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亲子关系后期变化对父母抑郁的影响:一项纵向老龄化面板研究。

Impact of late parent-child relationship changes on parental depression: a longitudinal aging panel study.

作者信息

Kim Sujin, Jang Yun Seo, Park Eun-Cheol

机构信息

Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.

Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.

出版信息

BMC Public Health. 2025 Apr 15;25(1):1408. doi: 10.1186/s12889-025-22516-7.

Abstract

BACKGROUND

The global population of older adults is increasing, and late-life depression is becoming a significant issue. A strong relationship with one's children is a potential factor in alleviating the risk of late-life depression. This study explored the importance of parent-child relationships, including contact, meetings, and financial support, and examined their association with depressive symptoms in older parents.

METHODS

Data were collected from 4,476 participants who completed the Center for Epidemiological Studies Depression Scale- 10 items (CES-D 10) questionnaire from the Korean Longitudinal Study of Aging (2006-2020). Mixed-effects logistic regression analysis was conducted to evaluate the impact of parent-child relationships over time on depressive symptoms, while accounting for individual differences.

RESULTS

An active change in the parent-child relationship status (no → yes) was associated with lower depressive symptoms (men: odds ratio [OR] = 0.63, 95% confidence interval [CI] = 0.47-0.83; women: OR = 0.67, 95% CI = 0.51-0.88) than no change in relationship (no → no). Maintaining monthly contact (men: OR = 0.61, 95% CI = 0.47-0.78; women: OR = 0.64, 95% CI = 0.50-0.81), meeting 2-6 times per year (men: OR = 0.73, 95% CI = 0.56-0.95; women: OR = 0.76, 95% CI = 0.60-0.97), and financial support (men: OR = 0.70, 95% CI = 0.54-0.92; women: OR = 0.73, 95% CI = 0.57-0.93) were each associated with reduced parental depression.

CONCLUSIONS

Among older parents, a transition toward a more active parent-child relationship was associated with reduced depressive symptoms. Therefore, promoting parent-child relationships must be considered an important component of mental health interventions.

摘要

背景

全球老年人口正在增加,晚年抑郁症正成为一个重大问题。与子女的紧密关系是减轻晚年抑郁症风险的一个潜在因素。本研究探讨了亲子关系的重要性,包括联系、见面和经济支持,并研究了它们与老年父母抑郁症状的关联。

方法

数据来自4476名参与者,他们完成了韩国老龄化纵向研究(2006 - 2020年)中的流行病学研究中心抑郁量表10项问卷(CES - D 10)。进行了混合效应逻辑回归分析,以评估亲子关系随时间对抑郁症状的影响,同时考虑个体差异。

结果

亲子关系状态的积极变化(无→有)与抑郁症状减轻相关(男性:比值比[OR] = 0.63,95%置信区间[CI] = 0.47 - 0.83;女性:OR = 0.67,95% CI = 0.51 - 0.88),相比关系无变化(无→无)。保持每月联系(男性:OR = 0.61,95% CI = 0.47 - 0.78;女性:OR = 0.64,95% CI = 0.50 - 0.81)、每年见面2 - 6次(男性:OR = 0.73,95% CI = 0.56 - 0.95;女性:OR = 0.76,95% CI = 0.60 - 0.97)以及经济支持(男性:OR = 0.70,95% CI = 0.54 - 0.92;女性:OR = 0.73,95% CI = 0.57 - 0.93)均与父母抑郁症状减轻相关。

结论

在老年父母中,向更积极的亲子关系转变与抑郁症状减轻相关。因此,促进亲子关系必须被视为心理健康干预的一个重要组成部分。

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