Association between perceived life stress and subjective well-being among Chinese perimenopausal women: a moderated mediation analysis

Author:

Li Xiangrong1,Ren Zheng1,Ji Tianliang2,Shi Hong1,Zhao Hanfang1,He Minfu1,Fan Xinwen1,Guo Xia1,Zha Shuang1,Qiao Shuyin1,Li Yuyu1,Pu Yajiao1,Liu Hongjian3,Zhang Xiumin1

Affiliation:

1. Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China

2. Department of Cardiovascular Medicine, The First Hospital of Jilin University, Changchun, China

3. Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China

Abstract

Background The impact of perceived life stress on subjective well-being has been well-established; while few studies have explored the mediating and moderating mechanisms of the association between perceived life stress and subjective well-being among perimenopausal women. This study is aimed at exploring the mediating effect of depressive symptoms and the role of interests/hobbies as a moderator in the association between perceived life stress and subjective well-being among perimenopausal women. Methods The participants were 1,104 perimenopausal women at the age of 40 to 60, who were asked to complete a paper-based questionnaire. A single item was used to measure self-perceived life stress and interests/hobbies. The Zung Self-rating Depression Scale (SDS) and Subjective Well-being Scale for Chinese Citizens (SWBS-CC) were applied to assess both depressive symptoms and subjective well-being. Multiple linear regression analysis and the PROCESS macro were adopted to analyse not only the mediating effect of depressive symptoms but also the moderating role of interests/hobbies. Results Perceived life stress was negatively associated with subjective well-being (B =  − 1.424, β =  − 0.101, P < 0.001). The impact of perceived life stress on subjective well-being was partially mediated by depressive symptoms (mediation effect = −0.760, 95% confidence intervals (CI) [−1.129, −0.415]). In addition, the interaction term between depressive symptoms and interests/hobbies was significantly related to subjective well-being (β =  − 0.060, P < 0.05), indicating moderating effect. Moderated mediation had a significant index (Index = −0.220, SE = 0.099, 95% CI [−0.460, −0.060]). Conclusions Perceived life stress was negatively related to subjective well-being. The impact of perceived life stress on subjective well-being was mediated by depressive symptoms. Besides, interests/hobbies moderated the indirect effect of depressive symptoms on the relationship between perceived life stress and subjective well-being.

Funder

Science and Technology Department of Jilin Province, China

Publisher

PeerJ

Subject

General Agricultural and Biological Sciences,General Biochemistry, Genetics and Molecular Biology,General Medicine,General Neuroscience

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