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日本老年女性和男性的抑郁症状、向丧偶状态的转变以及来自成年子女的非正式支持

Depressive Symptoms, Transitions to Widowhood, and Informal Support From Adult Children Among Older Women and Men in Japan.

作者信息

Tiedt Andrew D, Saito Yasuhiko, Crimmins Eileen M

机构信息

Bureau of Justice Statistics, U.S. Department of Justice, Washington, DC, USA

University Research Center, Nihon University, Tokyo, Japan.

出版信息

Res Aging. 2016 Aug;38(6):619-42. doi: 10.1177/0164027515595442. Epub 2015 Aug 4.

Abstract

This study examines the relationships among depressive symptoms, transitions to widowhood, worsening health, and family support in Japan over 10 years. The analyses focus on availability and receipt as the two primary dimensions of intergenerational support relationships. We used growth curve models to analyze data from the Nihon University Japanese Longitudinal Study of Aging, finding that (1) becoming widowed correlated with increased depressive symptoms and this relationship was weaker among women than men, (2) continuous widowhood was associated with fewer depressive symptoms over time, (3) transitions to coresidence with sons and daughters among the widowed was correlated with reduced depressive symptoms, (4) self-reported health and difficulty with activities of daily living were predictors of depressive symptoms over time. The findings suggest the importance of new research on household transitions, availability and proximity of family caregivers, and social embeddedness as protections against depressive symptoms.

摘要

本研究考察了日本10年间抑郁症状、丧偶转变、健康状况恶化与家庭支持之间的关系。分析聚焦于代际支持关系的两个主要维度:可获得性和接受情况。我们使用增长曲线模型分析了日本大学日本老年纵向研究的数据,发现:(1)丧偶与抑郁症状增加相关,且这种关系在女性中比在男性中更弱;(2)持续丧偶与随时间推移抑郁症状减少相关;(3)丧偶者与子女同住的转变与抑郁症状减轻相关;(4)自我报告的健康状况和日常生活活动困难是随时间推移抑郁症状的预测因素。研究结果表明,开展关于家庭转变、家庭照顾者的可获得性和亲近程度以及社会嵌入性作为预防抑郁症状保护因素的新研究具有重要意义。

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