&amp;#xFEFF;Family Functioning, Social Support and Depression in a Chinese Population&amp;#xFEFF;

Wang, Jikun; Zhao, Xudong; Liu, Liang; Ma, Xiquan

doi:10.1159/000336218

Cited by 6 publications

(2 citation statements)

References 22 publications

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“…The contribution of family relationships to the development of DS has been studied both in individualistic and collectivist societies (Queen, Stewart, Ehrenreich-May, & Pincus, 2013; Wang, Zhao, Liu, & Ma, 2012). The mental health status of Chinese individuals has been shown to be particularly vulnerable to stress caused by problems in family relationships (Lai, 1995).…”

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confidence: 99%

Structure and validity of Family Harmony Scale: An instrument for measuring harmony.

Kavikondala

Stewart

et al. 2016

Psychological Assessment

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Culture plays a role in mental health, partly by defining the characteristics that are indicative of positive adjustment. In Chinese cultures, positive family relationships are considered central to well-being. The culturally emphasized characteristic of family harmony may be an important factor associated with psychopathology. This article presents the development and psychometric examination of the Family Harmony Scale (FHS), an indigenously developed 24-item instrument tapping family harmony in 17,461 Hong Kong residents from 7,791 households. A higher-order model with 1 second-order factor and 5 first-order factors fit the data well and showed factorial invariance across sex and participants in different family roles. A 5-item short form (FHS-5) was also developed, with 1 item from each first-order factor. The short scale showed, as expected, a single-factor structure with good fit. Both scales demonstrated high internal consistency, acceptable test-retest reliability, and good convergent and discriminant validity. The 24-item FHS was negatively associated with depressive symptoms after accounting for individual risk factors and general family function. Family harmony moderated the relationship between life stress and depressive symptoms such that those individuals who reported low family harmony had stronger associations between life stress and depressive symptoms. This study adds to the literature a systematically developed, multidimensional measure of family harmony, which may be an important psychological protective factor, in a large urban Chinese sample. The FHS-5 minimizes operational and respondent burdens, making it an attractive tool for large-scale epidemiological studies with Chinese populations in urban settings, where over half of China's 1.4 billion people reside.

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Structure and validity of Family Harmony Scale: An instrument for measuring harmony.

Kavikondala

Stewart

et al. 2016

Psychological Assessment

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“…In terms of parent-child relationships, a cross-sectional study of middle-aged children and their fathers in the US, which used the data from the Family Exchanges Study (FES), found that lower satisfaction regarding their relationships with their children was associated with a higher risk of depressive symptoms (32). These associations between life, marital status, and parent-child relationship satisfaction might be explained by their associations with emotional support, family function, social capital, and primary care support (33)(34)(35)(36)(37)(38).…”

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confidence: 99%

The higher levels of self-reported satisfaction, the lower risk of depressive symptoms: Evidence from a nationwide cross-sectional study in China

Niu

Zhao²,

Wen³

et al. 2022

Front. Med.

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ObjectivesThis study aimed to investigate the associations between several dimensions of self-reported satisfaction and the risk of depressive symptoms among Chinese middle-aged and older adults.MethodsThe China Health and Retirement Longitudinal Study (CHARLS) conducted a nationwide cross-sectional study of middle-aged and older adults. Depressive status was evaluated using the 10-item center for epidemiological studies depression scale (CESD-10), and self-reported life, health, marital status, parent-child relationship, and air quality satisfaction were adopted using Likert 5-point evaluation methods. A generalized linear model (GLM) was applied to explore the association between satisfaction and depression risk.ResultsA total of 13,978 Chinese people aged over 45 years old were included in this study, and 35.7% of the participants had depressive symptoms. The GLM analysis indicated that all dimensions of satisfaction were negatively associated with the risk of depressive symptoms. For each 1-point increase in life, health, marital status, parent-child relationship, and air quality satisfaction, the incidence of depressive symptoms decreased by 60.8% (odds ratio (OR) = 0.392; 95% confidence interval (CI): 0.370, 0.414), 56.3% (OR = 0.437; 95% CI: 0.418, 0.458), 41.8% (OR = 0.582; 95% CI: 0.555, 0.610), 37.2% (OR = 0.628; 95% CI: 0.596, 0.662), and 25.6% (OR = 0.744; 95% CI: 0.711, 0.778), respectively.ConclusionHigher satisfaction levels with life, health, marital status, parent-child relationship, and air quality are associated with a lower risk of depressive symptoms among middle-aged and older adults. Given the aging society and the increasing mental health problems of middle-aged and older adults in China, our study provides a comprehensive perspective for depression prevention and mental health improvement.

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Family Functioning and Social Support in Men and Women Diagnosed with Depression in China

2013

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Family Functioning, Social Support and Depression in a Chinese Population

Cited by 6 publications

References 22 publications

Structure and validity of Family Harmony Scale: An instrument for measuring harmony.

Structure and validity of Family Harmony Scale: An instrument for measuring harmony.

The higher levels of self-reported satisfaction, the lower risk of depressive symptoms: Evidence from a nationwide cross-sectional study in China

Family Functioning and Social Support in Men and Women Diagnosed with Depression in China

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