Abstract
Little research has considered all children while investigating adult children’s role in their older parents’ health and well-being. In this study, we examine the effect of filial piety across all children on parental depressive symptoms. A sample of 432 older parents with 1,223 adult children in a rural county in northern China rated the filial piety level for each child individually. Ratings were then combined across multiple children and organized into an ordinal variable of filial piety including three levels: all children being filial, some of the children being filial, and none of the children being filial. Ordinary least squares linear regression analyses were performed. The results reveal a significant and negative relationship between adult children’s filial piety levels and older parents’ depressive symptoms after controlling for age, gender, marital status, financial strain, chronic conditions, and social support from family and friends, respectively. That is, one level lower in the adult children’s filial piety corresponds to increase in level of older parents’ depressive symptoms. Filial piety seems to benefit older Chinese parents’ mental health net of social support from family and friends in this sample. Including information from all children in the analyses is informative for better understanding the psychological significance of filial piety for healthy aging in China.
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References
Chen, Y., Hicks, A., & While, A. E. (2012). Quality of life of older people in China: A systematic review. Reviews in Clinical Gerontology, 22(1), 52–67. https://doi.org/10.1017/S0959259811000219
Cheng, S. T. (2017). Self-perception of aging and satisfaction with children’s support. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 72(5), 782–791. https://doi.org/10.1093/geronb/gbv113
Cheng, S. T., & Chan, A. C. M. (2006). Filial piety and psychological well-being in well older Chinese. Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 61B(5), P262–P269.
Fingerman, K. L., Cheng, Y. P., Birditt, K., & Zarit, S. (2012). Only as happy as the least happy child: Multiple adult children’s problems and successes and middle-aged parents’ well-being. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 67B(2), 184–193. https://doi.org/10.1093/geronb/gbr086
Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual Review of Clinical Psychology, 5, 363–389. https://doi.org/10.1146/annurev.clinpsy.032408.153621
Hammen, C. (2004). Stress and depression. Annual Review of Clinical Psychology, 1, 293–319. https://doi.org/10.1146/annurev.clinpsy.1.102803.143938
Hwang, K. K. (2006). Moral face and social face: Contingent self-esteem in Confucian society. International Journal of Psychology, 41(4), 276–281.
Ho, D. Y. (1976). On the concept of face. American Journal of Sociology, 81(4), 867–884
Ho, D. Y. F., Xie, W., Liang, X., & Zeng, L. (2012). Filial piety and traditional Chinese values: A study of high and mass cultures. PsyCh Journal, 1, 40–55. https://doi.org/10.1002/pchj.6
Ikels, C. (Ed.). (2004). Filial piety: Practice and discourse in contemporary East Asia, Stanford. Stanford University Press.
Krause, N., & Liang, J. (1993). Stress, social support, and psychological distress among the Chinese elderly. Journal of Gerontology, 48(6), P282–P291
Li, N., Pang, L., Chen, G., Song, X., Zhang, J., & Zheng, X. (2011). Risk factors for depression in older adults in Beijing. Canadian Journal of Psychiatry, 56(8), 466–473. https://doi.org/10.1177/070674371105600804
Li, L. W., Liu, J., Xu, H., & Zhang, Z. (2016). Understanding rural–urban differences in depressive symptoms among older adults in China. Journal of Aging and Health, 28(2), 341–362. https://doi.org/10.1177/0898264315591003
Liu, M., Yang, Y., & Sun, Y. (2018). Exploring health information sharing behavior among Chinese older adults: A social support perspective. Health Communication. https://doi.org/10.1080/10410236.2018.1536950
Luo, B., & Zhan, H. (2012). Filial piety and functional support: Understanding intergenerational solidarity among families with migrated children in rural China. Ageing International, 37(1), 69–92. https://doi.org/10.1007/s12126-011-9132-1
Mao, W., & Chi, I. (2011). Filial piety of children as perceived by aging parents in China. International Journal of Social Welfare, 20(SUPPL. 1), S99–S108. https://doi.org/10.1111/j.1468-2397.2011.00826.x
Marquez, D. X., McAuley, E., Motl, R. W., Elavsky, S., Konopack, J. F., Jerome, G. J., & Kramer, A. F. (2006). Validation of geriatric depression scale–5 scores among sedentary older adults. Educational and Psychological Measurement, 66(4), 667–675. https://doi.org/10.1177/0013164405282464
Mazure, C. M. (1998). Life stressors as risk factors in depression. Clinical Psychology: Science and Practice, 5(3), 291–313. https://doi.org/10.1111/j.1468-2850.1998.tb00151.x
National Bureau of Statistics of China. (2012). Tabulation on the 2010 population census of the People’s Republic of China (Book I, Book II, Book III). China Statistics Press.
Nguyen, H. V., Inderjeeth, C. A., Tang, E., Barnabas, L., & Merriam, M. (2006). Screening for depression in hospitalised and community-dwelling elderly: The use of the 4-item, 5-item and 15-item geriatric depression scales. Australasian Journal on Ageing, 25(4), 204–208. https://doi.org/10.1111/j.1741-6612.2006.00185.x
Pearlin, L. I., Aneshensel, C. S., & Leblanc, A. J. (1997). The forms and mechanisms of stress proliferation: The case of AIDS caregivers. Journal of Health and Social Behavior, 38(3), 223–236. https://doi.org/10.2307/2955368
Stanley, M. A., Beck, J. G., & Zebb, B. J. (1998). Psychometric properties of the MSPSS in older adults. Aging & Mental Health, 2, 186–193
Su, S. Y., & Hwang, K. K. (2003). Face and relation indifferent domains of life: A comparison between senior citizens and university students. Chinese Journal of Psychology, 45, 295–311
Tengku Mohd, T. A. M., Yunus, R. M., Hairi, F., Hairi, N. N., & Choo, W. Y. (2019). Social support and depression among community dwelling older adults in Asia: A systematic review. British Medical Journal Open, 2019(9), e026667. https://doi.org/10.1136/bmjopen-2018-026667
The State Council Leading Group Office of Poverty Alleviation. (2014). List of ‘below poverty level’ counties. Retrieved from http://www.cpad.gov.cn/publicfiles/business/htmlfiles/FPB/fpqy/201203/175445.html
United Nations. (2015). World population prospects, the 2015 revision. Retrieved from https://esa.un.org/unpd/wpp/DataQuery/
Wang, D., Laidlaw, K., Power, M. J., & Shen, J. (2010). Older people’s belief of filial piety in China: Expectation and non-expectation. Clinical Gerontologist: The Journal of Aging and Mental Health, 33(1), 21–38
Wang, J., & Zhao, X. (2012). Family functioning and social support for older patients with depression in an urban area of Shanghai. China. Archives of Gerontology and Geriatrics, 55(3), 574–579
Ward, R. A. (2008). Multiple parent-adult child relations and well-being in middle and later life. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63B, s239–s247. https://doi.org/10.1093/geronb/63.4.S239
Wu, M. H., Chang, S. M., & Chou, F. H. (2018). Systematic literature review and meta-analysis of filial piety and depression in older people. Journal of Transcultural Nursing, 29(4), 369–378. https://doi.org/10.1177/1043659617720266.
Yang, Y. (2021). The meaning of ‘Filial Piety’ to older Chinese parents. In P. N. Claster and S. L. Blair (Ed.). Aging and the Family: Understanding Changes in Structural and Relationship Dynamics (pp.141–154). Emerald Publishing Limited. https://doi.org/10.1108/S1530-53520210000017008
Yang, Y., & Wen, M. (2016). Correlates of parental satisfaction: A study of late life family relationships in a rural county in China. International Journal of Population Studies., 2(1), 1–12. https://doi.org/10.18063/IJPS.2016.01.007
Yang, Y., & Wen, M. (2019). Parental dissatisfaction, health, and well-being among older Chinese adults: The mediating role of self-esteem and feeling useless. Journal of Family Issues., 40(17), 2456–2477. https://doi.org/10.1177/0192513X19860182
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41
Acknowledgments
We are grateful to Shujun Tian, Xia Sun, Wen Li, and Yang Yang for their valuable assistance with data collection.
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The data collection was supported by the University of Utah Center on Aging 2014 Pilot Grant.
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Yang, Y., Wen, M. Filial Piety and Parental Depressive Symptoms: All Children Matter – Evidence from Rural Northern China. J Cross Cult Gerontol 36, 155–167 (2021). https://doi.org/10.1007/s10823-021-09430-2
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DOI: https://doi.org/10.1007/s10823-021-09430-2