Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore.
Ann Acad Med Singap. 2019 Dec;48(12):396-402.
Few studies in Asia have examined the association among depressive symptoms, relationship satisfaction, sexual dysfunction and emotional expressiveness. Examining the role of emotional expressiveness in the context of depression and relationships is important as it can be a point for therapeutic intervention.
Guided by the Marital Discord Model of Depression and based on data from partnered women in Singapore (n = 193), we conducted a path analysis to examine the mediating role of relationship satisfaction and sexual dysfunction in the link between difficulty in emotional expression and depressive symptoms.
Controlling for age and health, lower relationship satisfaction (β = -0.213; <0.001), higher sexual dysfunction (β = 0.139; = 0.010) and greater difficulty in emotional expression (β = 0.908; <0.001) were associated with increased depressive symptoms. Relationship satisfaction partially mediated the association between emotional expressiveness and depressive symptoms (indirect effect, 0.169; 95% confidence interval, 0.043‒0.379).
The findings suggest the importance of effective communication in mitigating relationship- and self-distress.
亚洲鲜有研究探讨抑郁症状、关系满意度、性功能障碍和情感表达之间的关联。在抑郁和关系的背景下研究情感表达的作用很重要，因为它可以成为治疗干预的一个切入点。
基于新加坡已婚女性（n=193）的数据，以婚姻不和谐模型为指导，我们进行了路径分析，以检验关系满意度和性功能障碍在情感表达困难与抑郁症状之间的中介作用。
控制年龄和健康状况后，关系满意度较低（β=-0.213；<0.001）、性功能障碍较高（β=0.139；=0.010）和情感表达困难较大（β=0.908；<0.001）与抑郁症状增加相关。关系满意度部分中介了情感表达与抑郁症状之间的关联（间接效应，0.169；95%置信区间，0.043-0.379）。
研究结果表明，有效的沟通在减轻关系和自我困扰方面很重要。
