心理健康素養與心理健康經歷對中國老年人抑鬱症病恥感的影響：社會支持網絡的中介作用

Mental Health Literacy and Mental Health Experiences on Depression Stigma Among Chinese Older Adults: The Mediating Role of Social Support Networks

——《老齡化與心理健康》2026年8月28日在線發表——

<Aging & Mental Health>, Published online: 28 August 2026

【摘要】目的：心理健康素養、個人及人際層面的心理健康經歷與個人層面的抑鬱症病恥感之間的關聯日益受到關注，但其內在機制尚不明確。本研究旨在探討社會支持網絡在心理健康素養、個人及人際心理健康經歷與中國老年人個人抑鬱症病恥感之間可能存在的中介作用。方法：本研究採用橫斷面設計，共納入1,044名參與者。研究使用“抑鬱症病恥感量表”測量抑鬱症病恥感，通過情境案例評估心理健康素養，並使用“Lubben社會網絡量表”評估社會支持狀況；個人及人際心理健康經歷則通過“是/否”問題進行評估。研究採用結構方程模型檢驗上述變量間的假設關係。結果：心理健康素養（b=−0.616, p<0.001）和個人心理健康經歷（b=−1.327, p<0.001）均與較低水平的個人抑鬱症病恥感顯著相關。社會支持網絡在心理健康素養、個人心理健康經歷與個人抑鬱症病恥感之間的關係中起到了顯著的中介作用（CFI=0.977; TLI=0.956; RMSEA=0.035; SRMR= 0.027）。結論：本橫斷面研究表明，心理健康素養和個人心理健康經歷與中國老年人較低水平的個人抑鬱症病恥感相關，且非正式社會支持網絡在這些關聯中發揮了中介作用。

【關鍵詞】心理健康素養，橫斷面研究，病恥感，社會支持，中國人

[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

論文原文：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

（翻譯兼責任編輯：MARY）

（需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）