心理健康素养与心理健康经历对中国老年人抑郁症病耻感的影响：社会支持网络的中介作用
心理健康素养与心理健康经历对中国老年人抑郁症病耻感的影响：社会支持网络的中介作用
Mental Health Literacy and Mental Health Experiences on Depression Stigma Among Chinese Older Adults: The Mediating Role of Social Support Networks
——《老龄化与心理健康》2026年8月28日在线发表——
【摘要】目的：心理健康素养、个人及人际层面的心理健康经历与个人层面的抑郁症病耻感之间的关联日益受到关注，但其内在机制尚不明确。本研究旨在探讨社会支持网络在心理健康素养、个人及人际心理健康经历与中国老年人个人抑郁症病耻感之间可能存在的中介作用。方法：本研究采用横断面设计，共纳入1,044名参与者。研究使用“抑郁症病耻感量表”测量抑郁症病耻感，通过情境案例评估心理健康素养，并使用“Lubben社会网络量表”评估社会支持状况；个人及人际心理健康经历则通过“是/否”问题进行评估。研究采用结构方程模型检验上述变量间的假设关系。结果：心理健康素养（b=−0.616, p<0.001）和个人心理健康经历（b=−1.327, p<0.001）均与较低水平的个人抑郁症病耻感显著相关。社会支持网络在心理健康素养、个人心理健康经历与个人抑郁症病耻感之间的关系中起到了显著的中介作用（CFI=0.977; TLI=0.956; RMSEA=0.035; SRMR= 0.027）。结论：本横断面研究表明，心理健康素养和个人心理健康经历与中国老年人较低水平的个人抑郁症病耻感相关，且非正式社会支持网络在这些关联中发挥了中介作用。
【关键词】心理健康素养，横断面研究，病耻感，社会支持，中国人
[Abstract] Objectives: The association between mental health literacy and personal and interpersonal mental health experiences with personal stigma is increasingly recognized. However, the underlying mechanisms remain unclear. This study investigated the hypothesized mediating role of social support networks between mental health literacy and personal and interpersonal mental health experiences, and personal depression stigma among Chinese older adults. Methods: Using a cross-sectional design with 1,044 participants, we measured depression stigma with the Depression Stigma Scale, mental health literacy through vignettes, and social support with the Lubben Social Network Scale. Personal and interpersonal mental health experiences were assessed with yes/no questions. Structural equation modeling was used to examine their hypothesized relationships. Results: Mental health literacy (b = −0.616, p < 0.001) and personal mental health experiences (b = −1.327, p < 0.001) were statistically associated with lower levels of personal depression stigma. Social support networks show statistical mediation in the relationships between mental health literacy, personal mental health experiences, and personal depression stigma (CFI = 0.977; TLI = 0.956; RMSEA = 0.035; SRMR = 0.027). Conclusion: Our cross-sectional study suggested that mental health literacy and personal mental health experiences were associated with lower levels of personal depression stigma in Chinese older adults, with their associations being statistically mediated by the presence of informal social support networks.
[Key words] Mental health literacy, cross-sectional study, stigma, social support, Chinese
论文原文：Jessie Ho-Yin Yau, Dara Kiu Yi Leung, Jessica Kang Qi Lee, et al. (2026). Mental health literacy and mental health experiences on depression stigma among Chinese older adults: the mediating role of social support networks. Aging & Mental Health, Published online: 28 August 2026.
https://doi.org/10.1080/13607863.2026.2719942
（翻译兼责任编辑：MARY）
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