Depressive symptoms, social support, and health-related quality of life: A community-based study in Shanghai, China
Background: Depressive symptoms erode both physical and mental aspects of health-related quality of life (HRQoL). Social support (SS) may improve HRQoL through its direct effects or buffering effects. The association among depressive symptoms, SS, and HRQoL has been studied in specific groups, but r...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-02-01
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| Series: | Comprehensive Psychiatry |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X21000705 |
| _version_ | 1798021759612485632 |
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| author | Jie Wang Runyu Zou Ning Wu Hua Fu Yanling He Paul Crawford Eddie Kane Junming Dai |
| author_facet | Jie Wang Runyu Zou Ning Wu Hua Fu Yanling He Paul Crawford Eddie Kane Junming Dai |
| author_sort | Jie Wang |
| collection | DOAJ |
| description | Background: Depressive symptoms erode both physical and mental aspects of health-related quality of life (HRQoL). Social support (SS) may improve HRQoL through its direct effects or buffering effects. The association among depressive symptoms, SS, and HRQoL has been studied in specific groups, but research in the general adult population remains limited. This study examined the association among depressive symptoms, SS, and HRQoL, including exploring whether SS (including its three dimensions: subjective SS, objective SS and support utilization) mediated or moderated the relationship between depressive symptoms and HRQoL among community-based adults. Methods: We conducted a cross-sectional survey in six communities in Shanghai, China, and 1642 adult participants with complete information on depressive symptoms and/or SS, and HRQoL were included. Linear regression analysis was used to investigate the association among depressive symptoms, SS, and HRQoL. In addition, we explored the mediating and moderating role of SS in the relationship between depressive symptoms and HRQoL. Results: More depressive symptoms were associated with lower physical HRQoL (B = −0.64, p < .001) and lower mental HRQoL (B = −0.83, p < .001). SS (B = 0.07, p = .02), specifically subjective SS (B = 0.09, p = .03), was positively related to mental HRQoL. After adjusting for covariates, we found no evidence for a mediating role of SS in the relationship between depressive symptoms and HRQoL, while SS (subjective SS and objective SS) moderated the association between depressive symptoms and mental HRQoL. Limitations: Due to the low voluntary participation rate of employees, participants represented approximately 50% of the individuals approached, thus limiting the generalizability of our findings. Data collected through self-report scales could lead to information bias. Conclusions: SS does not appear to underlie the relationship between depressive symptoms and HRQoL. However, interventions to increase SS (in particular, subjective SS and objective SS) should be studied to determine whether they may be beneficial in alleviating the adverse impact of depressive symptoms on mental HRQoL. |
| first_indexed | 2024-04-11T17:18:48Z |
| format | Article |
| id | doaj.art-1727949a70bb4c9282a04595d5667660 |
| institution | Directory Open Access Journal |
| issn | 0010-440X |
| language | English |
| last_indexed | 2024-04-11T17:18:48Z |
| publishDate | 2022-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Comprehensive Psychiatry |
| spelling | doaj.art-1727949a70bb4c9282a04595d56676602022-12-22T04:12:32ZengElsevierComprehensive Psychiatry0010-440X2022-02-01113152292Depressive symptoms, social support, and health-related quality of life: A community-based study in Shanghai, ChinaJie Wang0Runyu Zou1Ning Wu2Hua Fu3Yanling He4Paul Crawford5Eddie Kane6Junming Dai7Department of Preventive Medicine and Health Education, School of Public Health, Fudan Health Communication Institute, Fudan University, Shanghai, ChinaDepartment of Preventive Medicine and Health Education, School of Public Health, Fudan Health Communication Institute, Fudan University, Shanghai, China; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the NetherlandsDepartment of Preventive Medicine and Health Education, School of Public Health, Fudan Health Communication Institute, Fudan University, Shanghai, ChinaDepartment of Preventive Medicine and Health Education, School of Public Health, Fudan Health Communication Institute, Fudan University, Shanghai, ChinaShanghai Mental Health Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaInstitute of Mental Health, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, United KingdomInstitute of Mental Health, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, United KingdomDepartment of Preventive Medicine and Health Education, School of Public Health, Fudan Health Communication Institute, Fudan University, Shanghai, China; Corresponding author at: Department of Preventive Medicine and Health Education, School of Public Health, Fudan Health Communication Institute, Fudan University, Shanghai, China.Background: Depressive symptoms erode both physical and mental aspects of health-related quality of life (HRQoL). Social support (SS) may improve HRQoL through its direct effects or buffering effects. The association among depressive symptoms, SS, and HRQoL has been studied in specific groups, but research in the general adult population remains limited. This study examined the association among depressive symptoms, SS, and HRQoL, including exploring whether SS (including its three dimensions: subjective SS, objective SS and support utilization) mediated or moderated the relationship between depressive symptoms and HRQoL among community-based adults. Methods: We conducted a cross-sectional survey in six communities in Shanghai, China, and 1642 adult participants with complete information on depressive symptoms and/or SS, and HRQoL were included. Linear regression analysis was used to investigate the association among depressive symptoms, SS, and HRQoL. In addition, we explored the mediating and moderating role of SS in the relationship between depressive symptoms and HRQoL. Results: More depressive symptoms were associated with lower physical HRQoL (B = −0.64, p < .001) and lower mental HRQoL (B = −0.83, p < .001). SS (B = 0.07, p = .02), specifically subjective SS (B = 0.09, p = .03), was positively related to mental HRQoL. After adjusting for covariates, we found no evidence for a mediating role of SS in the relationship between depressive symptoms and HRQoL, while SS (subjective SS and objective SS) moderated the association between depressive symptoms and mental HRQoL. Limitations: Due to the low voluntary participation rate of employees, participants represented approximately 50% of the individuals approached, thus limiting the generalizability of our findings. Data collected through self-report scales could lead to information bias. Conclusions: SS does not appear to underlie the relationship between depressive symptoms and HRQoL. However, interventions to increase SS (in particular, subjective SS and objective SS) should be studied to determine whether they may be beneficial in alleviating the adverse impact of depressive symptoms on mental HRQoL.http://www.sciencedirect.com/science/article/pii/S0010440X21000705DepressionSocial supportHealth-related quality of lifeMediationModeration |
| spellingShingle | Jie Wang Runyu Zou Ning Wu Hua Fu Yanling He Paul Crawford Eddie Kane Junming Dai Depressive symptoms, social support, and health-related quality of life: A community-based study in Shanghai, China Comprehensive Psychiatry Depression Social support Health-related quality of life Mediation Moderation |
| title | Depressive symptoms, social support, and health-related quality of life: A community-based study in Shanghai, China |
| title_full | Depressive symptoms, social support, and health-related quality of life: A community-based study in Shanghai, China |
| title_fullStr | Depressive symptoms, social support, and health-related quality of life: A community-based study in Shanghai, China |
| title_full_unstemmed | Depressive symptoms, social support, and health-related quality of life: A community-based study in Shanghai, China |
| title_short | Depressive symptoms, social support, and health-related quality of life: A community-based study in Shanghai, China |
| title_sort | depressive symptoms social support and health related quality of life a community based study in shanghai china |
| topic | Depression Social support Health-related quality of life Mediation Moderation |
| url | http://www.sciencedirect.com/science/article/pii/S0010440X21000705 |
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