Dong Xinqi, Li Mengting, Hua Yingxiao
Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois.
J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(suppl_1):S63-S68. doi: 10.1093/gerona/glx040.
The relationship between filial piety and depressive symptoms has been widely discussed, but limited research focused on the gap between filial expectations and filial receipt. This study aims to investigate the association between filial discrepancy and depressive symptoms.
Data were derived from the Population Study of Chinese Elderly (PINE), a community-engaged, population-based epidemiological study of U.S. Chinese older adults aged 60 and older in the greater Chicago area. Depressive symptoms were measured by the Patient Health Questionnaire-9. Overall filial discrepancy was evaluated by filial receipt minus expectations. Levels of overall filial discrepancy divided older adults into four groups based on the medium value of filial expectations and receipt. Logistic regression analyses were performed.
Older adults with greater filial receipt than expectations were more likely to have lower risk of depressive symptoms (odds ratio [OR], 0.95 [0.92-0.97]). The group with high expectations and low receipt has the highest risk of depressive symptoms among the four groups (OR, 1.51 [1.07-2.13]). Greater receipt than expectations in care (OR, 0.83 [0.76-0.92]), make happy (OR, 0.77 [0.69-0.86]), greet (OR, 0.88 [0.79-0.97]), obey (OR, 0.76 [0.68-0.86]), and financial support (OR, 0.80 [0.71-0.89]) was associated with lower risk of depressive symptoms.
This study goes beyond previous research by examining the association between filial discrepancy domains and depressive symptoms. Cultural relevancy of health interventions is important in the context of Chinese communities. Health care professionals are suggested to be aware of the depressive symptoms of U.S. Chinese older adults with high filial expectations and low receipt.
孝道与抑郁症状之间的关系已得到广泛讨论，但关注孝道期望与孝道接受之间差距的研究有限。本研究旨在调查孝道差异与抑郁症状之间的关联。
数据来源于中国老年人人口研究（PINE），这是一项针对大芝加哥地区60岁及以上美籍华裔老年人的社区参与式、基于人群的流行病学研究。抑郁症状通过患者健康问卷-9进行测量。总体孝道差异通过孝道接受减去期望来评估。根据孝道期望和接受的中位数，将总体孝道差异水平分为四组。进行了逻辑回归分析。
孝道接受高于期望的老年人患抑郁症状的风险较低（优势比[OR]，0.95[0.92 - 0.97]）。在四组中，期望高而接受低的组患抑郁症状的风险最高（OR，1.51[1.07 - 2.13]）。在照顾（OR，0.83[0.76 - 0.92]）、使开心（OR，0.77[0.69 - 0.86]）、问候（OR，0.88[0.79 - 0.97]）、服从（OR，0.76[0.68 - 0.86]）和经济支持（OR，0.80[0.71 - 0.89]）方面接受高于期望与抑郁症状风险较低相关。
本研究通过考察孝道差异领域与抑郁症状之间的关联，超越了以往的研究。在华裔社区背景下，健康干预措施的文化相关性很重要。建议医疗保健专业人员关注孝道期望高而接受低的美籍华裔老年人的抑郁症状。
