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中年前父母丧亲的长期心理后果:志愿服务有帮助。

Long-term psychological consequences of parental bereavement prior to midlife: volunteering helps.

机构信息

Department of Human Ecology, University of California, Davis, CA, USA.

Department of Child Development and Family Studies, Research Institute of Human Ecology, Seoul National University, Seoul, South Korea.

出版信息

Aging Ment Health. 2023 May;27(5):992-1000. doi: 10.1080/13607863.2022.2087209. Epub 2022 Jun 13.

Abstract

OBJECTIVES

Losing a child prior to midlife may be a uniquely traumatic event that continues to compromise parents' well-being in later life. This study compared psychological well-being between bereaved and non-bereaved parents, and examined whether volunteering protects bereaved parents. Because most families have more than one child, we further explored whether the number of living children parents had differentiated bereaved parents in their well-being.

METHODS

We analyzed a pooled sample of parents aged 50+ ( = 12,023) from the (2010/2012-2012/2014), including parents who lost a child prior to 50 and those who never lost a child. Two-level linear regression models were estimated to test the associations between child loss, volunteering, and psychological well-being, and examine the moderating effect of number of living children.

RESULTS

Bereaved parents reported more depressive symptoms and lower life satisfaction than their non-bereaved counterparts, which was more evident among parents with fewer children alive. Among bereaved parents, volunteering, particularly volunteering 100+ hours/year, was associated with better psychological well-being at baseline; yet, volunteering 1-99 hours/year led to a larger increase in life satisfaction over time. The benefits of volunteering held true regardless of the number of living children.

CONCLUSION

This study adds to our understanding of the lasting effect of parental bereavement and suggests volunteering as a potential intervention aimed at helping bereaved older parents. Findings identify parents with fewer children as a particularly vulnerable population in the face of child loss and calls for more resources allocated to help them.

摘要

目的

中年之前失去孩子可能是一种独特的创伤性事件,这种事件会持续影响父母晚年的幸福感。本研究比较了丧亲父母和非丧亲父母的心理健康状况,并探讨了志愿服务是否能保护丧亲父母。由于大多数家庭都有不止一个孩子,我们进一步探讨了父母拥有的在世孩子数量是否会影响丧亲父母的幸福感。

方法

我们分析了来自美国健康与退休纵向研究(Health and Retirement Study,HRS)(2010/2012 年至 2012/2014 年)的 50 岁以上父母的合并样本( = 12023),其中包括在 50 岁之前失去孩子的父母和从未失去孩子的父母。采用两层线性回归模型来检验子女丧失与志愿服务和心理健康之间的关联,并检验在世子女数量的调节作用。

结果

丧亲父母报告的抑郁症状和生活满意度低于非丧亲父母,而在世子女较少的丧亲父母情况更为明显。在丧亲父母中,志愿服务,尤其是每年志愿服务 100 小时以上,与基线时更好的心理健康状况相关;然而,每年志愿服务 1-99 小时会随着时间的推移导致生活满意度更大的提升。无论在世子女数量如何,志愿服务的益处都是真实存在的。

结论

本研究增进了我们对父母丧亲的持久影响的理解,并提出志愿服务是一种潜在的干预措施,旨在帮助丧亲的老年父母。研究结果确定了在世子女较少的父母是在面临子女丧失时特别脆弱的人群,并呼吁为他们提供更多的资源。

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