Abstract
To explore the relationship between filial obligation and caregiver depression across cultures. Systematic review and meta-analysis. Twelve databases were reviewed for dissertations and peer-reviewed articles on filial obligation and caregiver depression among adult children, published before January 2020. In total, 476 titles and abstracts were retrieved. Final analysis included six studies; of these, four were included in the meta-analysis. Fixed-effects model indicated that a stronger perception of filial obligation was associated with increased depressive symptoms among caregivers across cultures (β=0.14, 95% CI [0.04, 0.24], p < 0.01, N=394). However, a non-significant effect size in the correlation between these two variables was found in samples predominated by Caucasian and mixed-blood caregivers (r=0.03, 95% CI [-0.03, 0.10], p > 0.05, N=880). Therefore, caregivers' perceptions of filial obligation should be clinically assessed and normalised to reduce their depressive symptoms.
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