Receiving Instrumental Support in Late Parent-Child Relationships and Parental Depression

Receiving Instrumental Support in Late Parent-Child Relationships and Parental Depression
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DOI:
10.1093/geronb/gbu136
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发表时间:
2015-11-01
影响因子:
6.2
通讯作者:
Steverink, Nardi
Steverink, Nardi
中科院分区:
医学1区
文献类型:
--
作者:
Djundeva, Maja;Mills, Melinda;Steverink, Nardi

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本研究调查了性别、功能限制和社会互动在成年子女的工具性支持与父母抑郁之间的关系中的作用。我们应用自我决定理论来假设欧洲背景下身体需求和社会资源对父母抑郁症的作用。我们对第一波欧洲健康、老龄化和退休调查(2004 年)中 6,268 名 65 岁以上、有非居民子女的父母进行了样本分析。我们估计逻辑回归模型来测试工具支持和抑郁之间的关联。身体需求、性别和社会互动被用作调节因素。除去导致抑郁的核心因素(包括既往抑郁史),接受工具性支持与抑郁之间存在 U 形模式,这种模式在各个国家政权中都持续存在。对于中等身体缺陷的受访者来说,儿童的支持太少或太频繁与抑郁程度较高有关。对于受到严重限制的受访者来说,至少获得一些支持比完全没有支持要好。与男性相比,过于频繁地接受儿童的支持会增加女性的抑郁程度。所有互动效应在不同国家制度下都是可比的。在评估工具性支持对心理健康的影响时,必须考虑老年人身体需求和资源的异质性。
This study investigates the role of gender, functional limitations, and social interaction in the association between instrumental support from adult children and parental depression. We apply self-determination theory to hypothesize about the role of physical needs and social resources on parental depression in a European context.A sample of 6,268 parents older than 65 who have nonresident children from the first wave of Survey of Health, Ageing and Retirement in Europe (2004) is analyzed. We estimate logistic regression models to test for the association between instrumental support and depression. Physical needs, gender, and social interaction are used as moderators.Net of core factors that contribute to depression, including previous history of depression, there is a U-shaped pattern between receiving instrumental support and depression that persists across country regimes. For respondents with medium physical limitations, too little or too frequent support from children is associated with higher depression. For respondents with severe limitations, receiving at least some support is better than receiving none at all. The receipt of too frequent support from children increases the level of depression more for women than men. All interaction effects are comparable across country regimes.Heterogeneity in physical needs and resources of older individuals must be taken into account when assessing the effects of instrumental support on mental health.