关键词: Longitudinal depression mental health psychological wellbeing shame

来  源:   DOI:10.1177/00207640241263245

Abstract:
UNASSIGNED: Feelings of shame are linked to increased risk for depression. Little is known about protective factors that may buffer this effect, particularly in men. Using prospective data from a community sample of Australian men, we examine the extent to which shame is associated with depressive symptoms, and the protective role of psychological wellbeing, specifically environmental mastery and purpose in life.
UNASSIGNED: Participants (n = 448) were from the longitudinal Men and Parenting Pathways (MAPP) Study. Measures were the Event Related Shame and Guilt Scale for shame, the DASS-21 for depressive symptoms and Ryff\'s Scales of Psychological Well-Being for environmental mastery and purpose in life. Linear regressions were used to test associations between shame and depressive symptoms concurrently and 1-year later, and the moderating effects of mastery and purpose in life.
UNASSIGNED: Shame was strongly associated with concurrent depressive symptoms (βunadj = .76, p < .001; βadj = .63, p < .001). This effect was weaker in men with high compared to low environmental mastery (β+1SD = .46, p < .001; β-1SD = .55, p < .001) and purpose in life (β+1SD = .48, p < .001; β-1SD = .62, p < .001). Shame also predicted subsequent depressive symptoms after adjustment for prior depressive symptoms (βunadj = .59, p = .001; βadj = .34, p = .004), although environmental mastery or purpose in life did not moderate these associations.
UNASSIGNED: Our findings suggest that promoting a sense of psychological wellbeing in men may confer protective proximal effects in the context of shame, potentially attenuating depression severity. The current study aligns with calls for strength-based approaches to reducing mental health problems in men.
摘要:
羞愧感与抑郁风险增加有关。对可能缓冲这种影响的保护因素知之甚少,尤其是男性。使用来自澳大利亚男性社区样本的前瞻性数据,我们研究了羞耻与抑郁症状相关的程度,以及心理健康的保护作用,特别是生活中的环境掌握和目标。
参与者(n=448)来自纵向男性和育儿途径(MAPP)研究。措施是与事件相关的羞耻和羞耻的内疚量表,DASS-21用于抑郁症状和Ryff的心理健康量表用于环境掌握和生活目的。线性回归用于测试同时和1年后的羞耻和抑郁症状之间的关联。以及生活中掌握和目标的调节作用。
羞耻与并发抑郁症状密切相关(βunadj=.76,p<.001;βadj=.63,p<.001)。与环境控制能力低的男性(β1SD=.46,p<.001;β-1SD=.55,p<.001)和生活目标(β1SD=.48,p<.001;β-1SD=.62,p<.001)相比,这种影响较弱。Shame还预测了先前抑郁症状调整后的抑郁症状(βunadj=.59,p=.001;βadj=.34,p=.004),尽管对环境的掌握或生活目标并没有减轻这些关联。
我们的研究结果表明,促进男性的心理幸福感可能会在羞耻的背景下产生保护性的近端效应,可能减轻抑郁的严重程度。当前的研究与基于力量的方法来减少男性心理健康问题的呼吁一致。
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