Vaingankar Janhavi Ajit, Abdin Edimansyah, Chong Siow Ann, Shafie Saleha, Sambasivam Rajeswari, Zhang Yun Jue, Chang Sherilyn, Chua Boon Yiang, Shahwan Shazana, Jeyagurunathan Anitha, Kwok Kian Woon, Subramaniam Mythily
Research Division, Institute of Mental Health, 10, Buangkok View, Singapore, 539747 Singapore.
School of Social Sciences, Nanyang Technological University, 50, Nanyang Drive, Singapore, 639798 Singapore.
Arch Public Health. 2020 Oct 28;78:108. doi: 10.1186/s13690-020-00476-1. eCollection 2020.
This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) 'Married' status influenced the relationship between mental state and perceived social support.
Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status.
All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder (β = - 0.299, 95% CI: -0.484 - -0.113, = 002) and having any of the five mental disorders (β = - 0.133, 95% CI: -0.254 - -0.012, = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by 'Married' status.
Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship.
本研究调查了以下内容：（i）精神障碍是否与感知到的社会支持及其子成分相关；（ii）当前婚姻状况是否与感知到的社会支持相关；以及（iii）“已婚”状态是否影响精神状态与感知到的社会支持之间的关系。
使用了来自一项全国性横断面调查的数据，该调查包括6126名受访者。通过结构化问卷评估了五种精神障碍的终生诊断情况。使用多维感知社会支持量表（MSPSS）测量感知到的社会支持，该量表提供了重要他人、家庭和朋友的总体及子量表得分。以MSPSS得分作为因变量，进行多元线性回归分析以解决研究问题。进行结构方程模型（SEM）分析以检验婚姻状况的中介作用。
本研究纳入的所有精神障碍，除酒精使用障碍（AUD）外，均与MSPSS总体得分显著负相关。在控制了社会人口学因素和慢性躯体疾病后，重度抑郁症（β = -0.299，95%CI：-0.484至-0.113，P = 0.002）以及患有五种精神障碍中的任何一种（β = -0.133，95%CI：-0.254至-0.012，P = 0.032）与来自重要他人的支持呈负相关，而除AUD外，所有障碍患者从家庭和朋友获得的支持均较低。在有精神障碍和无精神障碍的人群中，已婚与感知到的社会支持呈正相关。SEM的结果部分支持了精神状态 - 感知社会支持关系通过“已婚”状态的中介作用。
患有精神障碍与较低水平的感知社会支持相关。已婚有可能影响这种关系。
