Association of Parental Psychiatric Morbidity with their Altruistic Behaviors and Sense of Obligation to Children in the United States

Previous studies have suggested that altruistic behaviors for children and grandchildren (ABC) have a complex mechanism for psychiatric morbidity among parents and grandparents. The interaction between ABC and sense of obligation to children/grandchildren (SOC) may help to provide a better understanding of the association between ABC and psychiat- ric morbidity. In this study, we seek to investigate the association between the interaction of ABC and SOC and generalized anxiety disorder (GAD) and major depression (MD) using a nationally representative sample of middle-aged parents/ grandparents in the United States (N = 2,193). Among women, feeling obligated was associated with MD regardless of ABC status. Among men, having SOC and providing informal assistance or fi nancial support was associated with GAD morbid- ity. Further research that elucidates the complexity of the interaction of ABC and SOC on psychiatric morbidity among parents/grandparents is needed.