Resilience-based multifactorial model of depressionamong people who lost an only-child in China
Journal article
Wang, Anni, Zhang, Wen, Guo, Yufang, Cross, Wendy, Plummer, Virginia, Lam, Louisa and Zhang, Jingping. (2021). Resilience-based multifactorial model of depressionamong people who lost an only-child in China. Journal of Central South University. 46(1), pp. 75-83. https://doi.org/10.11817/j.issn.1672-7347.2021.190301
| Authors | Wang, Anni, Zhang, Wen, Guo, Yufang, Cross, Wendy, Plummer, Virginia, Lam, Louisa and Zhang, Jingping |
|---|---|
| Abstract | Objective: There are almost one million families who lost their only child in China, and 65.6% of them had severe and long lasting depression and needed timely psychointervention. This study aims to explore the relationship among resilience and its influential factors, and to compare their effect on depression. Methods: A total of 212 only-child loss person in 9 administrative regions in Changsha were assessed by using Connor-Davidson Resilience Scale, Zung Self-rating Depression Scale, Simplified Coping Style Questionnaire, Simplified Eysenck Personality Questionnaire, Social Support Rating Scale, and General Self-efficacy Scale. A hypothetical model was tested based on Kumpfer resilience framework and stress-coping theory. Results: The influential factors of resilience were: positive coping (the total effect value was 0.480), support utilization (the total effect value was 0.359), neuroticism (the total effect value was -0.326), negative coping (the total effect value was 0.279), extraversion (the total effect value was 0.219), and objective support (the total effect value was 0.077). The process of individual-environment interaction showed a greater impact on resilience, which had a direct effect on depression (the total effect value was −0.344, 67.1%), and also indirect effect through self-efficacy (the total effect value was −0.169). The total effect of resilience accounted for 20.1% of the total effect of all variables. Conclusion: Resilience mainly impacts depression directly, and can negatively predict depression in only-child loss parents. Resilience, located before self-efficacy, is a significant stress mediating variables. Personality traits and support utilization indirectly impact resilience via negative and positive coping. The key to promote the reorganization of resilience is the process of individual-environmental interaction, involving support utilization, positive coping, and some sorts of negative coping strategies, which plays an important role in developing a resilience intervention program and can improve the depression of the only-child loss person. |
| Keywords | resilience; only-child loss person; depression; structural equation model; stress |
| Year | 2021 |
| Journal | Journal of Central South University |
| Journal citation | 46 (1), pp. 75-83 |
| Publisher | Zhongnan Daxue |
| ISSN | 1672-7347 |
| Digital Object Identifier (DOI) | https://doi.org/10.11817/j.issn.1672-7347.2021.190301 |
| PubMed ID | 33678640 |
| Scopus EID | 2-s2.0-85102712934 |
| PubMed Central ID | PMC10878285 |
| Open access | Open access |
| Page range | 75-83 |
| Funder | National Social Science Foundation, China |
| Hunan Provincial Social Science Foundation | |
| Fudan University Outstanding Discipline Development Project | |
| Publisher's version | License All rights reserved File Access Level Controlled |
| Output status | Published |
| Publication dates | |
| Online | 28 Jan 2021 |
| Publication process dates | |
| Deposited | 14 Apr 2025 |
| Grant ID | 14BSH137 |
| JYX248 | |
| FNSYL202008 | |
| Additional information | Bronze open access. |
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