The role of mastery and social resources in the associations between disability and depression in later life

The role of mastery and social resources in the associations between disability and depression in later life
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DOI:
10.1093/geront/42.6.807
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发表时间:
2002-12-01
期刊:
影响因子:
5.7
通讯作者:
Mortimer, JA
Mortimer, JA
中科院分区:
医学1区
文献类型:
--
作者:
Jang, Y;Haley, WE;Mortimer, JA

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目的:尽管残疾被广泛认为是晚年抑郁症的危险因素,但很少有研究研究心理社会因素改变残疾与抑郁之间关联的潜力。本研究评估了掌握和社会资源(社交网络、社会支持和支持满意度)对抑郁症的影响,特别是它们是否改变了残疾和抑郁症之间的联系。设计和方法:使用 406 名认知完好的社区居住老年人(平均年龄 = 72.3)作为样本,对掌握和社会资源的直接影响和调节影响进行了实证检验。结果:更高水平的掌握和对支持的更高满意度对抑郁症有显着的直接影响,也缓冲了残疾对抑郁症的不利影响。意义:研究结果支持社会心理因素在改变残疾与抑郁之间的关联方面的重要性,并表明在对老年人的干预措施中应强调增强积极的社会心理属性。
Purpose: Although disability is widely acknowledged as a risk factor for late-life depression, few studies have studied the potential of psychosocial factors to alter the association between disability and depression. The present study assessed the impacts of mastery and social resources (social network, social support, and satisfaction with support) on depression and, in particular, whether they modify the link between disability and depression. Design and Methods: The direct and moderating effects of mastery and social resources were empirically tested using a sample of 406 community-dwelling older adults who were cognitively intact (mean age = 72.3). Results: Higher level of mastery and greater satisfaction with support had significant direct effects on depression and also buffered the adverse impact of disability on depression. Implications: The findings support the importance of psychosocial factors in modifying the association between disability and depression and suggest that efforts to enhance positive psychosocial attributes should be emphasized in interventions for older adults.