老年人日常生活活动能力、自评健康状况在慢性病影响抑郁症状中的效应研究

doi:10.19485/j.cnki.issn2096-5087.2023.07.005

Preventive Medicine

2023, Vol. 35

Issue (7): 574-577 DOI: 10.19485/j.cnki.issn2096-5087.2023.07.005

Original Articles

Current Issue | Archive | Adv Search

Mediating role of activities of daily living and self-rated health in chronic disease-caused depressive symptoms among the elderly

WANG Huaizhao¹, QIAO Tingting², FAN Yancun²

1. School of Public Health, Inner Mongolia Medical University, Hohhot, Inner Mongolia 010110, China;
2. Inner Mongolia Medical University, Hohhot, Inner Mongolia 010110, China

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (773 KB) HTML (0 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the mediating role of activities of daily living (ADL) and self-rated health in chronic disease-caused depressive symptoms among the elderly, so as to provide insights into depression control among the elderly. Methods Basic features, depressive symptoms, number of chronic diseases, ADL and self-rated health of the elderly at ages of 60 years and older were collected from the China Health and Retirement Longitudinal Study 2018. Multiple linear regression model was created using the Process program to examine the mediating role of ADL and self-rated health in number of chronic disease-caused depressive symptoms, and the significance of the mediating role was tested using the Bootstrap test. Results A total of 5 892 elderly participants were enrolled, with a mean age of (68.42±6.23) years and including 2 744 men (46.57%). The participants had a median depressive symptom score of 8 (interquartile range, 10) points, a median number of chronic diseases of 1 (interquartile range, 1), a median ADL score of 12 (interquartile range, 3) points, and a median self-rated health score of 3 (interquartile range, 1) points. Mediation analysis showed that number of chronic diseases affected depressive symptoms via the independent mediating role of ADL (β=0.163, 95%CI: 0.120-0.206) and self-rated health (β=0.303, 95%CI: 0.259-0.351), and affected depressive symptoms via the chain mediating role of ADL and self-rated health (β=0.057, 95%CI: 0.043-0.074) among the elderly, and the gross mediating role consisted of 58.44% of total effects. Conclusions The number of chronic diseases may incease the risk of depressive symptoms through aggravating the impairment of ADL and decreasing self-rated health levels among the elderly.

Key words： depression chronic disease activities of daily living self-rated health

Received: 13 March 2023 Revised: 25 May 2023 Published: 17 July 2023

ZTFLH:

R749.4

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Huaizhao
	QIAO Tingting
	FAN Yancun

Cite this article:

WANG Huaizhao,QIAO Tingting,FAN Yancun. Mediating role of activities of daily living and self-rated health in chronic disease-caused depressive symptoms among the elderly[J]. Preventive Medicine, 2023, 35(7): 574-577.

URL:

http://www.zjyfyxzz.com/EN/10.19485/j.cnki.issn2096-5087.2023.07.005 OR http://www.zjyfyxzz.com/EN/Y2023/V35/I7/574

[1] 吴绍峰,王素珍,朱秀媛,等.农村老年慢性病患者抑郁症状的影响因素研究[J].预防医学,2023,35(4):277-281.
[2] JIANG C H,ZHU F,QIN T T.Relationships between chronic diseases and depression among middle-aged and elderly people in China:a prospective study from CHARLS[J].Curr Med Sci,2020,40(5):858-870.
[3] WANG D,YAO J,ZIREK Y,et al.Muscle mass,strength,and physical performance predicting activities of daily living:a meta-analysis[J].J Cachexia Sarcopenia Muscle,2020,11(1):3-25.
[4] 陈金凤,方明旺,肖成汉,等.中国老年人日常生活活动能力与抑郁症状的关系研究[J].中国全科医学,2020,23(22):2852-2855.
[5] 张玲,陈济安,卢路,等.重庆市老年人日常生活活动能力影响因素研究[J].预防医学,2020,32(1):22-26.
[6] KIM Y,JANG E.Low self-rated health as a risk factor for depression in South Korea:a survey of young males and females[J/OL].Healthcare,2021,9(4)[2023-05-25].https://doi.org/10.3390/healthcare9040452.
[7] YANG H L,DENG Q,GENG Q S,et al.Association of self-rated health with chronic disease,mental health symptom and social relationship in older people[J/OL].Sci Rep,2021,11(1)[2023-05-25].https://doi.org/10.1038/s41598-021-94318-x.
[8] BEKHET A K,ZAUSZNIEWSKI J A.Chronic conditions in elders in assisted living facilities:associations with daily functioning,self-assessed health,and depressive symptoms[J].Arch Psychiatr Nurs,2014,28(6):399-404.
[9] HAYES A F,PREACHER K J.Statistical mediation analysis with a multicategorical independent variable[J].Br J Math Stat Psychol,2014,67(3):451-470.
[10] XIAO S J,SHI L,DONG F,et al.The impact of chronic diseases on psychological distress among the older adults:the mediating and moderating role of activities of daily living and perceived social support[J].Aging Ment Health,2022,26(9):1798-1804.
[11] 李正禹,武继磊,李佳佳,等.慢性病对中国65岁及以上老年人日常活动能力影响的队列研究[J].中华流行病学杂志,2019,40(1):33-40.
[12] HOSSAIN B,YADAV P K,NAGARGOJE V P,et al.Association between physical limitations and depressive symptoms among Indian elderly:marital status as a moderator[J/OL].BMC Psychiatry,2021,21[2023-05-25].https://doi.org/10.1186/s12888-021-03587-3.
[13] 张妍,袁红,金亚清,等.嘉定区居民自评健康状况及影响因素分析[J].预防医学,2020,32(9):954-958.
[14] 杨娟,吕晓珍,尚丽,等.深圳市老年人抑郁与焦虑情绪检出率及相关因素[J].中国心理卫生杂志,2023,37(5):373-379.
[15] 司明舒,梁栋,谭卫华,等.青岛市医养结合机构高龄老年人自评健康状况与生活方式的相关性研究[J].医学与社会,2023,36(2):47-52.
[16] 刘乐,臧召燕,刘建涛,等.我国老年人日常生活活动能力、健康自评及抑郁状况分析[J].医学与社会,2020,33(6):90-94.
[17] ZHAO L,SUN Q,GUO Y,et al.Mediation effect of perceived social support and resilience between physical disability and depression in acute stroke patients in China:a cross-sectional survey[J].J Affect Disord,2022,308:155-159.