Department of Sociology, College of Humanities and Social Sciences, Huazhong Agricultural University, Wuhan 430070, China.
College of Economics and Management, Huazhong Agricultural University, Wuhan 430070, China.
Int J Environ Res Public Health. 2019 Oct 31;16(21):4232. doi: 10.3390/ijerph16214232.
Cognitive social capital is crucial for mental wellbeing and physical disability in order to avoid late-life depression. The objective of this study was to investigate the mediating effect of cognitive social capital (interpersonal trust and reciprocity) on the relationship between physical disability and depression in elderly people of rural Pakistan. For this purpose, 146 respondents aged 60 years or above and residents of rural areas of district Muzaffargarh (Punjab, Pakistan) were approached for data collection. The questionnaire includes socio-demographic variables (gender, age, education, marital status, family system, living status, household income, and number of chronic diseases); the geriatric depressive symptoms scale (GDS-15) was used to measure depression, physical disability was evaluated through ADL and IADL scales, and cognitive social capital, which includes interpersonal trust and reciprocity, was measured using single-item questions. It was found that interpersonal trust, reciprocity, depression, and physical disability were significantly correlated with each other and physical disability was directly associated with depression. In mediation analysis, reciprocity mediated the relationship between physical disability and depression. Our findings highlight the need to enhance cognitive social capital interventions and develop policies to promote mental and physical health of rural elderly.
认知社会资本对于心理健康和身体残疾至关重要，有助于避免老年人抑郁。本研究旨在探讨认知社会资本（人际信任和互惠）在巴基斯坦农村老年人身体残疾与抑郁之间的关系中的中介作用。为此，我们对巴基斯坦旁遮普省木尔坦地区（Muzaffargarh 区）农村地区的 146 名年龄在 60 岁及以上的居民进行了问卷调查。问卷包括社会人口统计学变量（性别、年龄、教育、婚姻状况、家庭制度、生活状况、家庭收入和慢性病数量）；使用老年抑郁量表（GDS-15）来衡量抑郁程度，使用日常生活活动（ADL）和工具性日常生活活动（IADL）量表来评估身体残疾程度，使用单项问题来衡量认知社会资本，包括人际信任和互惠。结果发现，人际信任、互惠、抑郁和身体残疾之间存在显著相关性，且身体残疾与抑郁呈直接相关。在中介分析中，互惠在身体残疾和抑郁之间起中介作用。我们的研究结果强调了需要加强认知社会资本干预，并制定政策，以促进农村老年人的身心健康。
