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首页> 外文期刊>SSM - Population Health >Does social support mediate the effect of multimorbidity on mental wellbeing in the German working population? A longitudinal mediation analysis using structural equation modelling
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Does social support mediate the effect of multimorbidity on mental wellbeing in the German working population? A longitudinal mediation analysis using structural equation modelling

机译：社会支持是否在德国工作人群中调解了多重型福祉对心理健康的影响？ 结构方程模型的纵向调解分析

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This study provides insights into the longitudinal relation between multimorbidity, mental wellbeing, and social support. The analysis used the German Sociomedical Panel of Employees, a study of the German working population aged 40 to 54. In the context of multimorbidity, this population has been little studied.Multimorbidity is significantly associated with reduced mental wellbeing and social support, whereas social support increases mental wellbeing. We argue that, especially among the working population, multimorbidity reduces perceived social support and decreases mental wellbeing. We elaborate on the mediation process empirically by comparing two distinct structural equation models: a cross-lagged panel mediation model that models a potential reverse-causality between social support and mental wellbeing; and a synchronous mediation model that allows for more immediate mediation.Both models estimated significant mediation. The relative size of the mediation effect, however, varied widely based on the added mediational paths (8.57% vs. 28%). Fit statistics for both models were good, and the comparison did not favour either model.We conclude that theoretical reasoning must prevail over empirical testing. The cross-lagged model implies a more longitudinal (lagged) mediation process for social support. However, we suggest an immediate, flexible mediation as more plausible. Nevertheless, we suggest that cross-lagged models, when given a data structure and time gaps, reflect the social processes adequately.
机译：本研究提供了对多重，心理健康和社会支持之间的纵向关系的见解。分析使用德国社会员工员工，对40至54岁的德国工作人群的研究。在多重资产率的背景下，该人群已经很少研究。对于精神上的福祉和社会支持，这种人口很大程度上与减少的社会支持有关。增加心理健康。我们认为，特别是在工作人群中，多元不闻性降低了感知社会支持和减少心理健康。我们通过比较两个不同的结构方程模型来统一化的调解过程：一个交叉滞后的面板调解模型，可以模拟社会支持与心理健康之间的潜在逆因果;和一个同步中介模型，允许更加立即调解。频率估计显着的调解。然而，中介效应的相对尺寸基于添加的中介路径（8.57％与28％）而变化。两种模型的统计数据很好，比较并不赞成模型。我们得出结论，理论推理必须以经验测试为准。交叉滞后模型意味着一个更纵向（滞后）的社会支持的调解过程。但是，我们建议立即灵活调解，更合理。尽管如此，我们建议在给定数据结构和时间差距时，交叉滞后模型反映了社会流程。

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