Department of Public Health and Nursing, NTNU Center for Health Promotion Research, Norwegian University of Science and Technology, 7030 Trondheim, Norway.
Faculty of Nursing and Health Sciences, Nord University, 8026 Bodø, Norway.
Int J Environ Res Public Health. 2020 Apr 26;17(9):3003. doi: 10.3390/ijerph17093003.
This study investigated the associations between sex, age, socio-economic status, stress, sense of coherence (SOC), and health (mental wellbeing, depressive symptoms, self-rated health, and subjective health complaints) in Norwegian adolescents aged 13-19 years. Furthermore, the study investigated the potential protective or compensatory role from SOC on the association between stress and health. The study was based on a cross-sectional sample of 1233 adolescents. Data were analyzed with descriptive, comparative, and multiple linear regression analyses. : Girls reported significantly higher scores on depressive symptoms and subjective health complaints than boys. Stress was significantly and positively associated with depressive symptoms. SOC associated significantly with all outcome variables; and especially with mental wellbeing and depressive symptoms. Significant interaction effects of sex in combination with stress and SOC were found in association with depression and mental wellbeing. Associations were strongest for girls. The findings provided support for the significant role of SOC as a coping resource, especially in relation to adolescents' mental health; weaker associations were found with subjective health complains and self-rated health. The findings also mainly supported a compensatory role of SOC on the association between stress and health during adolescence.
本研究调查了挪威 13-19 岁青少年的性别、年龄、社会经济地位、压力、心理韧性(SOC)与健康(心理健康、抑郁症状、自我评估健康和主观健康抱怨)之间的关联。此外,该研究还调查了 SOC 对压力与健康之间关联的潜在保护或补偿作用。该研究基于 1233 名青少年的横断面样本。数据采用描述性、比较性和多元线性回归分析进行分析。结果显示,女孩的抑郁症状和主观健康抱怨得分明显高于男孩。压力与抑郁症状呈显著正相关。SOC 与所有结果变量显著相关;尤其是与心理健康和抑郁症状显著相关。在与抑郁和心理健康相关的方面,发现了性别与压力和 SOC 的交互作用,其影响显著。这种关联在女孩中最为强烈。研究结果支持 SOC 作为应对资源的重要作用,尤其是在青少年心理健康方面;与主观健康抱怨和自我评估健康的关联较弱。研究结果还主要支持 SOC 在青少年时期压力与健康之间关联的补偿作用。