{"title":"心理健康中的社会不平等：探索心理社会资源在脊髓损伤个体中的中介作用。","authors":"Caroline Debnar, Christine Fekete, Stéphane Cullati, Mayra Galvis, Janina Lüscher","doi":"10.1037/rep0000620","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Lower mental health was observed in individuals with lower socioeconomic position (SES) in the general population. Similarly, social inequalities in mental health have also been observed in individuals with spinal cord injury (SCI), however, there is limited knowledge of the nonbiological mechanisms contributing to this uneven distribution. Previous research has demonstrated that psychosocial resources are linked to improved mental health. The aims of the present study were (a) to investigate the direct effects between SES and mental health load and (b) the mediating role of psychosocial resources in the SES mental health load associations in individuals living with SCI.</p><p><strong>Research method: </strong>Cross-sectional self-report data from <i>N</i> = 1,294 persons living with SCI from the Swiss Spinal Cord Injury Cohort study were analyzed using structural equation modeling. SES was operationalized by education, household income, perceived financial hardship, and subjective social status. Psychosocial resources were operationalized by self-esteem, self-efficacy, hope, optimism and energy, feeling of belonging, purpose in life, social support, and relationship satisfaction. Mental health load was operationalized by emotional state, depressive symptoms, psychological distress, and affective components of well-being.</p><p><strong>Results: </strong>Higher SES was significantly associated with lower mental health load. Self-esteem, self-efficacy, optimism and energy, feeling of belonging, purpose in life, and relationship satisfaction were found to mediate the association between SES and mental health load.</p><p><strong>Conclusion: </strong>The study underscores potential interventions to address socioeconomic inequalities in mental health load among individuals living with SCI. Strengthening psychosocial resources could offer promising interventions, particularly for those from low SES backgrounds facing mental health challenges. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Social inequalities in mental health: Exploring the mediating role of psychosocial resources in individuals with spinal cord injury.\",\"authors\":\"Caroline Debnar, Christine Fekete, Stéphane Cullati, Mayra Galvis, Janina Lüscher\",\"doi\":\"10.1037/rep0000620\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Lower mental health was observed in individuals with lower socioeconomic position (SES) in the general population. Similarly, social inequalities in mental health have also been observed in individuals with spinal cord injury (SCI), however, there is limited knowledge of the nonbiological mechanisms contributing to this uneven distribution. Previous research has demonstrated that psychosocial resources are linked to improved mental health. The aims of the present study were (a) to investigate the direct effects between SES and mental health load and (b) the mediating role of psychosocial resources in the SES mental health load associations in individuals living with SCI.</p><p><strong>Research method: </strong>Cross-sectional self-report data from <i>N</i> = 1,294 persons living with SCI from the Swiss Spinal Cord Injury Cohort study were analyzed using structural equation modeling. SES was operationalized by education, household income, perceived financial hardship, and subjective social status. Psychosocial resources were operationalized by self-esteem, self-efficacy, hope, optimism and energy, feeling of belonging, purpose in life, social support, and relationship satisfaction. Mental health load was operationalized by emotional state, depressive symptoms, psychological distress, and affective components of well-being.</p><p><strong>Results: </strong>Higher SES was significantly associated with lower mental health load. Self-esteem, self-efficacy, optimism and energy, feeling of belonging, purpose in life, and relationship satisfaction were found to mediate the association between SES and mental health load.</p><p><strong>Conclusion: </strong>The study underscores potential interventions to address socioeconomic inequalities in mental health load among individuals living with SCI. Strengthening psychosocial resources could offer promising interventions, particularly for those from low SES backgrounds facing mental health challenges. 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引用次数: 0
摘要
目的：观察到一般人群中社会经济地位较低的个体心理健康状况较差。同样，在脊髓损伤（SCI）患者中也观察到心理健康方面的社会不平等，然而，对导致这种不平衡分布的非生物学机制的了解有限。先前的研究表明，社会心理资源与改善心理健康有关。本研究的目的是：(a)探讨社会经济地位与心理健康负荷之间的直接影响；(b)社会心理资源在脊髓损伤患者社会经济地位与心理健康负荷之间的中介作用。研究方法：采用结构方程模型对瑞士脊髓损伤队列研究中N = 1294名脊髓损伤患者的横断面自我报告数据进行分析。通过教育程度、家庭收入、感知经济困难和主观社会地位对SES进行操作。心理社会资源由自尊、自我效能感、希望、乐观和精力、归属感、生活目标、社会支持和关系满意度来运作。心理健康负荷由情绪状态、抑郁症状、心理困扰和幸福感的情感成分组成。结果：较高的社会经济地位与较低的心理健康负荷显著相关。自尊、自我效能、乐观与精力、归属感、生活目的和关系满意度在社会经济地位与心理健康负荷之间起中介作用。结论：该研究强调了解决脊髓损伤患者心理健康负荷的社会经济不平等的潜在干预措施。加强社会心理资源可以提供有希望的干预措施，特别是对那些来自低社会经济地位背景、面临精神健康挑战的人。（PsycInfo Database Record (c) 2025 APA，版权所有）。
Social inequalities in mental health: Exploring the mediating role of psychosocial resources in individuals with spinal cord injury.
Objective: Lower mental health was observed in individuals with lower socioeconomic position (SES) in the general population. Similarly, social inequalities in mental health have also been observed in individuals with spinal cord injury (SCI), however, there is limited knowledge of the nonbiological mechanisms contributing to this uneven distribution. Previous research has demonstrated that psychosocial resources are linked to improved mental health. The aims of the present study were (a) to investigate the direct effects between SES and mental health load and (b) the mediating role of psychosocial resources in the SES mental health load associations in individuals living with SCI.
Research method: Cross-sectional self-report data from N = 1,294 persons living with SCI from the Swiss Spinal Cord Injury Cohort study were analyzed using structural equation modeling. SES was operationalized by education, household income, perceived financial hardship, and subjective social status. Psychosocial resources were operationalized by self-esteem, self-efficacy, hope, optimism and energy, feeling of belonging, purpose in life, social support, and relationship satisfaction. Mental health load was operationalized by emotional state, depressive symptoms, psychological distress, and affective components of well-being.
Results: Higher SES was significantly associated with lower mental health load. Self-esteem, self-efficacy, optimism and energy, feeling of belonging, purpose in life, and relationship satisfaction were found to mediate the association between SES and mental health load.
Conclusion: The study underscores potential interventions to address socioeconomic inequalities in mental health load among individuals living with SCI. Strengthening psychosocial resources could offer promising interventions, particularly for those from low SES backgrounds facing mental health challenges. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍：
Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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