Shi Yuze, Whisman Mark A
Department of Psychology and Neuroscience, University of Colorado Boulder, United States of America.
Department of Psychology and Neuroscience, University of Colorado Boulder, United States of America.
J Affect Disord. 2023 Apr 14;327:155-158. doi: 10.1016/j.jad.2023.01.093. Epub 2023 Jan 31.
Stress and marital dissatisfaction have been identified as risk factors for depression in separate lines of research. However, the interaction between stress and marital satisfaction in predicting depression over time has rarely been examined, despite the fact that marital satisfaction may weaken (i.e., buffer) the impact of stress on depression. This longitudinal study evaluated marital satisfaction as a moderator of the association between stress and depressive symptoms in a probability sample of American married adults.
Married respondents from Wave I and Wave II of the Americans' Changing Lives (ACL) study (N = 1392) completed measures of marital satisfaction, stressful life events, and depressive symptoms at baseline and three-year follow-up.
Marital satisfaction and stressful life events were significantly associated with depressive symptoms in cross-sectional analyses and uniquely predicted depressive symptoms three years later, controlling for prior depressive symptoms. However, marital satisfaction did not moderate the association between stressful life events and depression. A sensitivity analysis of data from Wave IV and Wave V of the ACL yielded similar findings, supporting the replicability of the results.
Broader assessment on stressful life events and assessment of perceived stress would provide a stronger test of the association between stress and depression as well as the degree to which this association is moderated by marital satisfaction.
Attending to both stress and marital satisfaction may provide a more comprehensive understanding of risk for depression than exclusive focusing on either stress or marital satisfaction, which may have beneficial implications for preventing and treating depression.
在不同的研究领域中，压力和婚姻不满已被确定为抑郁症的风险因素。然而，尽管婚姻满意度可能会削弱（即缓冲）压力对抑郁症的影响，但压力与婚姻满意度在预测抑郁症随时间变化方面的相互作用却很少被研究。这项纵向研究在美国已婚成年人的概率样本中，评估了婚姻满意度作为压力与抑郁症状之间关联的调节因素。
来自“美国人生活变化”（ACL）研究第一波和第二波的已婚受访者（N = 1392）在基线和三年随访时完成了婚姻满意度、应激性生活事件和抑郁症状的测量。
在横断面分析中，婚姻满意度和应激性生活事件与抑郁症状显著相关，并且在控制先前的抑郁症状后，独特地预测了三年后的抑郁症状。然而，婚姻满意度并未调节应激性生活事件与抑郁症之间的关联。对ACL研究第四波和第五波数据的敏感性分析得出了类似的结果，支持了结果的可重复性。
对应激性生活事件进行更广泛的评估以及对感知压力的评估，将为压力与抑郁症之间的关联以及这种关联受婚姻满意度调节的程度提供更强有力的检验。
与仅关注压力或婚姻满意度相比，同时关注压力和婚姻满意度可能会更全面地理解抑郁症风险，这可能对预防和治疗抑郁症具有有益的意义。
