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丧亲之痛与心理健康:祖父母去世的代际影响。

Bereavement & mental health: The generational consequences of a grandparent's death.

作者信息

Livings Michelle, Smith-Greenaway Emily, Margolis Rachel, Verdery Ashton M

机构信息

University of Southern California, Spatial Sciences Institute, 3616 Trousdale Parkway, AHF B55, Los Angeles, CA, 90089, USA.

University of Southern California, Department of Sociology, 851 Downey Way, Office 309, Los Angeles, CA, 90089, USA.

出版信息

SSM Ment Health. 2022 Dec;2. doi: 10.1016/j.ssmmh.2022.100100. Epub 2022 Apr 23.

Abstract

The COVID-19 pandemic has left millions of children and adolescents grieving the sudden death of a grandparent. Yet, we lack knowledge of the mental health implications of a grandparent's death for youth. This study uses longitudinal data to examine if the loss of a grandparent increases adolescent grandchildren's likelihood of experiencing their mothers' major depressive disorder, and of having depressive symptoms themselves. Using data from the Fragile Families and Child Wellbeing Study, a population-based cohort study of children born in 20 U.S. cities between 1998 and 2000, we estimate associations between the death of a maternal grandparent in mid-childhood and adolescents', and their mothers', depressive outcomes when the adolescent is roughly age 15 (in 2014-17), net of a robust set of covariates, including pre-bereavement depression. Adjusted regression models show no elevated depression risk associated with a grandfather's death-neither for adolescents nor their mothers. A grandmother's death within the previous seven years is associated with a higher likelihood of adolescents having a depressed mother compared to both non-bereaved adolescents (odds ratio (OR) = 2.42; 95% confidence interval (CI) = 1.17, 5.01) and those whose grandmother died more than seven years ago (OR = 3.78; 95% CI = 1.54, 9.31). Furthermore, adolescent boys have a 50% increase in their depressive symptoms following a grandmother's death relative to their non-bereaved peers-an increase that operates independently from the influence of the death on their mother. Together, the results show the death of a grandmother is an underappreciated, persistent risk factor for adolescents experiencing maternal major depressive disorder, and for adolescent boys experiencing depressive symptoms personally.

摘要

新冠疫情导致数百万儿童和青少年痛失祖父母。然而,我们对祖父母去世对年轻人心理健康的影响却知之甚少。本研究利用纵向数据,检验祖父母的离世是否会增加青少年孙辈经历母亲重度抑郁症以及自身出现抑郁症状的可能性。我们使用脆弱家庭与儿童福祉研究的数据,该研究是一项基于人群的队列研究,调查对象为1998年至2000年在美国20个城市出生的儿童。我们估计了童年中期外祖母去世与青少年及其母亲在青少年大约15岁时(2014 - 2017年)的抑郁结果之间的关联,并控制了一系列丰富的协变量,包括丧亲前的抑郁症。调整后的回归模型显示,祖父的去世与青少年及其母亲的抑郁症风险升高无关。与未经历丧亲的青少年(优势比(OR)= 2.42;95%置信区间(CI)= 1.17,5.01)以及祖母去世超过七年的青少年(OR = 3.78;95% CI = 1.54,9.31)相比,过去七年内外祖母的去世与青少年母亲患抑郁症的可能性更高有关。此外,与未经历丧亲的同龄人相比,青少年男孩在外祖母去世后抑郁症状增加了50%——这种增加独立于死亡对其母亲的影响。总体而言,研究结果表明,外祖母的去世是青少年经历母亲重度抑郁症以及青少年男孩个人出现抑郁症状的一个未得到充分认识的持续性风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83b4/11883898/cfe623389c9b/nihms-2051203-f0001.jpg

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