Liu Juan, Wei Wei, Peng Qingyun, Xue Chenzhe, Yang Shuang
Binjiang College, Nanjing University of Information Science & Technology, Wuxi Jiangsu, China.
Rosen College of Hospitality Management, University of Central Florida, Orlando, Florida, USA.
Clin Gerontol. 2022 Mar-Apr;45(2):376-389. doi: 10.1080/07317115.2021.1901166. Epub 2021 Mar 27.
This study examined the mediating effect of life satisfaction and the moderating effect of the availability of community recreational facilities (CRF) in the association between loneliness and depression in rural older adults and urban older adults, respectively.
Quantitative data collected from 7547 Chinese older adults were analyzed using the SPSS macro PROCESS to test a moderated mediation model with life satisfaction as the mediator and CRF availability and residency type (rural vs. urban) as moderators.
Loneliness negatively predicted life satisfaction, life satisfaction negatively predicted depression, and loneliness positively predicted depression. The interaction of loneliness and CRF availability had a significant effect on depression for urban older adults but not for rural older adults. The direct impact of loneliness on depression differed significantly between rural and urban older adults.
Life satisfaction mediated the association between loneliness and depression in both rural and urban older adults; CRF availability unexpectedly boosted the effect of loneliness on depression in urban older adults but not in rural older adults. Given the same level of loneliness, urban older adults were more likely to be depressed than rural older adults.
Psychogeriatric practitioners may embed life satisfaction into intervention programs to minimize depression among older adults. Public administrators should examine the utilization of public facilities to avoid wasted resources and counterproductive effects on older adults. Lonely urban older adults deserve special attention.
本研究分别考察了生活满意度的中介作用以及社区娱乐设施（CRF）可及性在农村老年人和城市老年人孤独感与抑郁之间关联中的调节作用。
使用SPSS宏程序PROCESS对从7547名中国老年人收集的定量数据进行分析，以检验一个以生活满意度为中介变量、CRF可及性和居住类型（农村与城市）为调节变量的调节中介模型。
孤独感对生活满意度有负向预测作用，生活满意度对抑郁有负向预测作用，孤独感对抑郁有正向预测作用。孤独感与CRF可及性的交互作用对城市老年人的抑郁有显著影响，但对农村老年人没有影响。孤独感对抑郁的直接影响在农村和城市老年人之间存在显著差异。
生活满意度在农村和城市老年人的孤独感与抑郁之间的关联中起中介作用；CRF可及性出人意料地增强了孤独感对城市老年人抑郁的影响，但对农村老年人没有影响。在孤独感水平相同的情况下，城市老年人比农村老年人更容易抑郁。
老年精神科医生可将生活满意度纳入干预项目，以尽量减少老年人的抑郁情绪。公共管理人员应审视公共设施的利用情况，以避免资源浪费和对老年人产生适得其反的影响。孤独的城市老年人值得特别关注。
