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从退休前到退休后 20 年间抑郁症状的变化:自我老化认知的作用。

Changes in depressive symptoms from pre- to postretirement over a 20-year span: The role of self-perceptions of aging.

机构信息

Department of Sociology, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, China.

School of Social Work, University of Michigan, Ann Arbor, US.

出版信息

J Affect Disord. 2021 Sep 1;292:1-8. doi: 10.1016/j.jad.2021.05.059. Epub 2021 May 29.

Abstract

BACKGROUND

Retirement-related changes in depressive symptoms are not clear. This research examined short- and long-term changes in older adults' depressive symptoms before, upon, and after retirement. It also tested if and how changes in depressive symptoms varied by different levels of negative self-perceptions of aging (nSPA) in men and women.

METHODS

We analyzed longitudinal data from individuals who retired between 1994 and 2016 in the Health and Retirement Study (N = 9027). Using fixed-effect regression models, we examined changes in depressive symptoms from the 10-year preretirement phase through the 10-year postretirement phase. We also examined how changes in depressive symptoms during the retirement transition varied across four groups: low nSPA men, low nSPA women, high nSPA men, and high nSPA women.

RESULTS

Both male and female retirees experienced increased short- and long-term depressive symptoms after retirement. However, the pattern of change varied by nSPA and gender. For both low nSPA men and women, there were no significant changes in depressive symptoms across different retirement phases. Adults with high nSPA showed important changes in depressive symptoms, but there were gender differences-High nSPA men experienced increases in depressive symptoms mainly in preretirement years and during the year of retirement; high nSPA women experienced symptoms increase during the year of retirement and the years after retirement.

LIMITATIONS

The use of self-report measures may lead to recall bias. Studies are needed to understand mechanisms behind the protective role of low nSPA.

CONCLUSIONS

The findings attest to the health benefits of low nSPA during later-life stages.

摘要

背景

与退休相关的抑郁症状变化尚不清楚。本研究考察了老年人退休前后抑郁症状的短期和长期变化。还测试了抑郁症状的变化是否以及如何因男性和女性不同程度的负面老化自我认知(nSPA)而有所不同。

方法

我们分析了 1994 年至 2016 年期间参加健康与退休研究的个体的纵向数据(N=9027)。使用固定效应回归模型,我们考察了从退休前 10 年到退休后 10 年期间抑郁症状的变化。我们还考察了退休过渡期内抑郁症状的变化如何在四个组之间有所不同:低 nSPA 男性、低 nSPA 女性、高 nSPA 男性和高 nSPA 女性。

结果

男性和女性退休人员在退休后都经历了短期和长期抑郁症状的增加。然而,变化模式因 nSPA 和性别而异。对于低 nSPA 的男性和女性,在不同的退休阶段,抑郁症状没有明显变化。高 nSPA 的成年人在抑郁症状方面有重要变化,但存在性别差异-高 nSPA 男性主要在退休前和退休当年的抑郁症状增加;高 nSPA 女性在退休当年和退休后几年的抑郁症状增加。

局限性

使用自我报告的措施可能会导致回忆偏差。需要研究来了解低 nSPA 背后的保护作用机制。

结论

这些发现证明了在生命后期阶段低 nSPA 的健康益处。

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