Djundeva Maja, Mills Melinda, Wittek Rafael, Steverink Nardi
Department of Sociology, Interuniversity Center for Social Science Theory and Methodology, University of Groningen, The Netherlands.
Department of Sociology, Nuffield College, University of Oxford, United Kingdom.
J Gerontol B Psychol Sci Soc Sci. 2015 Nov;70(6):981-94. doi: 10.1093/geronb/gbu136. Epub 2014 Sep 23.
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.
本研究探讨性别、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联中所起的作用。我们运用自我决定理论,对欧洲背景下身体需求和社会资源对父母抑郁的作用提出假设。
对来自欧洲健康、老龄化与退休调查第一轮(2004年)的6268名65岁以上且有非本地子女的父母样本进行分析。我们估计逻辑回归模型,以检验工具性支持与抑郁之间的关联。身体需求、性别和社会互动被用作调节变量。
在排除导致抑郁的核心因素(包括既往抑郁史)后,接受工具性支持与抑郁之间存在一种U型模式,这种模式在不同国家体制中均存在。对于身体有中度限制的受访者,来自子女的支持过少或过于频繁都与较高的抑郁水平相关。对于身体有严重限制的受访者,获得至少一些支持比完全没有支持要好。子女给予过于频繁的支持,女性的抑郁程度比男性增加得更多。所有的交互效应在不同国家体制中都是可比的。
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。