Linking widowhood and later-life depressive symptoms: Do childhood socioeconomic circumstances matter?

Linking widowhood and later-life depressive symptoms: Do childhood socioeconomic circumstances matter?
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联系寡妇和后来的抑郁症状:儿童期社会经济环境至关重要吗?

DOI:
10.1080/13607863.2021.1972930
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发表时间:
2022-11
影响因子:
3.4
通讯作者:
Cullati S
Cullati S
中科院分区:
医学2区
文献类型:
--
作者:
Recksiedler C;Cheval B;Sieber S;Orsholits D;Stawski RS;Cullati S

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丧偶和不利的童年社会经济环境(CSC)都与老年抑郁症状的增加有关。除了对抑郁症状的独立影响外,经历不利的CSC还可能触发整个生命过程中累积的逆境和次要压力源的级联,从而塑造个人后来如何度过应激生活事件。我们研究了暴露于不利的CSC是否缓和了晚年丧偶和抑郁症状之间的关系。使用欧洲健康、老龄化和退休调查(2004-2017)的数据,结果显示,丧偶和不利的CSC都与男性和女性抑郁症状水平的增加有关。然而,无论男女,丧偶和抑郁症状之间的联系并没有受到CSC的调节。我们的结论是,在生活过程早期经历的差异存在的情况下,与晚年丧偶相关的精神健康水平的持续差异并没有进一步扩大。这可能反映了这一年龄规范但又充满压力的社会阶层生活事件对生活的影响。
Widowhood and adverse childhood socioeconomic circumstances (CSC) have both been linked to increased levels of depressive symptoms in old age. Beyond their independent impact on depressive symptoms, experiencing adverse CSC may also trigger a cascade of cumulative adversity and secondary stressors across the life course that shapes how individuals weather stressful life events later on. We examine whether exposure to adverse CSC moderates the relationship between later-life widowhood and depressive symptoms. Using data from the Survey of Health, Ageing and Retirement in Europe (2004–2017), results revealed that both widowhood and adverse CSC were associated with increased levels of depressive symptoms among men and women. Associations between widowhood and depressive symptoms, however, were not moderated by CSC for both genders. We conclude that persisting differences in the levels of mental health-related to later-life widowhood did not further widen in the presence of disparities experienced early in the life course. This may reflect the life-altering impact of this age-normative, yet stressful life event across the social strata.
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