Social support and depressive symptoms: Differential patterns in wife and daughter caregivers

Social support and depressive symptoms: Differential patterns in wife and daughter caregivers
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DOI:
10.1093/geronb/52b.4.s200
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发表时间:
1997-07-01
影响因子:
6.2
通讯作者:
Greenberg, JS
Greenberg, JS
中科院分区:
医学1区
文献类型:
--
作者:
Li, LW;Seltzer, MM;Greenberg, JS

文献摘要

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这项横断面研究考察了三种类型的社会支持——社会参与、情感支持和照顾支持——如何与照顾年迈丈夫的妻子和照顾年迈父母的女儿的抑郁症状相关。我们调查了不同维度的社会支持是否通过不同的机制影响心理健康,以及需要和接受支持的背景是否会缓和其影响。我们发现,社会参与对女儿的抑郁症状有主要影响,但对妻子没有影响。情感支持缓解了丈夫行为问题给妻子带来的压力。对于女儿,情感支持缓冲了来自行为问题和父母照顾接受者的ADL/IADL限制的压力。以护理为例,我们的数据表明,社会支持的影响并不均匀;相反,压力源的类型、社会支持的类型和个人环境相互作用,导致支持的特定效果。
This cross-sectional study examined how three types of social support - social participation, emotional support, and caregiving support - were related to depressive symptoms in wives caring for their elderly husband and daughter caring for their elderly parent. We investigated whether different dimensions of social support affect mental health via different mechanisms and whether the context in which the support is needed and received will temper its effects. We found that social participation had a main effect on depressive symptoms for daughters but not for wives. Emotional support buffered the stress emanating from the husband's behavior problems for wives. For daughters, emotional support buffered the stress emanating from both the behavior problems and the ADL/IADL limitations of the parent care recipient. Using caregiving as the example, our data suggested that social support does not have uniform effects; rather, the type of stressor, the type of social support, and the individual context interact to result in the specific effect of support.