Depression in grandparents raising grandchildren - Results of a national longitudinal study
Depression in grandparents raising grandchildren - Results of a national longitudinal study
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DOI：
10.1001/archfami.6.5.445
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发表时间：
1997-09-01
期刊：
影响因子：
--
通讯作者：
Driver, D
中科院分区：
文献类型：
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作者：
Minkler, M;FullerThomson, E;Driver, D
目的：评估对孙子进行监护对祖父母抑郁水平的影响，并确定哪些特征与照顾祖父母的较高抑郁水平相关。设计：一项纵向全国概率小组研究：全国家庭和住户调查。第一波数据 (n=13 008) 收集于 1987 年和 1988 年，第二波数据 (n=10 008) 收集于 1992 年至 1994 年。 背景： 调查在美国本土的受访者家庭中进行。 参与者： 本研究的子样本由 3111 名受访者组成，他们自称在 1992 年为祖父母。 1992 年至 1994 年的访谈，可获得完整的抑郁症信息。在这些祖父母中，有 158 人是 20 世纪 90 年代孙子孙女的主要照顾者。 主要结果指标：使用流行病学研究中心抑郁量表的修订版来测量抑郁症。结果：为孙子提供初级护理的人出现抑郁症状的可能性几乎是传统流行病学研究中心抑郁量表切点 16 的两倍（25.1% vs 25.1%）。 14.5%）。即使控制了基线抑郁症和已知影响抑郁症状的人口变量，在多变量前瞻性分析中，照顾孙子也与较高的抑郁水平显着相关（P
Objectives: To assess the effect of undertaking custodial care of a grandchild on grandparents' depression levels and to determine what characteristics are associated with higher depression levels among caregiving grandparents.Design: A longitudinal national probability panel study: the National Survey of Families and Households. The first wave of data (n=13 008) was collected in 1987 and 1988, and the second wave of data (n=10 008) was collected from 1992 through 1994.Setting: The survey was conducted in respondents' households in the coterminous United States.Participants: The subsample for this study was composed of 3111 respondents who reported being grandparents during the 1992-1994 interviews and for whom complete depression information was available. Of these grandparents, 158 were the primary caregivers for their grandchildren in the 1990s.Main Outcome Measures: Depression was measured using a modified version of the Center for Epidemiological Studies Depression Scale.Results: Those who provide primary care for a grandchild are almost twice as likely to have levels of depressive symptoms above the traditional Center for Epidemiological Studies Depression Scale cut point of 16 (25.1% vs 14.5%). Even when controlling for baseline depression and demographic variables known to affect depressive symptoms, undertaking the care of a grandchild was associated significantly with higher depression levels in a multivariate prospective analysis (P