The Mediating Role of Loneliness in the Relation Between Social Engagement and Depressive Symptoms Among Older Korean Americans: Do Men and Women Differ?

The Mediating Role of Loneliness in the Relation Between Social Engagement and Depressive Symptoms Among Older Korean Americans: Do Men and Women Differ?
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DOI:
10.1093/geronb/gbs062
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发表时间:
2013-03-01
影响因子:
6.2
通讯作者:
Chiriboga, David A.
Chiriboga, David A.
中科院分区:
医学1区
文献类型:
--
作者:
Park, Nan Sook;Jang, Yuri;Chiriboga, David A.

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本研究将孤独感概念化为社会参与与抑郁症状之间关系的中介变量,并探讨中介模型中的性别差异。社会参与的各种指数被认为是包括生活安排,社会网络,和活动participation.Using从674个社区居住的韩裔美国老年人的数据,我们首先研究了孤独感的中介作用之间的关系的3个指数的社会参与(不单独生活,社会网络,和活动参与)和抑郁症状。随后,中介模型中的性别差异进行了检查。作为假设,孤独感被发现调解社会参与和抑郁症状的男性和女性的每个指数之间的关系。我们还观察到中介效应强度的性别差异;独居的影响更可能是由男性的孤独感所介导的,而女性在社交网络和活动参与的模型中表现出更高的中介水平。我们的研究结果表明,孤独感可能解释了社交参与不足对抑郁症状产生影响的机制,在研究中应考虑性别差异。针对促进心理健康的社会参与的干预措施。
This study conceptualized loneliness as a mediator in the relation between social engagement and depressive symptoms and explored gender differences in the mediation model. Various indices of social engagement were considered including living arrangement, social network, and activity participation.Using data from 674 community-dwelling Korean American older adults, we first examined the mediation effect of loneliness in the relation between each of 3 indices of social engagement (not living alone, social network, and activity participation) and depressive symptoms. Subsequently, gender differences in the mediation model were examined.As hypothesized, loneliness was found to mediate the relation between each of the indices of social engagement and depressive symptoms in both men and women. We also observed gender differences in the strength of mediating effects; the effect of living alone was more likely to be mediated by loneliness among men, whereas women showed greater levels of mediation in the models with social network and activity participation.Our findings suggest that loneliness may explain the mechanism by which deficits in social engagement exerts its effect on depressive symptoms and that gender differences should be considered in interventions targeting social engagement for mental health promotion.