected adult volunteers, and this hypothesis was verified by covariance structure analysis. The following questionnaire surveys were conducted on 404 Japanese non-clinical adult volunteers: Patient Health Questionnaire-9 (PHQ-9), SSS, Parental Bonding Instrument (PBI), and Rosenberg Self-Esteem Scale (RSES). We conducted covariance structure analysis to elucidate the mediating effects of SSS on the effects of PBI on RSES and PHQ-9. In our models, self-esteem, but not the quality of parenting or SSS, directly deteriorated depressive symptoms. Poor quality of parenting in childhood indirectly exacerbated depressive symptoms through the mediating effects of SSS and self-esteem. This study showed that SSS is a mediator in the effects of the quality of parenting in childhood on adulthood depressive symptoms and self-esteem, and that self-esteem further mediates the effects of SSS. Our results may hence contribute to the elucidation of the association between SSS and depression.
主观社会地位(SSS)与重度抑郁症有关,但它与抑郁症状的关系尚不清楚。在这项研究中,我们假设 SSS 可以调节父母教养质量(关爱和过度保护)对非临床自我选择的成年志愿者成年后自尊和抑郁症状的影响,并且通过协方差结构分析验证了这一假设。我们对 404 名日本非临床成年志愿者进行了以下问卷调查:患者健康问卷-9(PHQ-9)、SSS、父母养育方式量表(PBI)和罗森伯格自尊量表(RSES)。我们进行协方差结构分析,以阐明 SSS 对 PBI 对 RSES 和 PHQ-9 的影响的中介作用。在我们的模型中,自尊,而不是父母教养质量或 SSS,直接恶化了抑郁症状。童年时期不良的父母教养质量通过 SSS 和自尊的中介作用间接加剧了抑郁症状。这项研究表明,SSS 是童年时期父母教养质量对成年期抑郁症状和自尊影响的中介,而自尊进一步中介了 SSS 的影响。我们的结果可能有助于阐明 SSS 与抑郁之间的关联。