Pagel M, Becker J
J Pers Soc Psychol. 1987 May;52(5):1043-52. doi: 10.1037//0022-3514.52.5.1043.
The mechanisms by which social supports and personality variables may buffer against psychopathology are not well understood. We studied depression, depressive cognitions, social supports, and self-esteem in a sample of 68 spouse-caregivers of patients with Alzheimer's Disease in an attempt to identify possible buffering mechanisms of the latter two variables. Specifically, we hypothesized that the well-known relation of depressive cognitions to depression would vary as a function of satisfaction with social supports and with level of self-esteem. Hierarchical multiple regression analyses conducted to predict depression revealed significant and independent main effects for depressive cognitions (p less than .01), social supports (p less than .025), and self-esteem (p less than .001), with depressive cognitions associated with higher depression and the other two variables associated with reduced depression (R2 = .53 for the three main effects). In addition, the relation of depressive cognitions with depression varied substantially depending on the level of social supports (p less than .01); caregivers with high levels of depressive cognitions had high levels of depression only if social supports were low (R2 = .61 including interaction). Self-esteem and depressive cognitions showed a similar interaction, but it failed to reach significance. Analyses to determine whether self-esteem and social supports were directly associated with lower depressive cognitive activity yielded a main effect for self-esteem only (p less than .03). Thus, whereas social supports and self-esteem were directly associated with lower depression, only the social supports variable was further associated with reduced depression because it apparently buffered the impact of depressive thinking. Self-esteem was also indirectly associated with lower depression via its relation with lower depressive thinking. Implications of our results for cognitive theories of depression and for the psychosocial mechanisms of stress buffering are discussed.
社会支持和人格变量可能缓冲精神病理学的机制尚未得到很好的理解。我们在68名阿尔茨海默病患者的配偶照顾者样本中研究了抑郁、抑郁认知、社会支持和自尊,试图确定后两个变量可能的缓冲机制。具体而言,我们假设抑郁认知与抑郁之间的已知关系会因对社会支持的满意度和自尊水平而有所不同。为预测抑郁而进行的分层多元回归分析显示,抑郁认知(p小于0.01)、社会支持(p小于0.025)和自尊(p小于0.001)具有显著且独立的主效应,抑郁认知与更高的抑郁相关,而其他两个变量与抑郁减轻相关(三个主效应的R2 = 0.53)。此外,抑郁认知与抑郁之间的关系根据社会支持水平有很大差异(p小于0.01);只有在社会支持较低时,具有高水平抑郁认知的照顾者才会有高水平的抑郁(包括交互作用的R2 = 0.61)。自尊和抑郁认知显示出类似的交互作用,但未达到显著水平。确定自尊和社会支持是否与较低的抑郁认知活动直接相关的分析仅得出了自尊的主效应(p小于0.03)。因此,虽然社会支持和自尊与较低的抑郁直接相关,但只有社会支持变量进一步与抑郁减轻相关,因为它显然缓冲了抑郁思维的影响。自尊也通过与较低的抑郁思维的关系间接与较低的抑郁相关。讨论了我们的结果对抑郁认知理论和压力缓冲心理社会机制的意义。