儿童期家庭关系对中老年抑郁的影响

目的 通过定量分析儿童期家庭关系对中老年抑郁的影响,为中老年人心理健康的促进策略提供全生命周期视角.方法 基于"中国健康与养老追踪调查"(China Health and Retirement Longitudinal Study,CHARLS)(2013、2014和2015)数据,运用单因素分析和二元Logistic...

The influence of childhood family relations on depression of middle-aged and elderly people

  Objective  Through quantitative analysis of the influence of childhood family relationship on depression in middle-aged and elderly people, this paper aims to provide a life-cycle perspective for the promotion strategies of mental health in middle-aged and elderly people.  Methods  Based on the data of the China Health and Retirement Longitudinal Study(CHARLS) (2013, 2014, and 2015), Logistic regression model were used to evaluate the relationship between childhood family relationship and mental health in the middle and later stages of life.  Results  The incidence of depression in middle-aged and older people was 31.2%. Univarriate Logistic regression analysis showed that factors including age, gender, marital status, education level, parents' education level, birthplace, childhood family economic status, health status, relationship with parents of different genders, and the relationship between parents were risk factors for depression in middle-aged and older people (all P<0.05). The binary Logistic regression results showed that poor relationships with caregivers and poor relationships between parents in childhood were risk factors for depression in middle-aged and older people. Specifically, the risk of depression in middle-aged and older people who have a "poor relationship" with a male caregiver during childhood was 1.58 times that of a "good relationship, " and this risk increased to 1.95 times when they have a "poor relationship" with a female caregiver during childhood.In addition, the risk of depression in middle-aged and older people with "poor relationship" between parents in childhood was 1.40 times that of a "good relationship".  Conclusion  Family relationship in childhood plays a vital role in mental health in the middle and later life. In childhood, the bad inter-generations, especially the bad mother-child relationship, are the risk factors of depression for middle-aged and older people. We should understand and formulate health promotion strategies for middle-aged and older adults from the whole life cycle perspective.