Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United States.
Depressive Symptoms and Self-Esteem in White and Black Older Adults in the United States.
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DOI：
10.3390/brainsci8060105
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发表时间：
2018-06-11
期刊：
影响因子：
3.3
通讯作者：
Moghani Lankarani M
中科院分区：
文献类型：
--
作者：
Assari S;Moghani Lankarani M
背景。自尊心差是抑郁症的核心要素。根据最近的研究，一些种族群体的抑郁症和自尊心差之间的联系程度可能有所不同。我们使用全国样本，比较了美国黑人和白人老年人的基线抑郁症状对自尊随时间下降的影响。方法。这项纵向研究使用了 2001-2004 年宗教、老龄化和健康调查的数据。该研究对 1493 名 65 岁或以上的老年人（734 名黑人和 759 名白人）进行了为期三年的跟踪调查。 2001 年测量的基线抑郁症状 (CES-D) 是自变量。在随访结束时测量的自尊是因变量。协变量包括基线人口特征（年龄和性别）、社会经济因素（教育、收入和婚姻状况）、健康（自评健康）和基线自尊。种族/民族是调节因素。使用线性多变量回归模型进行数据分析。结果。在合并样本中，扣除协变量后，基线时较高的抑郁症状预示着随着时间的推移，自尊心会出现较大下降。我们发现种族/族裔与基线抑郁症状对自尊下降有显着的相互作用，这表明与白人相比，黑人的影响较弱。在种族/民族特定模型中，基线时的高度抑郁症状预示着白人自尊心的下降，但黑人则不然。结论。与黑人老年人相比，抑郁症状可能是导致白人自尊下降的更显着的因素。这一发现对不同种族人群抑郁症的心理治疗和认知行为治疗具有影响。
Background. Poor self-esteem is a core element of depression. According to recent research, some racial groups may vary in the magnitude of the link between depression and poor self-esteem. Using a national sample, we compared Black and White older Americans for the effect of baseline depressive symptoms on decline in self-esteem over time. Methods. This longitudinal study used data from the Religion, Aging, and Health Survey, 2001–2004. The study followed 1493 older adults (734 Black and 759 White) 65 years or older for three years. Baseline depressive symptoms (CES-D), measured in 2001, was the independent variable. Self-esteem, measured at the end of the follow up, was the dependent variable. Covariates included baseline demographic characteristics (age and gender), socioeconomic factors (education, income, and marital status), health (self-rated health), and baseline self-esteem. Race/ethnicity was the moderator. Linear multi-variable regression models were used for data analyses. Results. In the pooled sample, higher depressive symptoms at baseline were predictive of a larger decline in self-esteem over time, net of covariates. We found a significant interaction between race/ethnicity and baseline depressive symptoms on self-esteem decline, suggesting a weaker effect for Blacks compared to Whites. In race/ethnicity-specific models, high depressive symptoms at baseline was predictive of a decline in self-esteem for Whites but not Blacks. Conclusion. Depressive symptoms may be a more salient contributor to self-esteem decline for White than Black older adults. This finding has implications for psychotherapy and cognitive behavioral therapy of depression of racially diverse populations.
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