• 中国精品科技期刊
  • 《中文核心期刊要目总览》收录期刊
  • RCCSE 中国核心期刊(5/114,A+)
  • Scopus收录期刊
  • 美国《化学文摘》(CA)收录期刊
  • WHO 西太平洋地区医学索引(WPRIM)收录期刊
  • 《中国科学引文数据库(CSCD)》核心库期刊 (C)
  • 中国科技核心期刊
  • 中国科技论文统计源期刊
  • 《日本科学技术振兴机构数据库(中国)》(JSTChina)收录期刊
  • 美国《乌利希期刊指南》(UIrichsweb)收录期刊
  • 中华预防医学会系列杂志优秀期刊(2019年)

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

儿童期家庭关系对中老年抑郁的影响

杜纯静,  逄玥,  孙菊梅,  谢瑞瑞,  王琼,  刘军,  吴炳义

downloadPDF
文章导航 > 中华疾病控制杂志  > 2021 >  25(6): 698-702
杜纯静, 逄玥, 孙菊梅, 谢瑞瑞, 王琼, 刘军, 吴炳义. 儿童期家庭关系对中老年抑郁的影响[J]. 中华疾病控制杂志, 2021, 25(6): 698-702. doi: 10.16462/j.cnki.zhjbkz.2021.06.014
引用本文: 杜纯静, 逄玥, 孙菊梅, 谢瑞瑞, 王琼, 刘军, 吴炳义. 儿童期家庭关系对中老年抑郁的影响[J]. 中华疾病控制杂志, 2021, 25(6): 698-702. doi: 10.16462/j.cnki.zhjbkz.2021.06.014
shu
DU Chun-jing, PANG Yue, SUN Ju-mei, XIE Rui-rui, WANG Qiong, LIU Jun, WU Bing-yi. The influence of childhood family relations on depression of middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(6): 698-702. doi: 10.16462/j.cnki.zhjbkz.2021.06.014
Citation: DU Chun-jing, PANG Yue, SUN Ju-mei, XIE Rui-rui, WANG Qiong, LIU Jun, WU Bing-yi. The influence of childhood family relations on depression of middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(6): 698-702. doi: 10.16462/j.cnki.zhjbkz.2021.06.014
shu

儿童期家庭关系对中老年抑郁的影响

doi: 10.16462/j.cnki.zhjbkz.2021.06.014
  • 1.

    261053 潍坊，潍坊医学院管理学院

  • 2.

    261053 潍坊，潍坊医学院党委办公室

  • 3.

    261053 潍坊，潍坊医学院管理学院社会医学教研室

基金项目: 

国家社会科学基金 17ZDA124

国家社会科学基金 18BRK013

详细信息
    通讯作者:

    吴炳义，E-mail：wuby369@163.com

  • 中图分类号: R749.4

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

  • 1.

    School of Management, Weifang Medical University, Weifang 201053, China

  • 2.

    Party Committee Office, Weifang Medical University, Weifang 201053, China

  • 3.

    Department of Social Medicine, School of Management, Weifang Medical University, Weifang 201053, China

Funds: 

National Social Science Foundation of China 17ZDA124

National Social Science Foundation of China 18BRK013

More Information

    摘要
  • 摘要:   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回归分析模型分析。  结果  中老年人抑郁发生率为31.2%；单因素分析显示，中老年抑郁发生风险在不同年龄、性别、婚姻状况、受教育程度、父母受教育程度、出生地、儿童期家庭经济状况、健康状况、与不同性别抚养人的关系、父母间的关系差异具有统计学意义(均有P < 0.05)；回归分析模型分析结果显示，儿童期与抚养人关系差和父母间关系差是中老年抑郁发生的危险因素。儿童期与女性抚养人关系差是关系好的1.95倍，儿童期与男性抚养人关系差是关系好的1.58倍，儿童期父母间关系差是关系好的1.40倍。  结论  儿童期家庭关系对生命中后期的心理健康状况具有重要影响，儿童期不良的父母关系及代际关系，特别是母子关系是中老年期抑郁发生的危险因素；应以全生命周期为视角，理解和制定中老年健康促进策略。
    Abstract:   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.
    • HTML全文

  • 表  1  中老年人一般人口学特征及抑郁状况分析[n(%)]

    Table  1.   The general demographic characteristics and depression of middle-aged and elderly people [n(%)]

    变量 人数 正常 抑郁 χ2 P值
    年龄(岁) 82.668 < 0.001
      45~＜55 4 427(29.6) 3 224(72.8) 1 203(27.2)
      55~＜65 5 422(36.3) 3 774(69.6) 1 648(30.4)
      ≥65 5 098(34.1) 3 279(64.3) 1 819(35.7)
    性别 353.044 < 0.001
      男 7 098(47.5) 5 412(76.2) 1 686(23.8)
      女 7 849(52.5) 4 865(62.0) 2 984(38.0)
    婚姻状况 100.894 < 0.001
      有配偶 13 042(87.3) 9 157(70.2) 3 885(29.8)
      无配偶 1 905(12.7) 1 120(58.8) 785(41.2)
    受教育程度 368.381 < 0.001
      小学及以下 9 508(63.6) 6 026(63.4) 3 482(36.6)
      中学 5 114(34.2) 3 964(77.5) 1 150(22.5)
      大专及以上 325(2.2) 287(88.3) 38(11.7)
    母亲受教育状况 44.880 < 0.001
      未受过教育 13 235(88.5) 8 979(67.8) 4 256(32.2)
      受过教育 1 712(11.5) 1 298(75.8) 414(24.2)
    父亲受教育状况 45.248 < 0.001
      未受过教育 8 285(55.4) 5 507(66.5) 2 778(33.5)
      受过教育 6 662(44.6) 4 770(71.6) 1 892(28.4)
    出生地 70.283 < 0.001
      农村 13 735(91.9) 9 314(67.8) 4 421(32.2)
      城市 1 212(8.1) 963(79.5) 249(20.5)
    儿童期家庭经济状况 202.439 < 0.001
      差 6 016(40.2) 3 741(62.2) 2 275(37.8)
      好 8 931(59.5) 6 536(73.2) 2 395(26.8)
    儿童期健康状况 99.982 < 0.001
      差 9 753(65.3) 6 436(66.0) 3 317(34.0)
      好 5 193(34.7) 3 841(74.0) 1 353(26.0)
    儿童期与女性抚养人关系 72.712 < 0.001
      差 137(0.9) 59(43.1) 78(56.9)
      一般 2 324(16.2) 1 557(64.3) 866(35.7)
      好 12 387(82.9) 8 661(69.9) 3 726(30.1)
    儿童期与男性抚养人关系 65.025 < 0.001
      差 176(1.2) 84(47.7) 92(52.3)
      一般 2 762(18.5) 1 789(64.8) 973(35.2)
      好 12 009(80.3) 8 404(70.0) 3 605(30.0)
    儿童期父母间关系 76.886 0.001
      差 451(3.0) 252(55.9) 199(44.1)
      一般 3 292(22.0) 2 127(64.6) 1 165(35.4)
      好 11 204(75.0) 7 898(70.5) 3 306(29.5)
    下载: 导出CSV

    表  2  儿童期家庭关系与中老年人抑郁状况的Logistic回归分析模型分析

    Table  2.   Logistic regression analysis of family relationship in childhood and depression of middle-aged

    变量 模型1 模型2 模型3
    OR值 (95% CI) 值 OR值 (95% CI) 值 OR值 (95% CI) 值
    儿童期与女性抚养人关系
      好 1.000 1.000 1.000
      一般 1.132 c 0.992~1.292 1.107 0.967~1.267 1.094 0.954~1.254
      差 2.210a 1.539~3.173 1.948a 1.347~2.818 1.945a 1.339~2.825
    儿童期与男性抚养人关系
      好 1.000 1.000 1.000
      一般 1.057 0.930~1.200 1.103 0.968~1.257 1.087 0.953~1.240
      差 1.657a 1.198~2.291 1.641a 1.180~2.283 1.579a 1.131~2.205
    儿童期父母间关系
      好 1.000 1.000 1.000
      一般 1.206a 1.101~1.322 1.205a 1.097~1.323 1.167a 1.062~1.283
      差 1.617a 1.326~1.972 1.464a 1.195~1.793 1.399a 1.141~1.717
    年龄(岁)
      45~＜55 0.810a 0.734~0.893 0.792a 0.717~0.874
      55~＜65 0.864a 0.792~0.942 0.856a 0.784~0.934
      ≥65 1.000 1.000
    性别
      男 1.000 1.000
      女 1.810a 1.679~1.952 1.866a 1.730~2.014
    婚姻状况
      有配偶 1.000 1.000
      无配偶 1.309a 1.177~1.455 1.309a 1.176~1.456
    受教育状况
      大专及以上 1.000 1.000
      中学 1.930a 1.361~2.735 1.925a 1.356~2.733
      小学及以下 2.879a 2.032~4.078 2.697a 1.901~3.828
    母亲受教育状况
      受过教育 1.000 1.000
      未受过教育 1.061 0.933~1.207 1.029 0.904~1.172
    父亲受教育状况
      受过教育 1.000 1.000
      未受过教育 1.117a 1.038~1.202 1.083 b 1.005~1.166
    出生地
      城市 1.000 1.000
      农村 1.442a 1.240~1.678 1.411a 1.211~1.643
    儿童期家庭经济状况
      好 1.000
      差 1.551a 1.441~1.668
    儿童期健康状况
      好 1.000
      差 1.386a 1.282~1.497
        注：a P < 0.01; b P < 0.05; c P < 0.1。
    下载: 导出CSV
    • 参考文献(13)
  • [1] WHO. World Health Organization depression fact sheet[EB/OL]. (2017-9-30)[2021-1-03]. https://www.who.int/zh/news-room/fact-sheets/detail/depression.
    [2] 石智雷, 杨雨萱. 生命历程视角下早年受虐经历对中老年人心理健康的影响[J]. 人口与发展, 2019, 25(3): 94-105. https://www.cnki.com.cn/Article/CJFDTOTAL-SCRK201903010.htm

    Shi ZL, Yang YX. The influence of early childhood abuse experience on the mental health of middle - aged and aged people from the perspective of life process[J]. Popul Dev, 2019, 25(3): 94-105. https://www.cnki.com.cn/Article/CJFDTOTAL-SCRK201903010.htm
    [3] 石智雷, 吴志明. 早年不幸对健康不平等的长远影响: 生命历程与双重累积劣势[J]. 社会学研究, 2018, 33(3): 166-192, 245-246. DOI: 10.19934j.cnki.shxyj.2018.03.008.

    Shi ZL, Wu ZM. The long term consequences of early life misfortune on health Inequality[J]. Sociol Stud, 2018, 33(3): 166-192, 245-246. DOI: 10.19934j.cnki.shxyj.2018.03.008.
    [4] 罗雅楠, 李懋, 吴超超, 等. 儿童期到成年期社会经济状况变动与老年人抑郁症状的关系研究[J]. 中华疾病控制杂志, 2018, 22(1): 9-13. DOI: 10.16462/j.cnki.zhjbkz.2018.01.003.

    Luo YN, Li M, Wu CC, et al. Association between socioeconomic position mobility from childhood to adulthood and depressive symptom in older adults[J]. Chin J Dis Control Prev, 2018, 22(1): 9-13. DOI: 10.16462/j.cnki.zhjbkz.2018.01.003.
    [5] 王跃生. 中国当代家庭关系的变迁: 形式、内容及功能[J]. 人民论坛, 2013, (23): 6-10. DOI: 10.16619/j.cnki.rmlt.2013.23.018.

    Wang YS. Changes in contemporary Chinese family relations: form, content and function[J]. People's Tribune, 2013, (23): 6-10. DOI: 10.16619/j.cnki.rmlt.2013.23.018.
    [6] 张秀兰, 徐月宾. 建构中国的发展型家庭政策[J]. 中国社会科学, 2003, (6): 84-96. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSHK200306007.htm

    Zhang XL, Xu YB. Formulating a developmental family policy in China[J]. Soc Sci China, 2003, (6): 84-96. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSHK200306007.htm
    [7] Sadowski H, Ugarte B, Kolvin I, et al. Early life family disadvantages and major depression in adulthood[J]. Br J Psychiatry, 1999, 174(2): 112-120. DOI: 10.1192/bjp.174.2.112.
    [8] Andresen EM, Malmgren JA, Carter WB, et al. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale)[J]. Am J Prev Med, 1994, 10(2): 77-84. DOI: 10.1002/ajim.4700250315.
    [9] 唐丹. 城乡因素在老年人抑郁症状影响模型中的调节效应[J]. 人口研究, 2010, 34(3): 53-63. https://www.cnki.com.cn/Article/CJFDTOTAL-RKYZ201003006.htm

    Tang D. The mediating effect of urban and rural residence in the model of depression among Chinese elderly[J]. Popul Res, 2010, 34(3): 53-63. https://www.cnki.com.cn/Article/CJFDTOTAL-RKYZ201003006.htm
    [10] 曹裴娅, 罗会强, 侯利莎, 等. 中国45岁及以上中老年抑郁症状及影响因素研究[J]. 四川大学学报(医学版), 2016, 47(5): 763-767. DOI: 10.13464/j.scuxbyxb.2016.05.027.

    Cao PY, Luo HQ, Hou LS, et al. Depressive Symptoms in the Mid-and Old-aged People in China[J]. J Sichuan Univ (Med Sci Edi), 2016, 47(5): 763-767. DOI: 10.13464/j.scuxbyxb.2016.05.027.
    [11] Glaesmer H, Riedel-Heller S, Braehler E, et al. Age - and gender-specific prevalence and risk factors for depressive symptoms in the elderly: a population-based study[J]. Int Psychogeriatrics, 23(8): 1294-1300. DOI: 10.1017/S1041610211000780.
    [12] Troxel WM, Matthews KA. What are the costs of marital conflict and dissolution to children's physical health?[J]. Clin Child Fam Psychol Rev, 2004, 7(1): 29-57. DOI: 10.1023/b:ccfp.0000020191.73542.b0.
    [13] 孟育群, 李强. 建设少年儿童良好亲子关系的要素[J]. 教育科学, 2001, 17(3): 59-61. DOI: 10.3969/j.issn.1002-8064.2001.03.021.

    Meng YQ, Li Q. Elements of establishing a good relationship between parents and teenage children[J]. Educ Sci, 2001, 17(3): 59-61. DOI: 10.3969/j.issn.1002-8064.2001.03.021.
    • 相关文章
    • 施引文献
  • 资源附件(0)
  • 加载中
WeChat 点击查看大图
表(2)
计量
  • 文章访问数:  449
  • HTML全文浏览量:  341
  • PDF下载量:  40
  • 被引次数: 0
出版历程
  • 收稿日期:  2020-10-04
  • 修回日期:  2021-01-08
  • 刊出日期:  2021-06-10

目录

    /

    返回文章
    返回

    版权所有 © 《中华疾病控制杂志》编辑部 皖ICP备05003562号

    本系统由 北京仁和汇智信息技术有限公司 开发