Association between social support and depression in the general population: the HUNT study, a cross-sectional survey
Association between social support and depression in the general population: the HUNT study, a cross-sectional survey
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DOI：
10.1111/j.1365-2702.2011.03868.x
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发表时间：
2012-01-01
影响因子：
4.2
通讯作者：
Stordal, Eystein
中科院分区：
文献类型：
--
作者：
Grav, Siv;Hellzen, Ove;Stordal, Eystein
目的。目的是调查一般人群中感知的社会支持与抑郁之间与性别和年龄相关的关系。背景。社会支持被视为普通人群整体健康的社会决定因素之一。研究发现，缺乏社会支持的人患抑郁症的可能性更高。来自普通民众的证据更为有限。如果需要的话可以提供支持的主观看法可以减少和预防抑郁和不必要的痛苦。设计。采用了自我报告健康状况的横断面调查方法。使用了北特伦德拉格健康研究 3 中居住在挪威北特伦德拉格县的 40,659 名 20-89 岁男性和女性，这些男性和女性具有医院焦虑和抑郁量表的有效抑郁分量表评级。逻辑回归用于量化两种类型的感知支持（情感和有形）与抑郁之间的关联。最终模型中控制了性别、年龄和交互作用。结果。主要发现是，即使在控制了年龄和性别之后，自评的感知支持与医院焦虑和抑郁量表定义的抑郁症显着相关。情感支持（OR = 3.14）和物质支持（OR = 2 93）。情感和物质支持的效果因性别而异。发现了年龄组以及情感和有形支持的互动效应。结论。自评感知的功能性社会支持与医院焦虑和抑郁量表定义的抑郁症相关。在缺乏社会支持的老年人群体中，女性似乎需要更多的情感支持，而男性则需要更多的物质支持。与临床实践的相关性。卫生保健提供者应在其持续护理中考虑社会支持与抑郁症之间的密切联系，特别是对于老年人。
Aim. The aim was to investigate the associations between perceived social support and depression in a general population in relation to gender and age.Background. Social support is seen as one of the social determinants for overall health in the general population. Studies have found higher probability of experiencing depression among people who have a lack of social support; evidence from the general population has been more limited. Subjective perception that support would be available if needed may reduce and prevent depression and unnecessary suffering.Design. A cross-sectional survey with self-reported health was used.Method. A total of 40,659 men and women aged 20-89 years living in Nord-Trondelag County of Norway with valid ratings of depression subscale of the Hospital Anxiety and Depression Scale in the The Nord-Trondelag Health Study 3 were used. Logistic regression was used to quantify associations between two types of perceived support (emotional and tangible) and depression. Gender, age and interaction effects were controlled for in the final model.Results. The main finding was that self-rated perceived support was significantly associated with Hospital Anxiety and Depression Scale-defined depression, even after controlling for age and gender; emotional support (OR = 3.14) and tangible support (OR = 2 93). The effects of emotional and tangible support differ between genders. Interaction effects were found for age groups and both emotional and tangible support.Conclusion. Self-rated perceived functional social support is associated with Hospital Anxiety and Depression Scale-defined depression. In the group of older people who have a lack of social support, women seem to need more emotional support and men tangible support.Relevance to clinical practice. Health care providers should consider the close association between social support and depression in their continuing care, particularly in the older people.