Institute of Gerontology, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, 701, Taiwan, ROC.
Institute of Behavioral Medicine, College of Medicine, National Cheng Kung University, Tainan City, 701, Taiwan, ROC.
Sci Rep. 2023 Mar 24;13(1):4818. doi: 10.1038/s41598-023-31863-7.
Psychosocial factors, including life satisfaction, resilience, and social support, have been proposed to influence depressive symptom severity in adults because the age of onset of depressive disorders, i.e. adolescence to early adulthood, is associated with various impairments in psychosocial functioning. In this study, a psychosocial model was constructed to verify these relationships to prevent depression. For this study, 370 participants were recruited from the community via poster or online advertisements. They completed several questionnaires to assess depressive symptom severity: the Connor-Davidson Resilience Scale (CD-RISC), Satisfaction with Life Scale (SwLS), Peace of Mind (PoM) scale, Social Support Questionnaire (SSQ), and Beck Depression Inventory (BDI-II). A negative association was found between depressive symptom severity and all other variables, including PoM and CD-RISC scores, life satisfaction, and social support. Such factors can be considered protective against increased depressive symptom severity. In addition, indirect effects of PoM and resilience on the negative association between SwLS scores and depressive symptom severity were observed. Moreover, social support was found to mediate the correlation between PoM and resilience, implying that social support mediates the relationship between state of mind and resilience. The psychosocial model suggested that depressive symptom severity is influenced by internal factors (an individual's state of mind, subjective view of events and their life) and external factors (including social support).
心理社会因素,包括生活满意度、适应力和社会支持,被认为会影响成年人的抑郁症状严重程度,因为抑郁障碍的发病年龄为青少年至成年早期,与各种心理社会功能障碍有关。在这项研究中,构建了一个心理社会模型来验证这些关系,以预防抑郁症。为此,通过海报或在线广告从社区招募了 370 名参与者。他们完成了几个问卷来评估抑郁症状的严重程度:Connor-Davidson 适应力量表(CD-RISC)、生活满意度量表(SwLS)、心境安宁量表(PoM)、社会支持问卷(SSQ)和贝克抑郁量表(BDI-II)。抑郁症状严重程度与包括 PoM 和 CD-RISC 评分、生活满意度和社会支持在内的所有其他变量呈负相关。这些因素可以被认为是预防抑郁症状严重程度增加的保护因素。此外,观察到心境安宁和适应力对 SwLS 评分与抑郁症状严重程度之间的负相关的间接影响。此外,发现社会支持调解了心境安宁和适应力之间的相关性,这意味着社会支持调解了心态和适应力之间的关系。所提出的心理社会模型表明,抑郁症状严重程度受到内部因素(个体的心态、对事件及其生活的主观看法)和外部因素(包括社会支持)的影响。