隔代照料与中老年人心理健康：家庭亲密度的中介作用

摘要/Abstract

摘要： 研究旨在考察隔代照料与中老年人心理健康的关系以及家庭亲密度的中介作用。采用流行病调查中心抑郁量表（CES-D）、生活满意度量表（SWLS）和家庭环境量表（FES-CV）亲密度分量表测量中老年人抑郁症状、生活满意度和家庭亲密度。自编隔代照料问卷测量中老年人的隔代照料频率。共计325位45岁及以上有照顾孙辈经验的社区中老年人参加了问卷调查。结果发现：第一，隔代照料强度与中老年人的抑郁症状、生活满意度存在显著负相关；第二，家庭亲密度部分中介了隔代照料与抑郁症状、生活满意度的负向关系。结果表明，隔代照料对中老年人心理健康既有积极作用，也有消极作用，家庭亲密度在一定程度上部分中介了上述关系。

关键词: 隔代照料, 心理健康, 抑郁症状, 生活满意度, 家庭亲密度

Abstract: This study examined the association between the grandparenting and mental health, and the mediating role of family cohesion. The Center for Epidemiological Studies-Depression Scale (CES-D), Satisfaction with Life Scale (SWLS), and Family Cohesion subscale of Family Environment Scale (FES) were used to assess depressive symptoms, life satisfaction and family cohesion, respectively. A self-developed questionnaire with a single item measured frequency of grandparents’ caring for grandchildren. Data were collected through a community survey. A total of 325 community-dwelling grandparents (aged ≥ 45) years were investigated. The results showed that caregiving frequency was negatively associated with both depressive symptoms and life satisfaction, which indicated that the grandparenting had both positive and negative effects on grandparents’ mental health. Moreover, family cohesion partially mediated the relationship between caregiving frequency and depressive symptoms, and the relationship between caregiving frequency and life satisfaction. In conclusion, the grandparenting had both positive and negative roles in mental health of middle aged and elderly people as grandparents, and family cohesion partially mediated the above relationship.

Key words: the grandparenting, mental health, depressive symptoms, life satisfaction, family cohesion

中图分类号:

B844

申琳琳, 张镇. 隔代照料与中老年人心理健康：家庭亲密度的中介作用[J]. 心理与行为研究, 2020, 18(2): 234-240.

SHEN Linlin, ZHANG Zhen. The Grandparenting and Mental Health of Middle Aged and Elderly People: The Mediating Effect of Family Cohesion[J]. Studies of Psychology and Behavior, 2020, 18(2): 234-240.

参考文献

敖玲敏, 吕厚超, 黄希庭. (2011). 社会情绪选择理论概述. 心理科学进展, 19(2), 217-223
陈红艳. (2017). 家庭环境与老年人主观幸福感的关系. 中国老年学杂志, 37(11), 2803-2805, doi: 10.3969/j.issn.1005-9202.2017.11.093
陈红艳. (2018). 家庭环境、心理资本与老年人抑郁相关性. 中国老年学杂志, 38(22), 5560-5562, doi: 10.3969/j.issn.1005-9202.2018.22.071
程昭雯, 叶徐婧子, 陈功. (2017). 中老年人隔代照顾、居住安排与抑郁状况关联研究. 人口与发展, 23(2), 70-79, doi: 10.3969/j.issn.1674-1668.2017.02.008
傅宏, 陈庆荣. (2015). 积极老龄化: 全球视野下的老年心理健康研究和实践探索. 心理与行为研究, 13(5), 713-720, doi: 10.3969/j.issn.1672-0628.2015.05.020
黄国桂, 杜鹏, 陈功. (2016). 隔代照料对于中国老年人健康的影响探析. 人口与发展, 22(6), 93-100, 109, doi: 10.3969/j.issn.1674-1668.2016.06.010
刘冰冰, 申靓亮, 王燕. (2017). 老年抑郁与家庭功能关系的研究进展. 护理研究, 31(18), 2184-2187, doi: 10.3969/j.issn.1009-6493.2017.18.003
骆为祥. (2016). 中国老年人的福祉: 贫困、健康及生活满意度. 北京: 社会科学文献出版社.
宋璐, 李树茁, 李亮. (2008). 提供孙子女照料对农村老年人心理健康的影响研究. 人口与发展, 14(3), 10-18, doi: 10.3969/j.issn.1674-1668.2008.03.002
宋璐, 李亮, 李树茁. (2013). 照料孙子女对农村老年人认知功能的影响. 社会学研究, (6), 215-237
孙鹃娟, 张航空. (2013). 中国老年人照顾孙子女的状况及影响因素分析. 人口与经济, (4), 70-77, doi: 10.3969/j.issn.1000-4149.2013.04.009
于晓琳, 陈有国, 曲孝原, 黄希庭. (2016). 影响老年人主观幸福感的相关因素. 中国心理卫生杂志, 30(6), 427-434, doi: 10.3969/j.issn.1000-6729.2016.06.006
詹奕, 李海峰, 陈天勇, 韩布新. (2015). 老年人的家庭和非家庭社会关系与生活满意度的关系. 中国心理卫生杂志, 29(8), 593-598, doi: 10.3969/j.issn.1000-6729.2015.08.007
张宝莹, 韩布新. (2016). 隔代教养老年人心理健康状况及影响因素研究. 中国全科医学, 19(7), 835-841, doi: 10.3969/j.issn.1007-9572.2016.07.021
张洁. (2018). 隔代教养祖辈的身体健康感知与死亡焦虑的关系: 生命意义的中介效应(硕士学位论文). 四川师范大学, 成都.
章婕, 吴振云, 方格, 李娟, 韩布新, 陈祉妍. (2010). 流调中心抑郁量表全国城市常模的建立. 中国心理卫生杂志, 24(2), 139-143, doi: 10.3969/j.issn.1000-6729.2010.02.015
张璐, 张永爱, 张海苗. (2018). 陕西省农村留守妇女家庭亲密度与适应性和抑郁、社会支持的相关性. 中国健康心理学杂志, 26(9), 1374-1378
Arpino, B., & Bordone, V. (2014). Does grandparenting pay off? The effect of child care on grandparents’ cognitive functioning. Journal of Marriage and Family, 76(2), 337-351, doi: 10.1111/jomf.12096.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182, doi: 10.1037/0022-3514.51.6.1173.
Buber, I., & Engelhardt, H. (2008). Children’s impact on the mental health of their older mothers and fathers: Findings from the survey of health, ageing and retirement in Europe. European Journal of Ageing, 5(1), 31-45, doi: 10.1007/s10433-008-0074-8.
Burn, K., & Szoeke, C. (2015). Grandparenting predicts late-life cognition: Results from the women’s healthy ageing project. Maturitas, 81(2), 317-322, doi: 10.1016/j.maturitas.2015.03.013.
Carr, D. C., & Gunderson, J. A. (2016). The third age of life: Leveraging the mutual benefits of intergenerational engagement. Public Policy & Aging Report, 26(3), 83-87.
Christiansen, G. S. (2014). The association between grandparenthood and mortality. Social Science & Medicine, 118, 89-96.
Diener, E., Emmons, R. A., Larsen R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71-75, doi: 10.1207/s15327752jpa4901_13.
Erbert, L. A., & Alemán, M. W. (2008). Taking the grand out of grandparent: Dialectical tensions in grandparent perceptions of surrogate parenting. Journal of Social and Personal Relationships, 25(4), 671-695, doi: 10.1177/0265407508093785.
Heylen, L., Mortelmans, D., Hermans, M., & Boudiny, K. (2012). The intermediate effect of geographic proximity on intergenerational support: A comparison of France and Bulgaria. Demographic Research, 27(17), 455-486.
Lang, F. R., & Carstensen, L. L. (2002). Time counts: Future time perspective, goals, and social relationships. Psychology and Aging, 17(1), 125-139, doi: 10.1037/0882-7974.17.1.125.
Liu, H. Y., & Huang, L. H. (2018). The relationship between family functioning and caregiving appraisal of dementia family caregivers: Caregiving self-efficacy as a mediator. Aging & Mental Health, 22(4), 558-567.
Mahne, K., & Huxhold, O. (2015). Grandparenthood and subjective well-being: Moderating effects of educational level. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 70(5), 782-792, doi: 10.1093/geronb/gbu147.
Mather, M., & Carstensen, L. L. (2005). Aging and motivated cognition: The positivity effect in attention and memory. Trends in Cognitive Sciences, 9(10), 496-502, doi: 10.1016/j.tics.2005.08.005.
Merz, E. M., & Huxhold, O. (2010). Wellbeing depends on social relationship characteristics: Comparing different types and providers of support to older adults. Ageing and Society, 30(5), 843-857, doi: 10.1017/S0144686X10000061.
Moore, S. M., & Rosenthal, D. A. (2015). Personal growth, grandmother engagement and satisfaction among non-custodial grandmothers. Aging & Mental Health, 19(2), 136-143.
Peng, C. H., Kwok, C. L., Law, Y. W., Yip, P. S. F., & Cheng, Q. J. (2019). Intergenerational support, satisfaction with parent-child relationship and elderly parents’ life satisfaction in Hong Kong. Aging & Mental Health, 23(4), 428-438.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879-891, doi: 10.3758/BRM.40.3.879.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401, doi: 10.1177/014662167700100306.
van Tilburg, T. (1998). Losing and gaining in old age: Changes in personal network size and social support in a four-year longitudinal study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53(6), S313-S323.
Xu, H. W. (2019). Physical and mental health of Chinese grandparents caring for grandchildren and great-grandparents. Social Science & Medicine, 229, 106-116.

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