The relationship between social support networks and depression in the 2007 National Survey of Mental Health and Well-being
The relationship between social support networks and depression in the 2007 National Survey of Mental Health and Well-being
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DOI：
10.1007/s00127-017-1440-7
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发表时间：
2017-12-01
影响因子：
4.4
通讯作者：
Slade, Tim
中科院分区：
文献类型：
--
作者：
Werner-Seidler, Aliza;Afzali, Mohammad H.;Slade, Tim
社会孤立和低水平的社会支持与抑郁症有关。本研究旨在探讨2007年澳大利亚全国心理健康和幸福感调查中抑郁与社会联系因素（联系频率和社会联系质量）的关系，对8841名16-85岁的参与者进行了全国性调查。Logistic回归用于调查整个样本中社会联系因素与12个月重性抑郁症患病率之间的关系，以及三个年龄组：年轻人（16-34岁），中年人（35-54岁）和老年人（55岁以上）。受访者表示他们与家人和朋友联系的频率（联系频率），以及他们可以依靠和倾诉的家人和朋友的数量（支持质量），并使用世界心理健康综合国际诊断访谈评估了重度抑郁症。总体而言，较高的社会联系质量与过去一年抑郁症的低几率更密切和一致，相对于社会交往的频率。老年组除外，每月少于一次友谊互动与过去一年抑郁的可能性增加两倍相关（OR 2.19，95%CI 1.14-4.25）。友谊网络在一生中都很重要，但在中年期，家庭支持也至关重要--那些没有任何家庭支持的人过去一年抑郁的几率增加了3倍多（OR 3.47，95%CI 2.07-5.85）。与朋友和家庭成员的高质量社会联系与过去一年抑郁的可能性降低有关。针对抑郁症的社会支持质量，特别是来自朋友的支持的干预研究是必要的。
Social isolation and low levels of social support are associated with depression. The purpose of the current study was to investigate the relationship between depression and social connectivity factors (frequency of contact and quality of social connections) in the 2007 Australian National Survey of Mental Health and Well-being.A national survey of 8841 participants aged 16-85 years was conducted. Logistic regression was used to investigate the relationship between social connectivity factors and 12-month prevalence of Major Depressive Disorder in the whole sample, as well as across three age groups: younger adults (16-34 years), middle-aged adults (35-54 years), and older adults (55+ years). Respondents indicated how often they were in contact with family members and friends (frequency of contact), and how many family and friends they could rely on and confide in (quality of support), and were assessed for Major Depressive Disorder using the World Mental Health Composite International Diagnostics Interview.Overall, higher social connection quality was more closely and consistently associated with lower odds of the past year depression, relative to frequency of social interaction. The exception to this was for the older group in which fewer than a single friendship interaction each month was associated with a two-fold increased likelihood of the past year depression (OR 2.19, 95% CI 1.14-4.25). Friendship networks were important throughout life, although in middle adulthood, family support was also critically important-those who did not have any family support had more than a three-fold increased odds of the past year depression (OR 3.47, 95% CI 2.07-5.85).High-quality social connection with friends and family members is associated with reduced likelihood of the past year depression. Intervention studies that target the quality of social support for depression, particularly support from friends, are warranted.