Marital quality, depressive symptoms, and the metabolic syndrome: a couples structural model.
Marital quality, depressive symptoms, and the metabolic syndrome: a couples structural model.
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婚姻质量、抑郁症状和代谢综合征：夫妻结构模型。
DOI：
10.1007/s10865-015-9619-4
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发表时间：
2015
影响因子：
3.1
通讯作者：
Uchino,BertN
中科院分区：
文献类型：
--
作者：
Henry,NancyJM;Smith,TimothyW;Butner,Jonathan;Berg,CynthiaA;Sewell,KelseyK;Uchino,BertN
通过对301对中老年夫妇的抑郁症状调查，探讨了婚姻质量与代谢综合征（MetS）的间接关系。MetS组件（即，腰围、血压、抽血以评估甘油三酯、HDL胆固醇和空腹葡萄糖）在禁食12小时后进行评估，并作为连续潜在变量进行分析。在结构方程模型的间接影响，整体模型拟合良好，丈夫和妻子的婚姻质量与代谢综合征只通过抑郁症状。联合测试的参数表明，性别没有缓和这种关联。在嵌套模型比较之后，最合适、最简约的模型是丈夫和妻子的间接路径相等的模型。总体而言，婚姻质量与代谢综合征有关，通过其关系，男性和女性的抑郁症状。婚姻质量和抑郁症与代谢综合征的关联可能会重叠，以夫妇为基础的心血管疾病心理社会危险因素的方法可能在未来的研究中有用。
The indirect association of marital quality with metabolic syndrome (MetS) through depressive symptoms was examined in 301 middle-aged and older couples. MetS components (i.e., waist circumference, blood pressure, blood draws to assess triglycerides, HDL cholesterol, and fasting glucose) were assessed following a 12-h fast, and were treated as a continuous latent variable for analyses. In structural equation modeling of this indirect effect, overall model fit was good, and husbands’ and wives’ marital quality was associated with MetS only through depressive symptoms. Joint tests of the parameters indicated that gender did not moderate this association. The best fitting, most parsimonious model, after nested model comparisons, was one in which husbands’ and wives’ indirect paths were equated. Overall, marital quality was related to MetS through its relationship to depressive symptoms for men and women. Associations of marital quality and depression with MetS may overlap, and couple-based approaches to psychosocial risk factors for cardiovascular disease may be useful in future research.