Kim Woorim, Park Eun-Cheol, Han Kyu-Tae, Lee Tae-Hoon, Kim Tae Hyun
Department of Public Health,Graduate School,Yonsei University,Seoul,South Korea.
Institute of Health Services Research,Yonsei University,Seoul,South Korea.
Int Psychogeriatr. 2017 Mar;29(3):399-407. doi: 10.1017/S1041610216002064. Epub 2016 Dec 1.
Noticeable demographic changes have taken place in South Korea, with the general marriage rate decreasing and the average first age at marriage and general divorce rate increasing. The shown trends have contributed to intergenerational discordance in the perception of familial values, which is important in addressing the psychological well-being of parents. This study aimed to investigate the association between the marital status of offspring aged 40 years and over and the depression levels of parents.
Data were from the Korean Longitudinal Study of Aging (KLoSA), 2006-2012. A total of 2,540 individuals with at least two offspring aged 40 years and over were included. Association between offspring marital status and parental depression scores, measured using the Center for Epidemiological Studies and Depression (CES-D 10) scale, was investigated using the generalized estimating equation (GEE) model. Subgroup analysis was performed based on offspring education level.
When parents with only married offspring were set as reference, parents with never married offspring (β: 0.27, p = 0.02), parents with separated offspring (β: 0.52, p = 0.03), and parents with never married offspring and separated offspring (β: 0.38, p < 0.001) showed increases in depression scores. In the subgroup analysis, these higher depression score effects were largely limited to parents with high school graduate offspring.
It is important to monitor the mental health status of parents with never married, separated, or both never married and separated offspring as this group may be comparatively vulnerable to depressive symptoms.
韩国发生了显著的人口结构变化,总体结婚率下降,平均初婚年龄和总体离婚率上升。这些趋势导致了代际之间在家庭价值观认知上的不一致,而这对于解决父母的心理健康问题至关重要。本研究旨在调查40岁及以上子女的婚姻状况与父母抑郁水平之间的关联。
数据来自2006 - 2012年韩国老年纵向研究(KLoSA)。共纳入2540名至少有两个40岁及以上子女的个体。使用广义估计方程(GEE)模型研究子女婚姻状况与父母抑郁得分之间的关联,父母抑郁得分采用流行病学研究中心抑郁量表(CES - D 10)进行测量。根据子女教育水平进行亚组分析。
以仅有已婚子女的父母作为参照,子女从未结婚的父母(β:0.27,p = 0.02)、子女分居的父母(β:0.52,p = 0.03)以及子女既从未结婚又分居的父母(β:0.38,p < 0.001)的抑郁得分有所增加。在亚组分析中,这些较高的抑郁得分影响主要局限于子女为高中毕业生的父母。
监测子女从未结婚、分居或既从未结婚又分居的父母的心理健康状况很重要,因为这一群体可能相对更容易出现抑郁症状。