Adults' and older adults' mental health during COVID-19 in Hong Kong: An ecological analysis of family resilience.

IF 1.2 4区医学 Q3 FAMILY STUDIES

Families Systems & Health Pub Date : 2024-06-01 Epub Date: 2023-08-17 DOI:10.1037/fsh0000843

Xiaoyu Zhuang, Daniel Fu Keung Wong

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引用次数: 0

Abstract

Introduction: Based on an ecological model of resilience, this study aimed to identify common and differential ecological risk and protective factors influencing the psychological health of general adult population (aged 18-60) and older adults (older than 60) in Hong Kong during the COVID-19 pandemic.

Method: A population-based random telephone survey was conducted in 2020, and 877 respondents in Hong Kong (308 older adults, i.e., older than 60; 569 adults, i.e., aged 18-60) were interviewed. Multiple group structural equation modeling was used to examine the proposed model.

Results: Chinese older adults in Hong Kong reported significantly lower levels of psychological distress than adults, and no difference in levels of family functioning was evident between the two groups. Community resources and family functioning served as important protectors for both groups. Parent-child conflicts were a significant mediator between COVID-19 stressors and psychological distress for adults only, while a decreasing level of outdoor family leisure served as a significant mediator for older adults only.

Discussion: The findings highlighted the importance of providing family- and community-based mental health services for Chinese people facing a public health crisis such as COVID-19 in Hong Kong. Mental health services designed for adult and older adult family members should emphasize different components. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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香港 COVID-19 期间成年人和老年人的心理健康：对家庭复原力的生态分析。

引言本研究以抗逆力的生态模式为基础，旨在找出在COVID-19大流行期间影响香港普通成年人（18-60岁）和老年人（60岁以上）心理健康的共同和不同的生态风险和保护因素：在 2020 年进行了一项以人口为基础的随机电话调查，在香港访问了 877 名受访者（308 名老年人，即 60 岁以上；569 名成年人，即 18-60 岁）。研究采用多组结构方程模型对所提出的模型进行检验：结果：香港的华裔老年人报告的心理困扰水平明显低于成年人，两组老年人的家庭功能水平没有明显差异。社区资源和家庭功能对两个群体都起到了重要的保护作用。亲子冲突是 COVID-19 压力源与心理困扰之间的重要中介因素，仅对成年人有效，而户外家庭休闲水平下降则是老年人的重要中介因素：讨论：研究结果强调了为面临 COVID-19 等公共卫生危机的香港华人提供以家庭和社区为基础的心理健康服务的重要性。为成年人和老年人家庭成员设计的心理健康服务应强调不同的内容。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

1.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.