Stressful Life Events and Chinese Older People Depression: Moderating Role of Social Support

Yu, Xiao; Liu, Shu

doi:10.3389/fpubh.2021.768723

Cited by 25 publications

(18 citation statements)

References 66 publications

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“…Similar to previous studies, patients who have received social support experience less distress and relapse [53], can better manage psychiatric symptoms [54] and deal more effectively with stress. Therefore, our study adds context to prior literature associated with the interaction between subjective support and stressful life events, which may in uence relapse [55]. Targeted treatment of subjective social support in patients with high levels of stressful life events could play a crucial role in preventing relapse and improving outcomes in these patients.…”

Section: Discussionmentioning

confidence: 72%

Stressful life events and relapse in schizophrenia: The moderating effect of social support

Liu

Zhu

Wang³

et al. 2022

Preprint

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Purpose: This study aimed to explore the relationship between stressful life events, relapse, and social support, and the moderating effect of social support on the association between stressful life events and relapse in schizophrenia.Methods: A descriptive cross-sectional study was performed on 215 patients recruited from Ningxia Mental Health Centre, China. All participants completed the Social Readjustment Rating Scale, Social Support Rating Scale, Brief Psychiatric Rating Scale, Clinical Global Impressions-Severity Scale, and Morisky Medication Adherence Scales-8. Spearman’s correlation analysis and binary logistic regression analysis were used to explore the relationship between stressful life events, relapse, and social support. The moderating effect of social support was tested with PROCESS 3.4 SPSS.Results: Stressful life events and the three domains of social support exerted a significant influence on the relapse of schizophrenia. Significant evidence suggests that social support acts as a protective factor and moderates the relationship between stressful life events and relapse. However, this moderating effect exists only in subjective social support and not in objective social support and availability.Conclusion: This study provides a better understanding of the relationship between stressful life events, relapse, and social support and provides significant evidence suggesting that social support moderates the impact of stressful life events on relapse. This suggests that the promotion of social support is beneficial in reducing the risk of relapse in patients with schizophrenia.

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Section: Discussionmentioning

confidence: 72%

Stressful life events and relapse in schizophrenia: The moderating effect of social support

Liu

Zhu

Wang³

et al. 2022

Preprint

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“…For example, a study on depression in Chinese elderly (48) found that family social capital could alleviate the negative effect of NLE on depression in the elderly. The findings in this study had important applications for improving the QoL of residents.…”

Section: Discussionmentioning

confidence: 99%

“…However, social capital, as a kind of external social resource, could improve individuals' emotional experience with life events and encourage individuals to take positive coping styles to face the negative influence of life events. For example, a study on depression in Chinese elderly ( 48 ) found that family social capital could alleviate the negative effect of NLE on depression in the elderly. The findings in this study had important applications for improving the QoL of residents.…”

Section: Discussionmentioning

confidence: 99%

Mediating role of social capital on the association between negative life events and quality of life among adults in China: A population-based study

Zhang

Wang

Zhang

et al. 2022

Front. Public Health

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ObjectiveTo evaluate whether social capital played a mediating role in the relationship between negative life events (NLE) and quality of life (QoL) among adults in China after proposed a conceptual model based on stress buffering theory.MethodsA cross-sectional study was conducted based on baseline survey from the Chinese Multi-ethnic Cohort (CMEC) in Yunnan province. A total of 22,866 adults were recruited by multistage stratified cluster sampling. A structured questionnaire was used to collect the general demographic characteristics and the occurrence of NLE. A self-developed brief social capital scale was utilized to assess the social capital and the EQ-5D-5L scale was used to measure the QoL. The relationships among NLE, social capital and QoL were analyzed using multiple linear regression analyses. Structural equation models were used to evaluate whether social capital had a mediating effect on the relationship between NLE and QoL. The standardize coefficient (β) and it's 95% confidence intervals (CI) were calculated in this process.ResultsThe mean age of participants was 52.70 years old. The mean of EQ-5D index value was 0.92 (SD = 0.12) and the mean of EQ-VAS score was 71.77 (SD = 13.80). NLE not only directly affected EQ-5D index value [β = −0.127, 95% CI (−0.144, −0.110)] but also indirectly negatively affected EQ-5D index value through social capital [β = −0.019, 95% CI (−0.023, −0.015)]. Social capital had a direct positive effect on EQ-5D index value [β = 0.114, 95% CI (0.097, 0.133)]. A similar pattern was identified for the association between NLE and EQ-VAS score. The direct effect of NLE on EQ-VAS score was negatively significant [β = −0.132, 95% CI (−0.146, −0.118)]. Moreover, the indirect effect through social capital was also negatively significant [β = −0.022, 95% CI (−0.026, −0.019)]. There was a positive direct effect of social capital on EQ-VAS score [β = 0.135, 95% CI (0.117, 0.151)].ConclusionSocial capital played an important mediating role in the relationship between NLE and QoL, and it alleviated the negative effects of NLE on the QoL of the community residents in China. Providing reliable social capital for community residents experiencing NLE could effectively improve their quality of life.

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“…Life-course disadvantages refer to a wide spectrum of stressful socioeconomic, interpersonal, mental, and health-related conditions across the life-course, including those occurring in both childhood and adulthood [7][8][9] . Individuals with life-course disadvantages are more likely to experience depression and develop unhealthy life habits, as has been well demonstrated [10][11][12][13] . However, given the stigma of mental illness and cultural differences 14 , related evidence in the Chinese population is much less adequate than that in western populations.…”

Section: Introductionmentioning

confidence: 88%

The dilution effects of healthy lifestyles on the risk of depression attributed to life-course disadvantages among Chinese middle-aged and older adults

Ren

Lian

et al. 2022

Preprint

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Background: Life-course disadvantages and unhealthy lifestyles are well-known to independently induce depression, but their joint effects on depression and whether adopting healthy lifestyles can dilute the depressive risks attributed to life-course disadvantages remain unknown in China. Methods: Data were from the China Health and Retirement Longitudinal Study. Life-course (childhood and adulthood) disadvantages were defined using 60 questions and were classified as mild, moderate, and severe by principal component analysis. Healthy lifestyles, including regular exercise, reasonable sleep, never smoking, and no heavy alcohol consumption, were classified as 0/1, 2, 3, and 4. Depression was assessed using CESD-10 with cutoff ≥10. Logistic regression was used to investigate the association of life-course disadvantages and lifestyles with depression and the dilution effects of healthy lifestyles on the depressive risks attributed to life-course disadvantages. Results: Among 5724 participants included, sleep and smoking mediated 5.1% and 1.1% the effect of severe life-course disadvantages on depression while exercise mediated -0.8%. Multiple (vs. 0/1) healthy lifestyles were associated with decreased depressive risks more significantly as the life-course disadvantages increased, with odds ratios (ORs) and 95% confidence intervals (CIs) of 0.44 (0.25-0.80) and 0.33 (0.21-0.53) for 4 healthy lifestyles in participants with mild and severe life-course disadvantages, respectively. Compared to participants with mild life-course disadvantages and 4 healthy lifestyles, those who with severe life-course disadvantages and less than one lifestyles were more than 10 times as significantly associated with depression. Finally, participants with mild/moderate life-course disadvantages but ≤2 healthy lifestyles (vs. severe but 4 lifestyles) were not associated with decreased depressive risks. Conclusion: Adopting multiple healthy lifestyles can well-dilute the depressive risks attributed to life-course disadvantages in middle-aged and older Chinese, which is of great importance for reducing the depressive burden and the construction of healthy aging in China.

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Stressful Life Events and Chinese Older People Depression: Moderating Role of Social Support

Cited by 25 publications

References 66 publications

Stressful life events and relapse in schizophrenia: The moderating effect of social support

Stressful life events and relapse in schizophrenia: The moderating effect of social support

Mediating role of social capital on the association between negative life events and quality of life among adults in China: A population-based study

The dilution effects of healthy lifestyles on the risk of depression attributed to life-course disadvantages among Chinese middle-aged and older adults

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