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欧洲丧偶和抑郁经历的性别差异:从纵向角度看孤独感和经济资源的作用。

Gendered experiences of widowhood and depression across Europe: The role of loneliness and financial resources from a longitudinal perspective.

机构信息

Technical University of Dortmund, Institute of Sociology, Emil-Figge Str. 50, 44227, Dormund, Germany.

出版信息

J Affect Disord. 2021 Feb 1;280(Pt A):114-120. doi: 10.1016/j.jad.2020.11.091. Epub 2020 Nov 11.

Abstract

OBJECTIVE

This study analyses the gendered experiences of widowhood and its relation to depressive symptoms in four European regions. A special focus lies on the question whether loneliness and reduced financial contribute to the detrimental effect of widowhood on mental health.

METHODS

Using waves 5,6 and 7 of the Survey of Health. Ageing and Retirement in Europe (SHARE), this study estimates fixed-effects linear regression models for the effect of widowhood on depressive symptoms with and without adjustment for potential mediating factors.

RESULTS

There were no gender differences in the mental health consequences of widowhood irrespective of the regional context. Whereas loneliness was a major pathway through which widowhood exerts its negative consequences on mental health, reduced financial resources did not play a substiantial role. Moreover, the magnitude of the widowhood effect on depressive symptoms differed between European regions with stronger increases in Southern Europe. These regional differences were attenuated when accounting for inequalities in financial resources and loneliness.

DISCUSSION

The findings support Attachment Theory, which postulates that it's mainly the loss of such an emotionally strong tie as one's spouse that leads to psychological distress following widowhood. Moreover, one can conclude that some contexts in Europe provide conditions that buffer the negative effect of widowhood on mental health at least to some extent.

摘要

目的

本研究分析了四个欧洲地区丧偶经历的性别差异及其与抑郁症状的关系。特别关注的问题是,孤独感和经济收入减少是否会加剧丧偶对心理健康的不利影响。

方法

本研究使用欧洲健康、老龄化和退休调查(SHARE)的第 5、6 和 7 波数据,通过固定效应线性回归模型,分别在考虑和不考虑潜在中介因素的情况下,估计了丧偶对抑郁症状的影响。

结果

无论在何种区域背景下,丧偶对心理健康的影响在性别上没有差异。虽然孤独感是丧偶对心理健康产生负面影响的主要途径,但经济收入减少并没有起到实质性的作用。此外,丧偶对抑郁症状的影响程度在欧洲各地区存在差异,南欧的增幅更大。当考虑到经济资源和孤独感的不平等时,这些区域差异会减弱。

讨论

这些发现支持了依恋理论,该理论认为,主要是失去配偶这样一种情感强烈的纽带,才会导致丧偶后的心理困扰。此外,可以得出结论,欧洲的一些环境为缓冲丧偶对心理健康的负面影响提供了一定条件。

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