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中国独生子女丧亲父母的适应能力和心理反应的潜在类别。

Latent classes of resilience and psychological response among only-child loss parents in China.

机构信息

Nursing Psychology Research Center, Xiangya Nursing School, Central South University, Changsha, China.

School of Nursing, Fujian Medical University, Changsha, China.

出版信息

Stress Health. 2017 Oct;33(4):397-404. doi: 10.1002/smi.2715. Epub 2016 Oct 28.

Abstract

Only-child loss parents in China recently gained extensive attention as a newly defined social group. Resilience could be a probable solution out of the psychological dilemma. Using a sample of 185 only-child loss people, this study employed latent class analysis (a) to explore whether different classes of resilience could be identified, (b) to determine socio-demographic characteristics of each class, and (c) to compare the depression and the subjective well-being of each class. The results supported a three-class solution, defined as 'high tenacity-strength but moderate optimism class', 'moderate resilience but low self-efficacy class' and 'low tenacity but moderate adaption-dependence class'. Parents with low income and medical insurance of low reimbursement type and without endowment insurance occupied more proportions in the latter two classes. The latter two classes also had a significant higher depression scores and lower subjective well-being scores than high tenacity-strength but moderate optimism class. Future work should care those socio-economically vulnerable bereaved parents, and an elastic economic assistance policy was needed. To develop targeted resilience interventions, the emphasis of high tenacity-strength but moderate optimism class should be the optimism. Moderate resilience but low self-efficacy class should be self-efficacy, and low tenacity but moderate adaption-dependence class should be tenacity.

摘要

在中国,独生子女丧亲者最近作为一个新定义的社会群体引起了广泛关注。韧性可能是摆脱心理困境的一种可行方法。本研究使用了 185 名独生子女丧亲者的样本,采用潜在类别分析(a)来探讨是否可以确定不同类别的韧性,(b)确定每个类别的社会人口统计学特征,以及(c)比较每个类别的抑郁和主观幸福感。结果支持了一个三类别解决方案,定义为“高坚韧-实力但适度乐观类”、“适度韧性但低自我效能类”和“低坚韧但适度适应-依赖类”。低收入和低报销类型医疗保险且没有养老保险的父母在后两类中占比较大。后两类的抑郁得分显著较高,主观幸福感得分显著较低,而高坚韧-实力但适度乐观类的得分则较低。未来的工作应该关注那些社会经济脆弱的丧亲父母,需要制定有弹性的经济援助政策。为了开展有针对性的韧性干预措施,高坚韧-实力但适度乐观类的重点应该是乐观。适度韧性但低自我效能类的重点应该是自我效能,而低坚韧但适度适应-依赖类的重点应该是坚韧。

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