Mental health among older adults in Japan: do sources of social support and negative interaction make a difference?
Mental health among older adults in Japan: do sources of social support and negative interaction make a difference?
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DOI：
10.1016/j.socscimed.2004.02.024
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发表时间：
2004-12-01
影响因子：
5.4
通讯作者：
Sugisawa, H
中科院分区：
文献类型：
--
作者：
Okabayashi, H;Liang, J;Sugisawa, H
本研究探讨来自不同来源（配偶、子女和其他亲友）的社会支持和人际压力是否对心理健康有不同的影响。这项研究的数据来自日本全国2200名60岁及以上的人的概率样本。结构方程模型在两种类型的社会网络背景下进行评估：(a)有配偶和孩子的人（n = 1299）， (b)只有孩子的人（n = 677）。在这两个网络之间，对比了社会支持、消极关系和心理健康之间的联系。各种社会支持来源和消极互动对心理健康的影响因心理健康的具体维度以及社会网络的性质而异。在已婚有子女的日本老年人中，来自配偶的社会支持比来自子女和其他人的社会支持与积极幸福感的关联更大。然而，认知功能与积极和消极社会交换的所有来源无关。相比之下，在那些没有配偶的人中，只有来自孩子的更多支持与更高的积极幸福感、更少的痛苦和更少的认知障碍显著相关。(C) 2004 Elsevier Ltd.版权所有。
This study addresses the question of whether social support and interpersonal strain from different sources (i.e., spouse, children, and other relatives and friends) have differential impact on mental health. Data for this research came from a national probability sample of 2200 persons aged 60 and over in Japan. Structural equation models were evaluated within the context of two types of social networks: (a) persons who had a spouse and children (n = 1299), and (b) those with children only (n = 677). Between these two networks, the links among social support, negative relations, and mental health were contrasted. The effects of various sources of social support and negative interactions on mental health vary depending on the specific dimension of mental health as well as the nature of social networks. Among older Japanese who are married with children, social support from spouse has a greater association with positive well-being than social support from children and others. However, cognitive functioning is uncorrelated with all sources of positive and negative social exchanges. In contrast, among those without a spouse, only greater support from children is significantly correlated with higher positive well-being, less distress, and less cognitive impairment. (C) 2004 Elsevier Ltd. All rights reserved.