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| Mediating effects of activities of daily living and social interaction on intergenerational support and depressive symptoms among the elderly |
| YANG Wenfei, JIANG Xinjun, LIN Yan
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| School of International Nursing, Hainan Medical University, Haikou, Hainan 571199, China |
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Abstract Objective To explore the mediating effects of activities of daily living (ADL) and social interaction on the relationship between intergenerational support and depressive symptoms in the elderly. Methods Basic information, ADL, social interaction and intergenerational support from children of the elderly aged 60 years and above were collected through the 2020 database of China Health and Retirement Longitudinal Study. Depressive symptoms were evaluated using the Short Version of Center for Epidemiological Studies Depression Scales, and the mediating effects of ADL and social interaction on intergenerational support and depressive symptoms in the elderly was analyzed using Process program. Results A total of 3 174 individuals were enrolled, including 1 638 males (51.61%) and 1 536 females (48.39%), and 2 264 individuals were aged 60 to <70 years (71.33%). The median score of depressive symptoms was 8 (interquartile range, 13), with 1 346 individuals (42.41%) identified as having depressive symptoms. The median scores of intergenerational support from children, ADL, and social interaction were 2 (interquartile range, 3), 0 (interquartile range, 1) and 3 (interquartile range, 6), respectively. Intergenerational support negatively affected depressive symptoms through the independent mediating effects of ADL (effect value=-0.224, 95%CI: -0.288 to -0.161) and social interaction (effect value=-0.516, 95%CI: -0.807 to -0.228), and negatively affected depressive symptoms via the chain mediating role of ADL and social interaction (effect value=-0.184, 95%CI: -0.237 to -0.134). The total mediating effect value was -0.924, accounting for 46.67% of the total effect. Conclusion Intergenerational support has a negative indirect impact on depressive symptoms in the elderly, mediated through ADL and social interaction.
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Received: 13 June 2024
Revised: 30 August 2024
Published: 15 October 2024
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[1] LU J,XU X F,HUANG Y Q,et al.Prevalence of depressive disorders and treatment in China:a cross-sectional epidemiological study[J].Lancet Psychiatry,2021,8(11):981-990.
[2] SON H,CHO H J,CHO S,et al.The moderating effect of social support between loneliness and depression:differences between the young-old and the old-old[J].Int J Environ Res Public Health,2022,19(4):1-10.
[3] 孙靖凯,杨文菊,王仪思,等.代际支持对失能老人抑郁状况影响的实证研究[J].中国社会医学杂志,2021,38(2):154-157.
[4] 郑力文. 老年人日常生活活动能力与抑郁症状的关系:有调节的中介模型[D].青岛:青岛大学,2021.
[5] 贺惠惠. 双向代际支持对老年人认知功能的影响研究[D].扬州:扬州大学,2023.
[6] 杨雪,王瑜龙.社交活动对老年人口健康状况影响的量化分析[J].人口学刊,2020,42(3):66-77.
[7] 葛平. 子女代际支持对老年人社会参与的影响研究[D].杭州:杭州电子科技大学,2023.
[8] GRACIA-GARCIA P,LOPEZ-ANTON R,SANTABARBARA J,et al.Cognition and daily activities in a general population sample aged+55[J].Neuropsychol Dev Cogn B Aging Neuropsychol Cogn,2021,28(2):270-283.
[9] LEONARDI M,LEE H,KOSTANJSEK N,et al.20 years of ICF-international classification of functioning,disability and health:uses and applications around the world[J].Int J Environ Res Public Health,2022,19(18):1-16.
[10] 何昱铮,佟岩,蔡雨彤,等.社交活跃度对老年人抑郁症状的影响[J].护理学杂志,2023,38(3):82-86.
[11] 孙冒宇. 代际支持对老年人多维贫困影响的城乡差异研究[D].南京:南京邮电大学,2023.
[12] ANDRESEN E M,MALMGREN J A,CARTER W B,et al.Screening for depression in well older adults:evaluation of a short form of the CES-D(Center for Epidemiologic Studies Depression Scale)[J].Am J Prev Med,1994,10(2):77-84.
[13] 胡依,李贝.基于CHARLS面板数据的中国老年人抑郁症状变动情况及影响因素分析[J].中国全科医学,2021,24(26):3281-3287.
[14] 段芮,王红.2011—2018年我国中老年人抑郁症状流行趋势分析[J].预防医学,2023,35(8):649-654.
[15] 赵聪. 代际支持对慢性病老年人抑郁的影响研究[D].长沙:湖南大学,2021.
[16] 张曼,吴鉴伦,程心蓓,等.老年人家庭代际接触、抑郁症状与自评健康状况的关联研究[J].预防医学,2023,35(10):840-843.
[17] 吕雅茜. 家庭代际支持对老年人抑郁症状的影响研究[D].武汉:中南财经政法大学,2019.
[18] 付美妮. 代际支持、自我老化态度和社会参与对老年健康的影响研究[D].长沙:湖南农业大学,2022.
[19] 王怀昭,乔婷婷,范艳存.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[J].预防医学,2023,35(7):574-577.
[20] 黄黎明. 社会参与、代际支持对老年人主观幸福感的影响研究[D].上海:上海工程技术大学,2020.
[21] WHEAR R,CAMPBELL F,ROGERS M,et al.What is the effect of intergenerational activities on the wellbeing and mental health of older people? A systematic review[J].Campbell Syst Rev,2023,19(4):1-51.
[22] 郭晴. 老年人日常活动能力与抑郁的关系及社会参与的中介效应[D].郑州:郑州大学,2022. |
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