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April 17, 2026Humanities and Social Sciences CommunicationsOpen Access

Caught in the middle: depressive symptoms and life satisfaction of the sandwich generation in four-generation lineages in China

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XLXI LU

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Overview

Examines the impact of intergenerational caregiving on well-being in the sandwich generation, highlighting the need for policy interventions.

Key Points

  • The research aims to explore the relationship between intergenerational caregiving and the mental health of the sandwich generation in China.
  • Analyzed data from 9081 respondents aged 45–80 from the 2018 China Health and Retirement Longitudinal Study.
  • Measured depressive symptoms using the CES-D-10 scale and life satisfaction through self-reports.
  • Employed ordinary least squares and ordered logistic regression models along with propensity score matching and mediation analysis.
  • Caregivers reported higher depressive symptoms and lower life satisfaction compared to non-caregivers.
  • The impact was mediated by increased financial burden, social participation constraints, and reduced physical activity.
  • Adverse effects were more pronounced among women, rural residents, and non-retired individuals.

Cite This Study

XI LU (2026) studied this question.

synapsesocial.com/papers/69e1d0165cdc762e9d859242https://doi.org/10.1057/s41599-026-07261-5
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