How involuntary subordination and social support influence the association between self-esteem and depression: a moderated mediation model

BMC Psychiatry. 2019 Dec 11;19(1):390. doi: 10.1186/s12888-019-2330-1.

Abstract

Background: In China, young migrants are at elevated risk of mental health problems, such as depression. The influence of self-esteem on depression is well acknowledged. We examined correlates of depression and their mediating and moderating role in the association between self-esteem and depression to promote a better understanding of depression prevention among young migrants.

Methods: We conducted a cross-sectional study among young Chinese migrants. A moderated mediation model was used to test the combined effect of involuntary subordination and social support on the association between self-esteem and depression. The Johnson-Neyman method was used to identify the range of scores for which social support acted as a moderator.

Results: A total of 572 participants completed questionnaires. The median depression score was 19 (interquartile range: 14). Self-esteem had a negative effect on involuntary subordination (β = - 2.1440, p < 0.001). Involuntary subordination (β = 0.2406, p < 0.001), self-esteem (β = - 0.3870, p < 0.01), and social support (β = - 0.1221, p < 0.01) all had significant effects on depression. The effect of involuntary subordination on depression was moderated by social support (β = - 0.0041, p < 0.05), and the effect decreased as social support scores increased.

Conclusions: Our results indicated a mediating role of involuntary subordination and a moderating role of social support in the association between self-esteem and depression among young Chinese migrants. Future intervention strategies should focus on these factors to reduce depressive symptoms.

Keywords: Depression; Involuntary subordination; Migrant; Psychology; Social support.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Asian People / psychology
  • Cross-Sectional Studies
  • Depression / psychology*
  • Female
  • Hierarchy, Social*
  • Humans
  • Male
  • Self Concept*
  • Social Support*
  • Surveys and Questionnaires
  • Transients and Migrants / psychology
  • Young Adult