Institute of Neuroscience, Department of Psychiatry, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Neuropsychiatry, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.
Int J Geriatr Psychiatry. 2020 Nov;35(11):1301-1308. doi: 10.1002/gps.5367. Epub 2020 Aug 18.
To examine levels of depressive symptoms during the early years of retirement in men and women and to investigate potential gender differences in associations with self-reported health, financial insecurity, social network and psychological resources.
Data was drawn from the first wave in the Health, Aging and Retirement Transitions in Sweden-study (HEARTS) including a total sample of 1148 retirees, aged 60 to 66. Level of depressive symptoms and associations with health, financial insecurity, social network and psychological resources were investigated in regression analyses in the total sample and in bivariate correlation analyses in the subgroup at risk of depression as defined by a cut-off ≥9 on the Center for Epidemiologic Studies Depression Scale (CES-D).
Mean CES-D scores were similar in men and women in the entire sample. The CES-D identified 144 individuals at risk of depression (men 14%, women 11%, n.s.). Although the pattern of related resources was similar in men and women, a greater proportion of the variance was explained in the male group (51% vs 37%). Health, quality of social network, social support and competence satisfaction were all correlated with depressive symptoms in men in the high risk group, but no associations were seen in women.
Similar levels of depressive symptoms were observed in women and men in the retirement transition. However, the relevance of the selected resources may be greater in men. Research on the management of depressive symptoms in the transition between midlife and aging needs to take gender into consideration.
探讨男性和女性退休早期的抑郁症状水平，并调查与自我报告的健康状况、经济不安全感、社交网络和心理资源相关的潜在性别差异。
数据来自瑞典健康、老龄化和退休转型研究（HEARTS）的第一波，包括 1148 名年龄在 60 至 66 岁的退休人员的总样本。在总样本中，使用回归分析调查了抑郁症状的水平及其与健康、经济不安全感、社交网络和心理资源的关联，在被定义为流行病学研究中心抑郁量表（CES-D）得分≥9 的抑郁风险亚组中，使用双变量相关分析调查了健康、经济不安全感、社交网络和心理资源的关联。
整个样本中，男性和女性的 CES-D 平均得分相似。CES-D 确定了 144 名有抑郁风险的个体（男性 14%，女性 11%，无统计学差异）。尽管男性和女性的相关资源模式相似，但男性组解释的方差比例更大（51%对 37%）。在高风险组中，健康、社会网络质量、社会支持和能力满意度均与男性的抑郁症状相关，但女性则没有。
在退休过渡期间，女性和男性的抑郁症状水平相似。然而，所选资源的相关性在男性中可能更大。关于从中年到老年过渡期间抑郁症状管理的研究需要考虑性别差异。
