代际关系对老年人抑郁症状的影响:健康状况与幸福感的链式中介作用

Study on the Impact of Intergenerational Relationships on Depressive Symptoms in Older Adults Based on the ChainMediating Role of Health Status and Well-Being

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摘要目的:本研究旨在探讨代际关系与老年人抑郁症状之间的关系。方法:本研究使用2020年中国家庭追踪调查(CFPS)数据,选取4026例老年人作为研究对象,构建链式中介效应模型,探讨代际关系、健康状况和幸福感对老年人抑郁症状的影响。结果:代际关系与老年人抑郁症状呈负相关(β=-0.374,P<0.001)。健康状况(β=-0.637,P<0.001)和幸福感(β=-0.519,P<0.001)在代际关系与老年人抑郁症状的关系中分别起到中介作用。同时,健康状况和幸福感在代际关系与老年人抑郁症状的关系中起到链式中介作用(β=-0.036,P<0.001)。结论:代际关系通过健康状况和幸福感对老年人抑郁症状产生影响。良好的代际关系可以改善老年人的健康状况,提升其幸福感,减轻其抑郁症状。因此,家庭成员应重视与老年人的情感交流,营造一个有利于老年人心理健康的支持性环境,以有效改善其抑郁症状并提高整体生活质量。 Objective To examine the relationship between intergenerational relationships and depressive symptoms in older adults.Methods Using data from the 2020 China Family Panel Studies(CFPS),4,026 older adults were selected.A chain mediated effect model was constructed to explore the effects of intergenerational relationships,health status,and well-being on depressive symptoms in older adults.Results Intergenerational relationships can negatively predict depressive symptoms(β=-0.374,P<0.001).Health(β=-0.637,P<0.001)and well-being(β=-0.519,P<0.001)mediated the effect of intergenerational relationships on depressive symptoms,respectively.In addition,health status and well-being acted as chain mediators in the relationship between intergenerational relationships and depressive symptoms in older adults(β=-0.036,P<0.001).Conclusion Intergenerational relationships have an impact on older adults'depressive symptoms through health status and well-being.Good intergenerational relationships can improve older peoples health,enhance their sense of well-being and reduce their depressive symptoms.Therefore,family members should emphasize emotional communication with older adults and create a supportive environment conducive to older adults'mental health in order to effectively improve their depressive symptoms and overall quality of life.

作者冯文佳耿鹏馨王岩王笑男高倩倩蔡伟芹井淇高润国马安宁 Feng Wenjia(School of Public Health,Shandong Second Medical University,Weifang,P.R.China)

机构地区山东第二医科大学公共卫生学院山东第二医科大学管理学院山东第二医科大学公共卫生危机管理研究所潍坊市疾病预防控制中心

出处《中国卫生事业管理》北大核心 2025年第5期574-577,593,共5页 Chinese Health Service Management

基金教育部人文社科规划基金“重大呼吸道传染病疫情社会精准管制理论与情景预案研究”(22YJAZH081) 山东省自然科学基金面上项目“基本医保政策下全民免费医疗分级服务包的构建与实证研究”(ZR202211250283) 山东省医药卫生科技项目“基层医疗卫生机构呼吸道传染病防控应急能力提升策略研究”(202315020831) 山东省人文社会科学智库重点专项“健康山东建设视域下脆弱人群健康管理社会支持体系研究”(2023-zkzd-078)。

关键词代际关系抑郁症状健康状况幸福感 intergenerational relationship depressive symptom health status well-being.

分类号 R19 [医药卫生—卫生事业管理] G446 [哲学宗教—发展与教育心理学]