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祖辈照料与其他照料角色结合对抑郁的影响。

Consequences on depression of combining grandparental childcare with other caregiving roles.

机构信息

Universitat Pompeu Fabra, Barcelona, Spain.

出版信息

Aging Ment Health. 2020 Aug;24(8):1263-1270. doi: 10.1080/13607863.2019.1584788. Epub 2019 Mar 14.

Abstract

This study examines the effect of combining grandchild care with other care roles on depression among individuals aged 50 to 84. Previous research investigating the health consequences of multiple care roles among older adults found mixed evidence, with most studies being predominantly cross-sectional.: We use longitudinal data from the Survey of Health, Ageing and Retirement in Europe (SHARE) to understand how grandparents' mental health, measured as depressive symptoms, is affected when combining multiple care roles. We estimate logistic regression models, for grandfathers and grandmothers separately, to investigate how depression at wave 2 is affected by multiple care roles at wave 1, controlling for depression at baseline. Consistent with previous studies, we find that providing grandchild care only reduces risk of depression for grandmothers, but not for grandfathers. For both genders, we find a higher risk of depression among those who provide intensive care to co-residents. The negative effect of grandchild care on depression found for grandmothers disappears if they also provide other types of care. In particular, grandmothers who provide care both to grandchildren and to a sick or disabled person show a higher risk of depression compared to those who only provide grandchild care. While multiple caregiving roles are not common, it is important to understand their combined effect on caregivers' health. Grandmothers who provide childcare and other intensive types of care may lose the positive effects grandchild care exert over their wellbeing.

摘要

这项研究考察了将照顾孙辈与其他照顾角色结合对 50 至 84 岁人群抑郁的影响。先前研究调查了老年人多种照顾角色对健康的影响,结果证据不一,大多数研究主要是横断面研究:我们使用欧洲健康、老龄化和退休调查(SHARE)的纵向数据,了解当祖父母同时承担多种照顾角色时,他们的心理健康(以抑郁症状衡量)会受到怎样的影响。我们分别为祖父和祖母估计逻辑回归模型,以调查在第 1 波中多种照顾角色如何影响第 2 波中的抑郁,同时控制基线时的抑郁情况。与先前的研究一致,我们发现仅照顾孙辈会降低祖母患抑郁症的风险,但对祖父没有影响。对于两性,我们发现为同住者提供密集护理的人患抑郁症的风险更高。如果祖母同时提供其他类型的护理,那么照顾孙辈对其抑郁的负面影响就会消失。特别是,与仅照顾孙辈的祖母相比,同时照顾孙辈和患病或残疾者的祖母患抑郁症的风险更高。虽然多种照顾角色并不常见,但了解它们对照顾者健康的综合影响很重要。同时提供育儿和其他密集型照顾的祖母可能会失去照顾孙辈对其幸福感的积极影响。

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