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男性和女性退休过渡期间的抑郁症状:与情绪调节、适应困难和工作中心性的关联。

Depressive symptoms across the retirement transition in men and women: associations with emotion regulation, adjustment difficulties and work centrality.

作者信息

Hed Sara, Berg Anne Ingeborg, Hansson Isabelle, Kivi Marie, Waern Margda

机构信息

Institute of Neuroscience, Department of Psychiatry, Sahlgrenska Academy, University of Gothenburg, SU/Sahlgrenska, Blå Stråket 15, 41345, Gothenburg, Sweden.

Dept of Neuropsychiatry, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.

出版信息

BMC Geriatr. 2024 Jul 31;24(1):643. doi: 10.1186/s12877-024-05228-2.

Abstract

BACKGROUND

Retirement is a major life event and factors driving depression in the retirement transition might differ in men and women. The aim was to prospectively study depressive symptoms across the retirement transition in men and women and to test associations with emotion regulation strategies (suppression and reappraisal), adjustment difficulties, and work centrality.

METHODS

The sample included 527 individuals from the population-based Health, Aging and Retirement Transitions in Sweden (HEARTS) study who were working at baseline and retired during one of the following four annual measurement waves. Participants contributed with a total of 2635 observations across five measurement waves. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D); total score was modelled as a function of time to and from retirement. Changes over the retirement transition were analyzed with multilevel growth curve models. Gender differences in associations with emotion regulation, adjustment difficulties and work centrality were examined by including interaction effects with sex.

RESULTS

We observed a general reduction of depressive symptoms in the early years of retirement in both men and women. Higher suppression was related to higher depression scores while higher cognitive reappraisal was related to lower levels of depressive symptoms. Women more often used cognitive reappraisal, and men more often suppression, but no significant gender interaction in associations with depressive symptoms could be shown. Retirement adjustment difficulties and greater importance of work for self-esteem were related to higher depression scores. Greater meaning of work, on the other hand, was related to lower levels of depressive symptoms, and this association was stronger in men.

CONCLUSIONS

There was a general reduction of depression scores in the early years of retirement in both women and men. Findings suggest that basing one's self-esteem on workplace performance was related to higher levels of depressive symptoms after retirement, while perceiving one's job as important and meaningful may facilitate better adjustment in terms of lower depression symptom levels, especially in men.

摘要

背景

退休是人生中的重大事件,在退休过渡期间导致抑郁的因素在男性和女性中可能有所不同。目的是前瞻性地研究男性和女性在退休过渡期间的抑郁症状,并测试与情绪调节策略(抑制和重新评价)、适应困难和工作中心性之间的关联。

方法

样本包括来自瑞典基于人群的健康、衰老和退休过渡(HEARTS)研究的527名个体,他们在基线时在职,并在接下来的四个年度测量波次中的某一波次退休。参与者在五个测量波次中总共提供了2635次观察数据。使用流行病学研究中心抑郁量表(CES-D)测量抑郁症状;总分被建模为退休前后时间的函数。使用多级生长曲线模型分析退休过渡期间的变化。通过纳入与性别的交互作用来检验在情绪调节、适应困难和工作中心性方面的关联中的性别差异。

结果

我们观察到男性和女性在退休早期抑郁症状普遍减轻。更高的抑制与更高的抑郁得分相关,而更高的认知重新评价与更低的抑郁症状水平相关。女性更常使用认知重新评价,男性更常使用抑制,但在与抑郁症状的关联中未显示出显著的性别交互作用。退休适应困难以及工作对自尊的更重要性与更高的抑郁得分相关。另一方面,工作的更大意义与更低的抑郁症状水平相关,并且这种关联在男性中更强。

结论

男性和女性在退休早期抑郁得分普遍降低。研究结果表明,将自尊建立在工作场所表现上与退休后更高水平的抑郁症状相关,而将工作视为重要且有意义可能有助于更好地适应,即降低抑郁症状水平,尤其是在男性中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ca/11292945/d46038575b86/12877_2024_5228_Fig1_HTML.jpg

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