Yang Chun-Yan, Xu Hong-Jiao, Liu Shan-Shan, Wu Yue-Jing, Long Yun, Liu Hong-Sheng, Chen Yao-Pian, Li Xia
Geriatric Psychiatry Department, Shanghai Mental Health Center, Shanghai, China.
Dalian Seventh People's Hospital, Dalian Mental Health Center, Dalian, China.
Front Psychiatry. 2021 May 20;12:633773. doi: 10.3389/fpsyt.2021.633773. eCollection 2021.
In China, intergenerational rearing is a ubiquitous phenomenon based on unique national conditions. This study aimed to explore family dynamics in intergenerational rearing families as well as their correlation with older household members' anxiety and depression. The elderly from intergenerational ( = 141) and non-intergenerational rearing families ( = 266) were investigated using the following scales: the general information questionnaire, Self-Rating Scale of Systemic Family Dynamics, Geriatric Depression Scale, and Self-Rating Anxiety Scale. Scores from the four dimensions (family atmosphere, system logic, individuation, and the concept of disease) of the structure of family dynamics were computed. The comparison of these dimensions scores and the total scores of grandparents' anxiety and depression for the two groups were not statistically significant ( > 0.05). In Pearson's correlation analysis, no significant correlation between the family atmosphere dimension and the total score of the grandparents' depression and anxiety scales was observed. The system logic aspect was negatively correlated with depression and anxiety scale scores. The individual dimension was positively correlated with the anxiety scale scores. The disease concept dimension was positively correlated with depression and anxiety scale scores. Hence, the results were statistically significant. There were no significant differences in terms of family dynamics and risk of anxiety and depression among grandparents between the two family types. The system logic, individuation, and disease concept dimensions were correlated with their anxiety and depression.
在中国,基于独特的国情,代际抚养是一种普遍存在的现象。本研究旨在探讨代际抚养家庭中的家庭动态及其与老年家庭成员焦虑和抑郁的相关性。使用以下量表对来自代际抚养家庭(n = 141)和非代际抚养家庭(n = 266)的老年人进行调查:一般信息问卷、系统家庭动力学自评量表、老年抑郁量表和自评焦虑量表。计算家庭动力学结构四个维度(家庭氛围、系统逻辑、个性化和疾病观念)的得分。两组在这些维度得分以及祖父母焦虑和抑郁总分的比较上无统计学意义(P > 0.05)。在Pearson相关性分析中,未观察到家庭氛围维度与祖父母抑郁和焦虑量表总分之间存在显著相关性。系统逻辑方面与抑郁和焦虑量表得分呈负相关。个性化维度与焦虑量表得分呈正相关。疾病观念维度与抑郁和焦虑量表得分呈正相关。因此,结果具有统计学意义。两种家庭类型的祖父母在家庭动态以及焦虑和抑郁风险方面无显著差异。系统逻辑、个性化和疾病观念维度与他们的焦虑和抑郁相关。