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Marital loss, mental health and the role of perceived social support : findings from six waves of an Australian population based panel study

机译：婚姻流失，心理健康和感知的社会支持的作用：六次基于澳大利亚人口的小组研究的结果

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Objectives: To investigate the impact of transitions out of marriage (separation, widowhood) on the self reported mental health of men and women, and examine whether perceptions of social support play an intervening role. ----------ududMethods: The analysis used six waves (2001–06) of an Australian population based panel study, with an analytical sample of 3017 men and 3225 women. Mental health was measured using the MHI-5 scale scored 0–100 (α=0.97), with a higher score indicating better mental health. Perceptions of social support were measured using a 10-item scale ranging from 10 to 70 (α=0.79), with a higher score indicating higher perceived social support. A linear mixed model for longitudinal data was used, with lags for marital status, mental health and social support. ----------ududResults: After adjustment for social characteristics there was a decline in mental health for men who separated (−5.79 points) or widowed (−7.63 points), compared to men who remained married. Similar declines in mental health were found for women who separated (−6.65 points) or became widowed (−9.28 points). The inclusion of perceived social support in the models suggested a small mediation effect of social support for mental health with marital loss. Interactions between perceived social support and marital transitions showed a strong moderating effect for men who became widowed. No significant interactions were found for women. ----------ududConclusion: Marital loss significantly decreased mental health. Increasing, or maintaining, high levels of social support has the potential to improve widowed men's mental health immediately after the death of their spouse.
机译：目的：调查婚姻过渡（分居，丧偶）对自我报告的男女心理健康的影响，并检查社会支持感是否发挥干预作用。方法：该分析使用了一项基于澳大利亚人口的小组研究的六次浪潮（2001-06年），分析样本为3017名男性和3225名女性。使用评分为0–100（α= 0.97）的MHI-5量表测量心理健康，分数越高表明心理健康越好。使用10项量表（范围从10到70）（α= 0.79）来衡量对社会支持的看法，得分越高表示感知到的社会支持越高。使用纵向数据的线性混合模型，滞后于婚姻状况，心理健康和社会支持。 ---------- ud ud结果：经过社会特征调整后，与仍然结婚的男人相比，分居（−5.79点）或丧偶（−7.63点）的男人的心理健康状况下降。对于分居（-6.65点）或丧偶（-9.28点）的妇女，心理健康也有类似的下降。模型中包含感知的社会支持，表明社会支持对精神健康和婚姻损失的调解作用很小。感知到的社会支持与婚姻过渡之间的相互作用对丧偶的男人表现出强烈的调节作用。没有发现女性有明显的相互作用。结论：婚姻损失明显降低了心理健康。增加或维持高水平的社会支持，有可能在配偶去世后立即改善丧偶男子的心理健康。

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