A longitudinal examination of social support, agreeableness and depressive symptoms in chronic kidney disease
A longitudinal examination of social support, agreeableness and depressive symptoms in chronic kidney disease
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DOI：
10.1007/s10865-006-9083-2
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发表时间：
2007-02-01
影响因子：
3.1
通讯作者：
Lawton, William J.
中科院分区：
文献类型：
--
作者：
Hoth, Karin F.;Christensen, Alan J.;Lawton, William J.
研究社会支持在患者适应慢性疾病中的作用一直不一致，表明患者个体差异起调节作用。本研究检验了社会支持与抑郁症状之间的关系会因个体亲和性差异而有所不同的假设。采用社会供给量表、贝克抑郁量表和neo五因素量表对59例慢性肾病患者进行评估，并在一年半后进行随访。在控制了基线抑郁症状和临床特征后，回归分析显示社会支持和亲和性之间存在显著的相互作用，预测抑郁症状的变化。随着时间的推移，在亲和性高的个体中，更多的社会支持与抑郁症状的减少有关，而在亲和性低的个体中，支持对抑郁的改变几乎没有影响。这些发现强调了个体差异变量在理解慢性疾病适应中的重要性。
Research examining the role of social support in patient adjustment to chronic illness has been inconsistent suggesting that patient individual differences play a moderating role. This study examined the hypothesis that the relationship between social support and depressive symptoms would differ as a function of individual differences in trait Agreeableness. Fifty-nine patients with chronic kidney disease were assessed using the Social Provisions Scale, Beck Depression Inventory and NEO-Five-Factor Inventory and were followed-up a year and a half later. After controlling for baseline depressive symptoms and clinical characteristics, regression analyses revealed a significant interaction between social support and Agreeableness predicting change in depressive symptoms. Greater social support among individuals high in Agreeableness was associated with a decrease in depressive symptoms over time, while support had little effect on depression change for individuals low in Agreeableness. These findings underscore the importance of individual difference variables in understanding adjustment to chronic illness.