Self-efficacy as a mediator between stressful life events and depressive symptoms

  • Maciejewski P
  • Prigerson H
  • Mazure C
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Abstract

Background Self-efficacy, a characteristic that is protective against depressive symptoms, may be undermined by stressful life events. Aims To estimate the effects of stressful life events on self-efficacy, and to examine self-efficacy as a mediator of the effect of stressful life events on symptoms of depression. Method Using a sample of 2858 respondents from the longitudinal Americans' Changing Lives study, path analyses were used to evaluate interrelationships between self-efficacy, life events and symptoms of depression controlling for a variety of potentially confounding variables. Separate models were estimated for those with and without prior depression. Results For those with prior depression, dependent life events had a significant, negative impact on self-efficacy. For those without prior depression, life events had no effect on self-efficacy. Conclusions For those with prior depression, self-efficacy mediates approximately 40% of the effect of dependent stressful life events on symptoms of depression.

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Maciejewski, P. K., Prigerson, H. G., & Mazure, C. M. (2000). Self-efficacy as a mediator between stressful life events and depressive symptoms. British Journal of Psychiatry, 176(4), 373–378. https://doi.org/10.1192/bjp.176.4.373

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