TY - JOUR
T1 - Depressive symptoms, social support, and health-related quality of life: A community-based study in Shanghai, China
AU - Wang, Jie
AU - Zou, Runyu
AU - Wu, Ning
AU - Fu, Hua
AU - He, Yanling
AU - Crawford, Paul
AU - Kane, Eddie
AU - Dai, Junming
N1 - Funding Information:
This study was financially supported by the National Natural Science Foundation of China (NSFC) [grant number 71561137001 ] and the Three-year Action Program of Shanghai Municipality for Strengthening the Construction of Public Health System (The Fourth Round-V): The Demonstration Project for Strengthening the Construction of Public Mental Health System [grant number GWIV-5 ]. The funding sources had no involvement in the study design, data collection and analysis, or manuscript writing and submission for publication.
Publisher Copyright:
© 2021
PY - 2022/2/1
Y1 - 2022/2/1
N2 - 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.
AB - 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.
KW - Depression
KW - Health-related quality of life
KW - Mediation
KW - Moderation
KW - Social support
UR - https://www.mendeley.com/catalogue/866258bc-bfae-30cc-bbbd-fe3dfa43f526/
UR - http://www.scopus.com/inward/record.url?scp=85121753148&partnerID=8YFLogxK
U2 - 10.1016/j.comppsych.2021.152292
DO - 10.1016/j.comppsych.2021.152292
M3 - Article
C2 - 34959003
SN - 0010-440X
VL - 113
SP - 1
EP - 8
JO - Comprehensive Psychiatry
JF - Comprehensive Psychiatry
M1 - 152292
ER -