Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia - Kampus Pandan Indah, Kuala Lumpur, Malaysia.
Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
BMJ Open. 2019 Jul 17;9(7):e026667. doi: 10.1136/bmjopen-2018-026667.
This review aims to: (1) explore the social support measures in studies examining the association between social support and depression among community-dwelling older adults in Asia and (2) the evidence of association.
A systematic review was conducted using electronic databases of CINAHL, PubMed, PsychINFO, Psychology and Behavioural Sciences Collection, SocINDEX and Web of Science for articles published until the 11th of January 2018.
All observational studies investigating the association between social support and depression among community-dwelling older adults in Asia were included.
Older adults aged 60 years and more who are living in the community.
Social support.
Depression.
We retrieved16 356 records and screened 66 full-text articles. Twenty-four observational studies were included in the review. They consisted of five cohort studies and 19 cross-sectional studies. Social support was found to be measured by multiple components, most commonly through a combination of structural and functional constructs. Perceived social support is more commonly measured compared with received social support. Good overall social support, having a spouse or partner, living with family, having a large social network, having more contact with family and friends, having emotional and instrumental support, good support from family and satisfaction with social support are associated with less depressive symptoms among community-dwelling older adults in Asia.
There were 20 different social support measures and we applied a framework to allow for better comparability. Our findings emphasised the association between good social support and decrease depression among older adults. Compared with western populations, family support has a greater influence on depression among community-dwelling older adults in Asia. This indicates that the family institution needs to be incorporated into designed programmes and interventions when addressing depression in the Asian context. TRIAL : : CRD42017074897.
本综述旨在：（1）探讨亚洲社区老年人社会支持与抑郁关系研究中的社会支持措施；（2）社会支持与抑郁关系的证据。
对 CINAHL、PubMed、PsychINFO、心理学和行为科学集、SocINDEX 和 Web of Science 等电子数据库进行系统综述，检索截至 2018 年 1 月 11 日的研究文章。
所有观察性研究，调查亚洲社区居住的老年人社会支持与抑郁之间的关系。
年龄在 60 岁及以上，居住在社区中的老年人。
社会支持。
抑郁。
我们检索到 16356 条记录，筛选出 66 篇全文文章。共有 24 项观察性研究纳入综述。其中包括 5 项队列研究和 19 项横断面研究。社会支持通过多个组成部分进行测量，最常见的是通过结构和功能结构的组合。与获得社会支持相比，感知社会支持更为常见。总体良好的社会支持、有配偶或伴侣、与家人同住、有较大的社交网络、与家人和朋友有更多的联系、获得情感和工具支持、来自家庭的良好支持以及对社会支持的满意度与亚洲社区居住的老年人中抑郁症状减少有关。
有 20 种不同的社会支持措施，我们应用了一个框架来提高可比性。我们的研究结果强调了良好的社会支持与老年人抑郁之间的关系。与西方人群相比，家庭支持对亚洲社区居住的老年人的抑郁影响更大。这表明在亚洲背景下解决抑郁问题时，需要将家庭制度纳入设计的方案和干预措施中。
：CRD42017074897。
