通讯作者: 耿蕊, gengrui_2015@163.com

DOI：10.12201/bmr.202111.00022

Childhood Family Dysfunction and Depression in the Elderly: Impact Contribution, Cumulative Effect and Influence mechanism

• 摘要：目的：探讨童年家庭功能障碍与老年人抑郁倾向的关系及相对贡献,累积效应、作用机制。方法：依据中国健康与养老追踪调查2014、2018年数据,使用Shapley值分解方法,分析老年人抑郁倾向在生命早期阶段的重要影响因素,利用中介和调节效应分析,研究成年期社会经济地位、童年期家庭功能障碍与老年期抑郁倾向之间的关系。结果：童年女抚养人长期卧病、女抚养人身体残疾、女抚养人精神失常、被母亲打、被父亲打、父母经常吵架、父亲打母亲对老年人抑郁倾向均产生正向影响；童年女抚养人长期卧病对老年人抑郁倾向的相对贡献程度最大,其次是童年父亲打母亲,再次是童年女抚养人精神失常；童年家庭功能障碍对老年人抑郁倾向存在累积效应,童年家庭功能障碍的种类数越多,老年的抑郁倾向越严重；童年家庭功能障碍种类数可以通过社会经济地位影响老年人抑郁倾向的程度；随着受教育年限的增加,童年家庭功能障碍种类数对老年人抑郁情绪的影响将会弱化。结论：提高老年人心理健康水平的关键在于保障童年期家庭功能的正常发挥,对处于家庭功能障碍的儿童提供有效的帮扶措施。

  关键词： 童年家庭功能障碍; 抑郁倾向; 影响贡献、累积效应、作用机制

   

  Abstract: Objective : To explore the relationship between family dysfunction in childhood and depression tendency of the elderly and its relative contribution, cumulative effect and mechanism. Methods :Based on the data of China Health and Retirement Longitudinal Survey in 2014 and 2018, Shapley value decomposition method is used to analyze the important influencing factors of depression of the elderly in the early stage of life. Mediation and moderating effect analysis are used to study the relationship between adult socioeconomic status, childhood family dysfunction and depression of the elderly. Results: long-term bedridden, physical disability, mental disorder, being beaten by mother, being beaten by father, often quarreled by parents, and being beaten by father in childhood had positive effects on the depression of the elderly. The relative contribution of long-term lying sickness of child-bearing female caregivers to the depression tendency of the elderly is the largest (29.44%), followed by the beating of mother by father (23.39%), and the mental disorder of child-bearing female caregivers (10.94% ). There is a cumulative effect of childhood family dysfunction on the depression of the elderly. The more types of childhood family dysfunction are, the more serious the depression tendency of the elderly is. The number of types of family dysfunction in childhood can affect the degree of depression of the elderly through socioeconomic status. With the increase of years of education, the influence of the types’ number of childhood family dysfunction on elderly depression will be weakened. Conclusion:The key to improving the mental health level of the elderly is to ensure the normal functioning of the family in childhood and provide effective assistance to children with family dysfunction.

  Key words: Childhood family dysfunction ,Depression tendency ,Impact Contribution, Cumulative Effect , Influence Mechanism; ; 

  提交时间：2022-02-28

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• 序号	提交日期	编号	操作
  1	2021-11-12	bmr.202111.00022V1	下载

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