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[通过倾向得分匹配比较双亲家庭子女与单亲家庭子女中提升人们身份认同对心理健康的影响]

[Comparisons of the influence of raising people's identity on mental health between two-parents family children and single parent family children by propensity score matching].

作者信息

Wang Daoyang, Li Shuting, Hu Mingming

机构信息

College of Educational Science, Anhui Normal University, Wuhu 241000, China.

出版信息

Wei Sheng Yan Jiu. 2017 Sep;46(5):709-716.

PMID:29903295
Abstract

OBJECTIVE

To compare the difference of mental health( anxiety, depression, loneliness, self-esteem, self-confidence, family life satisfaction) and the role of raising people's identity in happiness relationship between two-parents family children and single parent family children by propensity score matching( PSM).

METHODS

Datafrom Social Adaptation Database of National Children 's Study of China. Stratified and population-based cluster random sampling method was used to sample, a total of 23 499 subjects were 6-15 year-old children coming from 31 provinces of 100 districts and counties in mainland China. Then the PSM method was used to match 1203 children from two-parents and single parent family children. The data were analyzed by difference tests, variance analysis and regression analysis.

RESULTS

There were significant differences in depression( 4. 46 ± 3. 234 vs. 5. 29 ± 3. 808, P < 0. 001, d =-0. 237), self-esteem( 27. 15 ± 4. 303 vs. 26. 05 ± 4. 838, P < 0. 001, d = 0. 241) and family life satisfaction( 3. 23 ± 0. 570 vs. 3. 02 ± 0. 699, P < 0. 001, d = 0. 333) between two-parents and single parent family children in the condition of non-parental support after PSM. The effect of dependent status on depression, family life satisfaction and well-being was statistically significant for the two-parents family children( β = 0. 229, β =-0. 239, P < 0. 05). The simple slope test showed that the negative predictive effect of non-parental group on happiness was higher than that of parental group when depression was the independent variable and well-being was the dependent variable( parental group: simple slope =-0. 393, t =-28. 98, P < 0. 001; non-parental group: simple slope =-0. 321, t =-13. 68, P < 0. 001). The positive predictive effect of parental group on well-being was higher than that of non-parental group when family life satisfaction was the independent variable and well-being was dependent variable( parental group: simple slope = 1. 474, t = 15. 78, P < 0. 001; non-parental group: simple slope = 1. 024, t = 7. 03, P < 0. 001).

CONCLUSION

The mental health of two-parents family children is better than that of single parent family children, and children of non-parental supporters have more mental health disparity than that of parental supporters. Their family life satisfaction and depression have a greater sense of effect on happiness for two-parents family children of parental supporter.

摘要

目的

通过倾向得分匹配法(PSM)比较双亲家庭儿童和单亲家庭儿童心理健康(焦虑、抑郁、孤独感、自尊、自信、家庭生活满意度)的差异以及提升个体认同感在幸福关系中的作用。

方法

数据来自中国儿童国家研究的社会适应数据库。采用分层整群随机抽样方法进行抽样,共23499名受试者为来自中国大陆100个区县31个省份的6至15岁儿童。然后使用PSM方法对1203名双亲家庭儿童和单亲家庭儿童进行匹配。数据通过差异检验、方差分析和回归分析进行分析。

结果

PSM后,在无父母支持的情况下,双亲家庭儿童和单亲家庭儿童在抑郁(4.46±3.234 vs. 5.29±3.808,P<0.001,d=-0.237)、自尊(27.15±4.303 vs. 26.05±4.838,P<0.001,d=0.241)和家庭生活满意度(3.23±0.570 vs. 3.02±0.699,P<0.001,d=0.333)方面存在显著差异。对于双亲家庭儿童,依赖状态对抑郁、家庭生活满意度和幸福感的影响具有统计学意义(β=0.229,β=-0.239,P<0.05)。简单斜率检验表明,当以抑郁为自变量、幸福感为因变量时,无父母支持组对幸福感的负向预测作用高于有父母支持组(有父母支持组:简单斜率=-0.393,t=-28.98,P<0.001;无父母支持组:简单斜率=-0.321,t=-13.68,P<0.001)。当以家庭生活满意度为自变量、幸福感为因变量时,有父母支持组对幸福感的正向预测作用高于无父母支持组(有父母支持组:简单斜率=1.474,t=15.78,P<0.001;无父母支持组:简单斜率=1.024,t=7.03,P<0.001)。

结论

双亲家庭儿童的心理健康状况优于单亲家庭儿童,且无父母支持者的儿童心理健康差异大于有父母支持者。对于有父母支持的双亲家庭儿童,他们的家庭生活满意度和抑郁对幸福感的影响更大。

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