The relationship between hope and post-traumatic stress disorder in Chinese shidu parents: The mediating role of perceived stress

Wang, Qiong; Xu, Weihua; Ren, Longfei; Wang, Wenhao; Wang, Yang

doi:10.1016/j.jad.2019.03.049

Cited by 37 publications

(31 citation statements)

References 49 publications

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“…On the other hand, a child plays an important economic and social support role for parents (Wei et al, 2016 ). Losing the only child means that Shidu parents have lost their care provider during the ageing process, which increases the financial burden of these parents (Wang et al, 2019 ; Xiao & Yang, 2014 ). This increased economic pressure further leads to depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

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A profile analysis of post-traumatic stress disorder and depressive symptoms among Chinese Shidu parents

Eli

Zhou

Liang

et al. 2020

European Journal of Psychotraumatology

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Background: Due to the one-child policy implemented in China, most families have only one child. When parents experience the death of their only child, these parents receive the label 'Shidu parents'. Shidu is a major public health issue in China. However, the patterns of post-traumatic stress disorder (PTSD) and depressive symptoms that are present in this population remain unclear. Objective: This study aims to identify profiles of PTSD and depressive symptoms among Shidu parents and to explore the predictors of profile membership. Methods: A total of 363 participants (M age = 61.5 years, SD = 7.5) were asked to complete questionnaires assessing PTSD, depressive symptoms, perceived social support, and demographic information. Latent profile analyses and multivariate logistic regressions were used. Results: Three distinct profiles were identified: low (39.4%), moderate (32.8%), and high symptoms (27.8%). Parents who were younger and perceived lower levels of support from family and significant others were more likely to experience higher levels of PTSD and depressive symptoms. Conclusions: These results indicate that the severity of PTSD and depressive symptoms tightly cohere, providing evidence for the co-occurrence of PTSD and depressive symptoms after bereavement. The findings provide valuable information for the development of tailored professional interventions for bereaved parents. Un análisis de perfil del trastorno de estrés postraumático y de los sίntomas de depresiόn entre los padres shidu chinos Antecedentes: Debido a la política de un hijo implementada en China, la mayoría de las familias tienen sólo un hijo. Cuando los padres experimentan la muerte de su único hijo, estos padres reciben la etiqueta de 'padres shidu'. Shidu es un gran problema de salud pública en China. Sin embargo, los patrones del trastorno de estrés postraumático (TEPT) y de los síntomas de depresión que se presentan en esta población no están claros. Objetivo: Este estudio busca identificar los perfiles del TEPT y de los síntomas depresivos entre los padres shidu y explorar los predictores de la pertenencia al perfil. Método: Se le solicitó a un total de 363 participantes (M edad = 61.5 años, DE = 7.5) que completaran cuestionarios para evaluar TEPT, síntomas depresivos, apoyo social, e información demográfica. Se usaron análisis de perfil latente y regresiones logísticas multivariadas. Resultados: Tres perfiles distintivos fueron identificados: síntomas bajos (39.4%), moderados (32.8%), y altos (27.8%). Los padres que eran más jóvenes y que reportaron niveles más bajos de apoyo desde la familia y otros tenían más probabilidades de experimentar altos niveles de TEPT y síntomas depresivos. Conclusiones: Estos resultados indican que la severidad del TEPT y los síntomas depresivos coinciden estrechamente, proporcionando evidencia para la co-occurrencia del TEPT y los síntomas depresivos luego de la pérdida. Los hallazgos proveen información valiosa para el desarrollo de intervenciones profesionales a la medida para los padres en due...

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Section: Discussionmentioning

confidence: 99%

“…Moreover, not every Shidu parent has PTSD or depressive symptoms; in fact, quite a few people have mild or no symptoms (Wang, Xu, Ren, Wang, & Wang, 2019 ; Zhou et al, 2018 ). These findings indicate that there are individual differences in parents’ responses (e.g.…”

Section: Introductionmentioning

confidence: 99%

A profile analysis of post-traumatic stress disorder and depressive symptoms among Chinese Shidu parents

Eli

Zhou

Liang

et al. 2020

European Journal of Psychotraumatology

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“…Firstly, before the survey, a 2-day training session was conducted to all interviewers and community family planning commissioners. Secondly, inclusion criteria of enrolled parents included: (1) were living in the community for over a half year; (2) lost their only child and have not given birth or adopted another child; (3) were able to communicate clearly [40]. Parents who suffered from mental dementia, retardation or several mental disorders were excluded [40].…”

Section: Methodsmentioning

confidence: 99%

The relationship between post-traumatic stress disorder and suicidal ideation among shidu parents: the role of stigma and social support

Wang¹,

Ren²,

Wang³

et al. 2019

BMC Psychiatry

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BackgroundLosing an only child is a particularly traumatic and heartbreaking event for parents, which can trigger a lot of emotional responses, including PTSD and suicidal ideation (SI). The objectives of this study were mainly to identify predictors of SI and examine the interactions of PTSD with stigma and social support on SI among shidu parents.MethodsA total of 507 shidu parents from Shenyang, China were included in this cross-sectional study. Bivariate logistic regression analyses were conducted to explore risk or protective factors associated with SI. Interactions of PTSD with stigma and social support on SI were also examined by bivariate logistic regression analyses.ResultsThe prevalence of SI among shidu parents was 11.24%. PTSD (OR = 2.23, p < 0.05) and stigma (OR = 4.66, p < 0.01) were positively associated with SI. Social support was negatively associated with SI (OR = 0.90, p < 0.01). For individuals with PTSD, the presence of stigma was more likely to lead to SI. For individuals with PTSD, an increased level of social support was less likely to lead to SI.ConclusionsSI is a serious issue among shidu parents. Stigma aggravated the effect of PTSD on SI, while social support buffered the effect of PTSD on SI among shidu parents.

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“…Stressor appraisals result in a series of emotional distress reactions when individuals assess that they have no control or inadequate resources to deal with the challenge ( Lazarus & Folkman, 1984 ). Numerous research evidence has linked high perceived stress not only to emotional disturbances such as anxiety ( Besharart, Khadem, Zarei, & Momtaz, 2020 ; Shi, Huang, Jia, & Yang, 2020 ), depression ( Spada, Nikčević, Moneta, & Wells, 2008 ), and post-traumatic stress disorder ( Wang, Xu, Ren, Wang, & Wang, 2019 ) but also to adverse physical health including a higher risk of cardiovascular disease and stroke ( Booth et al, 2015 ; Wright, Hanlon, Lozano, & Teitelman, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

The relationship between perceived stress and emotional distress during the COVID-19 outbreak: Effects of boredom proneness and coping style

Yan

Gan

et al. 2021

Journal of Anxiety Disorders

194

172

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Highlights This cross-sectional study was conducted during the initial outbreak of the COVID-19 epidemic. Higher level of perceived stress due to the COVID-19 epidemic was related with more emotional distress. Stress related increase in emotional distress is mediated by boredom proneness. Positive coping strategies act as a buffer in alleviating emotional distress under stress.

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The relationship between hope and post-traumatic stress disorder in Chinese shidu parents: The mediating role of perceived stress

Cited by 37 publications

References 49 publications

A profile analysis of post-traumatic stress disorder and depressive symptoms among Chinese Shidu parents

A profile analysis of post-traumatic stress disorder and depressive symptoms among Chinese Shidu parents

The relationship between post-traumatic stress disorder and suicidal ideation among shidu parents: the role of stigma and social support

The relationship between perceived stress and emotional distress during the COVID-19 outbreak: Effects of boredom proneness and coping style

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