儿童期虐待、主观社会地位与丧亲健康差异。
Childhood maltreatment, subjective social status, and health disparities in bereavement.
机构信息
Department of Psychological Sciences, Rice University, 6100 Main St, Houston, TX 77005, USA.
Department of Psychological Sciences, Rice University, 6100 Main St, Houston, TX 77005, USA.
出版信息
Psychoneuroendocrinology. 2022 Jan;135:105595. doi: 10.1016/j.psyneuen.2021.105595. Epub 2021 Nov 18.
BACKGROUND
Spousal bereavement can lead to adverse health outcomes; however, not all widow(er)s experience the same degree of health problems. Thus, it is important to understand the contribution of disparities (e.g., childhood maltreatment and subjective social status) that may underlie adverse health outcomes that arise following bereavement.
METHODS
We collected data from 130 spousally bereaved individuals at 3-time points (3 months post-loss, 4 months post-loss, and 6 months post-loss). Using mixed models, we assessed the interaction of childhood maltreatment, subjective social status, and time to predict changes in proinflammatory cytokine production, depressive symptoms, grief symptoms.
RESULTS
We found a significant interaction between childhood maltreatment, subjective social status, and time predicting proinflammatory cytokine production (beta > -0.01, p = 0.048), depressive symptoms (beta = 0.008, p = .010), and grief symptoms (beta = 0.001 p = .001).
CONCLUSION
This study highlights the role of disparities related to childhood maltreatment and subjective social status on adverse health outcomes following spousal bereavement.
背景
丧偶会导致健康状况恶化；然而，并非所有丧偶者都经历相同程度的健康问题。因此，了解可能导致丧偶后出现不良健康后果的差异（例如，儿童期虐待和主观社会地位）的贡献非常重要。
方法
我们在 3 个时间点（丧偶后 3 个月、4 个月和 6 个月）从 130 名丧偶者那里收集了数据。使用混合模型，我们评估了儿童期虐待、主观社会地位和时间之间的相互作用，以预测促炎细胞因子产生、抑郁症状和悲伤症状的变化。
结果
我们发现儿童期虐待、主观社会地位和时间之间的相互作用显著预测促炎细胞因子产生（β> -0.01，p=0.048）、抑郁症状（β=0.008，p=0.010）和悲伤症状（β=0.001，p=0.001）。
结论
这项研究强调了与儿童期虐待和主观社会地位相关的差异在丧偶后不良健康后果中的作用。
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