中国全科医学2018，Vol.21Issue(16)：1944-1948,5.DOI:10.3969/j.issn.1007-9572.2018.16.008
失独家庭父母的心理健康状况及影响因素研究
Status and Influencing Factors of Mental Health among Chinese People Bereaved of Their Only Child
摘要
Abstract
Objective To explore the mental health status and influencing factors among Chinese people bereaved of their only child,and based on this,to put forward targeted interventions.Methods From July to August 2017,we implemented a survey among a multi-stage sample of 235 Chinese people(≥45 years old) who were bereaved of their only child from a city under provincial jurisdiction in eastern China with a self-developed questionnaire covering questions about sociodemographic characteristics,social support〔assessed by Social Support Rating Scale(SSRS)〕,and depression status〔assessed by Geriatric Depression Scale (GDS)〕.Stepwise multiple linear regression analysis was performed for investigating the associated factors for self-reported depression.Results Totaled 228 cases returned responsive questionnaires,with a response rate of 97.0%.According to the self-administered GDS score,149(65.3%) were found with no depression,but 59(25.9%) with mild depression,and 20(8.8%) with moderate-to-severe depression.Higher GDS score were found in those with junior high school or lower educational level instead of those with high school/secondary specialized school educational level,in those singles rather than married,in those without third-generation family members instead of those with,in those with poor self-reported physical health rather than those with good and fair self-reported physical health as well as in the sick but not in the healthy ones (P<0.05).Stepwise multiple linear regression analysis showed that third-generation family members,self-reported physical heath and SSRS score were associated with the GDS score(P<0.05).Conclusion The prevalence of depression is high in the bereaved Chinese people.Moreover,no third-generation family members,poor physical status,and low level of social support are associated with higher prevalence of depression.In view of this,it is suggested to improve the health of the bereaved by intensively enriching the community-based integrated contractual medical and nursing services,to help them to rebuild the status of parenthood by offering assistance in having another child or adopting a child,or to regularly give consolation services by social workers,and to increase the level of social support of them through a variety of channels.In addition,attention should also be focused on those with low educational level or singles.关键词
失独家庭/抑郁/医养结合/影响因素分析Key words
Families bereaved of their only child/Depression/Integrated medical and nursing care/Root cause analysis分类
医药卫生引用本文复制引用
樊宏,郑丽杰,冷志伟,李殿江,毛盈颖,朱晨曦,王向国,郑文,孙笛枫..失独家庭父母的心理健康状况及影响因素研究[J].中国全科医学,2018,21(16):1944-1948,5.基金项目
教育部人文社会科学研究青年项目(15YJC840024) （15YJC840024）
浙江省自然科学基金资助项目(LQ15G030006) （LQ15G030006）
江苏高校哲学社会科学研究基金项目(2017SJB0267) （2017SJB0267）
中国博士后基金面上项目(2016M600400) （2016M600400）
浙江省社会科学界联合会2015年研究课题(2015N146) （2015N146）
