Social interactions and depressive symptoms among community dwelling older adults in Nepal: A synergic effect model
Social interactions and depressive symptoms among community dwelling older adults in Nepal: A synergic effect model
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DOI：
10.1016/j.archger.2010.06.007
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发表时间：
2011-07-01
影响因子：
4
通讯作者：
Kai, Ichiro
中科院分区：
文献类型：
--
作者：
Gautam, Ramraj;Saito, Tami;Kai, Ichiro
在亚洲家庭中，父权制家庭制度很普遍，老年人的生活安排特点是与已婚儿子一起居住。本研究探讨代际团结（情感和工具的支持交流和预期的支持）对抑郁症的老年人从发展中国家，尼泊尔的协同效应。研究中还探讨了性别差异。这是一个横截面面对面的访谈研究，489社区居住的老年人生活在尼泊尔的城市地区。数据采用多元回归模型进行分析，代际团结和冲突变量的每个维度与混杂变量逐一输入。结果表明，老年妇女接受较低的情感和工具的支持显着更容易抑郁相比，老年男子接受较少的支持，他们的儿子。此外，女性报告的预期支持较低，与儿子的冲突较高，比男性更容易抑郁。关于协同效应，情感支持交换缓冲对老年人抑郁症的冲突的有害影响。研究结果强调，需要进一步研究发展中国家老年人的晚年代际关系（IR）和心理健康，以便对医疗保健从业人员有用。(C)2010爱思唯尔爱尔兰有限公司版权所有。
In Asian families, where patriarchal family systems are common, living arrangements of older adults are characterized by residing with a married son. This study examines the synergic effects of intergenerational solidarity (emotional and instrumental support exchange and anticipated support) on depression of older adults from a developing country, Nepal. Gender differences are also explored in the study. This was a cross-sectional face-to-face interview study of 489 community dwelling older adults living in an urban area of Nepal. The data were analyzed using multiple regression models with each dimension of intergenerational solidarity and conflict variables entered one-by-one with the confounding variables. The results illustrate that older women receiving lower emotional and instrumental support were significantly more likely to be depressed compared to older men receiving less support from their son. Also, women reporting lower anticipated support and higher conflict with their son were more likely to be depressed than men. Regarding synergic effects, emotional support exchange buffered against the deleterious effects of conflict with depression in older adults. The results highlight a need for further research on late life intergenerational relationships (IR) and mental health of older adults in developing countries so that it can be useful for health care practitioners. (C) 2010 Elsevier Ireland Ltd. All rights reserved.