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婚姻质量、孤独感与晚年抑郁症状:自身及配偶功能受限的调节作用

Marital Quality, Loneliness, and Depressive Symptoms Later in Life: The Moderating Role of Own and Spousal Functional Limitations.

作者信息

Marini Christina M, Ermer Ashley E, Fiori Katherine L, Rauer Amy J, Proulx Christine M

机构信息

Gordon F. Derner School of Psychology, Adelphi University, Garden City, NY, USA.

Family Science and Human Development, Montclair State University, Montclair, NJ, USA.

出版信息

Res Hum Dev. 2020;17(4):211-234. doi: 10.1080/15427609.2020.1837598. Epub 2020 Nov 2.

Abstract

Loneliness is a mechanism through which marital quality relates to older adults' mental health. Links between marital quality, loneliness, and depressive symptoms, however, are often examined independent of older adults' functional health. The current study therefore examines whether associations between marital quality, loneliness, and depressive symptoms are contextually dependent on individuals' own (or their spouse's) functional limitations, as well as on gender. Data came from couples ( = 1084) who participated in the Health and Retirement Study (HRS), a nationally representative dataset of older adults (age 50+). We utilized data from the 2014 leave-behind psychosocial questionnaire to measure spousal support/strain and loneliness, and interview data from 2014 to measure baseline depressive symptoms and demographic covariates (e.g., race and education). Depressive symptoms in 2016 served as the focal outcome variable. Findings from a series of path models estimated in MPLUS indicated that loneliness is a mechanism through which spousal support predicts older adults' depressive symptoms. Such linkages, however, were dependent on individuals' own functional limitations and gender. For functionally limited males in particular, spousal support was shown to reduce depressive symptoms insofar as it was associated with lower levels of loneliness; otherwise, it was associated with higher levels of depressive symptoms. Such findings reinforce the importance of taking a contextualized approach when examining associations between support and emotional well-being later in life.

摘要

孤独是婚姻质量与老年人心理健康之间的一种关联机制。然而,婚姻质量、孤独感和抑郁症状之间的联系,通常是在独立于老年人功能健康的情况下进行研究的。因此,本研究考察婚姻质量、孤独感和抑郁症状之间的关联是否在情境上取决于个体自身(或其配偶)的功能限制以及性别。数据来自参与健康与退休研究(HRS)的夫妇(n = 1084),该研究是一个具有全国代表性的老年人(50岁及以上)数据集。我们利用2014年遗留的社会心理问卷数据来测量配偶支持/压力和孤独感,并使用2014年的访谈数据来测量基线抑郁症状和人口统计学协变量(如种族和教育程度)。2016年的抑郁症状作为主要结果变量。在MPLUS中估计的一系列路径模型的结果表明,孤独是配偶支持预测老年人抑郁症状的一种机制。然而,这种联系取决于个体自身的功能限制和性别。特别是对于功能受限的男性,配偶支持被证明可以减轻抑郁症状,前提是它与较低水平的孤独感相关;否则,它与较高水平的抑郁症状相关。这些发现强化了在研究晚年支持与情绪健康之间的关联时采用情境化方法的重要性。

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