The Mediating Effect of Depression on the Relationship between Stress-coping Method and Drinking Behaviors in the Elderly

J. Moon, Mi Sun Yoo
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Abstract

The purpose of this study was to examine the effects of stress coping strategies in the elderly on drinking behavior and to determine whether depression mediates this relationship. To this end, 286 cases of responding to the 2022 ‘Mental Health and Addiction Survey’ conducted online by Sogang University Life Culture Research Institute for the elderly aged 65 or older were used for analysis . As a result of the study, the elderly's active stress-coping method had a negative effect on drinking behavior, and the passive stress-coping method had a positive effect on drinking behavior. It was found that the elderly's active stress-coping method had a negative effect on depression, while the passive stress-coping method had a positive effect on depression. As a result of verifying the mediating effect of depression in the relationship between the elderly's stress coping style and drinking behavior, a full mediating effect was found in the relationship between active stress coping style and drinking behavior. A partial mediating effect was found in the relationship between passive stress coping style and drinking behavior. These results mean that if the elderly actively cope with stress, it does not directly affect drinking behavior, and drinking behavior is alleviated through a decrease in depression. On the other hand, when the elderly cope with stress passively, it directly affects the deterioration of drinking behavior, but it means that it indirectly affects drinking behavior through increased depression. Based on these research results, practical and policy measures to alleviate the drinking behavior of the elderly were suggested.
抑郁症对老年人压力应对方式与饮酒行为关系的中介作用
本研究的目的是检验老年人压力应对策略对饮酒行为的影响,并确定抑郁症是否介导了这种关系。为此,索冈大学生活文化研究所为65岁或以上的老年人在线进行的2022年“心理健康和成瘾调查”使用了286例受访者进行分析。研究结果表明,老年人的主动压力应对方式对饮酒行为有负面影响,而被动压力应对方式则对饮酒行为产生积极影响。研究发现,老年人的主动压力应对方式对抑郁有负面影响,而被动压力应对方式则对抑郁有积极影响。通过验证抑郁症在老年人压力应对方式与饮酒行为关系中的中介作用,发现主动压力应对方式和饮酒行为之间的关系具有完全的中介作用。被动压力应对方式与饮酒行为之间存在部分中介效应。这些结果意味着,如果老年人积极应对压力,不会直接影响饮酒行为,饮酒行为会通过减少抑郁而得到缓解。另一方面,当老年人被动应对压力时,它直接影响饮酒行为的恶化,但意味着它通过增加抑郁情绪间接影响饮酒行为。基于这些研究结果,提出了缓解老年人饮酒行为的切实可行的政策措施。
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