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围绝经期中国女性感知生活压力与主观幸福感的关系:有调节的中介分析。

Association between perceived life stress and subjective well-being among Chinese perimenopausal women: a moderated mediation analysis.

机构信息

Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China.

Department of Cardiovascular Medicine, The First Hospital of Jilin University, Changchun, China.

出版信息

PeerJ. 2022 Jan 18;10:e12787. doi: 10.7717/peerj.12787. eCollection 2022.

Abstract

BACKGROUND

The impact of perceived life stress on subjective well-being has been well-established; while few studies have explored the mediating and moderating mechanisms of the association between perceived life stress and subjective well-being among perimenopausal women. This study is aimed at exploring the mediating effect of depressive symptoms and the role of interests/hobbies as a moderator in the association between perceived life stress and subjective well-being among perimenopausal women.

METHODS

The participants were 1,104 perimenopausal women at the age of 40 to 60, who were asked to complete a paper-based questionnaire. A single item was used to measure self-perceived life stress and interests/hobbies. The Zung Self-rating Depression Scale (SDS) and Subjective Well-being Scale for Chinese Citizens (SWBS-CC) were applied to assess both depressive symptoms and subjective well-being. Multiple linear regression analysis and the PROCESS macro were adopted to analyse not only the mediating effect of depressive symptoms but also the moderating role of interests/hobbies.

RESULTS

Perceived life stress was negatively associated with subjective well-being ( =  - 1.424,  =  - 0.101,  < 0.001). The impact of perceived life stress on subjective well-being was partially mediated by depressive symptoms (mediation effect = -0.760, 95% confidence intervals (CI) [-1.129, -0.415]). In addition, the interaction term between depressive symptoms and interests/hobbies was significantly related to subjective well-being ( =  - 0.060,  < 0.05), indicating moderating effect. Moderated mediation had a significant index (Index = -0.220, SE = 0.099, 95% CI [-0.460, -0.060]).

CONCLUSIONS

Perceived life stress was negatively related to subjective well-being. The impact of perceived life stress on subjective well-being was mediated by depressive symptoms. Besides, interests/hobbies moderated the indirect effect of depressive symptoms on the relationship between perceived life stress and subjective well-being.

摘要

背景

感知生活压力对主观幸福感的影响已得到充分证实;尽管很少有研究探讨围绝经期妇女感知生活压力与主观幸福感之间关联的中介和调节机制。本研究旨在探讨围绝经期妇女感知生活压力与主观幸福感之间关联的抑郁症状的中介作用以及兴趣/爱好作为调节因素的作用。

方法

参与者为 1104 名年龄在 40 至 60 岁的围绝经期妇女,要求她们完成一份纸质问卷。采用单项自我感知生活压力和兴趣/爱好的指标。采用zung 自评抑郁量表(SDS)和中国公民主观幸福感量表(SWBS-CC)评估抑郁症状和主观幸福感。采用多元线性回归分析和 PROCESS 宏分析,不仅分析了抑郁症状的中介作用,还分析了兴趣/爱好的调节作用。

结果

感知生活压力与主观幸福感呈负相关(β=-1.424,β=-0.101,<0.001)。感知生活压力对主观幸福感的影响部分通过抑郁症状中介(中介效应=-0.760,95%置信区间[-1.129,-0.415])。此外,抑郁症状和兴趣/爱好之间的交互项与主观幸福感显著相关(β=-0.060,<0.05),表明存在调节作用。调节中介有显著指数(指数=-0.220,SE=0.099,95%置信区间[-0.460,-0.060])。

结论

感知生活压力与主观幸福感呈负相关。感知生活压力对主观幸福感的影响是通过抑郁症状来介导的。此外,兴趣/爱好调节了抑郁症状对感知生活压力与主观幸福感之间关系的间接效应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11e7/8781442/1b63f8ddd7ea/peerj-10-12787-g001.jpg

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