Guo J, Xu S L, Chen L, Zhu Lin
Center for Population and Development Studies/Research Institute of Social Construction of Beijing/Research Institute of Health Science, Renmin University of China, Beijing 100872, China.
School of Sociology and Population Studies, Renmin University of China, Beijing 100872, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Feb 10;43(2):213-217. doi: 10.3760/cma.j.cn112338-20210823-00667.
To explore the impact of activities of daily living (ADL) on depression in the elderly and the role of social networks and children's support. Data used in this study were obtained as participants aged 60 and above from the "China Longitudinal Aging Social Survey 2018",with a sample size of 10 215. ADL, social network and depression were measured on scales. The moderated mediation model was used to analyze the role of social networks and children's support. The SPSS 25.0 software was used for statistical analysis, the PROCESS 3.3 macro program was used to test the moderated mediation effect. A total of 10 760 participants aged 60 and above were included. Activities of daily living showed a direct impact on depression in the elderly (=-0.090, <0.01), with social network playing a mediating role (=0.035, <0.01; =-0.064, <0.05) and children's support played a moderating role (=-0.029, <0.05) in the relationship between the elderly's ADL and depression. The social network is an essential buffer to declining ADL's negative impact on depression of older adults. Children's support is a powerful supplement to enhance social networks' positive role and reduce the risk of elderly depression. Exerting the combined advantages of social networks and children's support are important ways to maintain the elderly's mental health.
探讨日常生活活动(ADL)对老年人抑郁的影响以及社会网络和子女支持的作用。本研究使用的数据来自“2018年中国老年社会追踪调查”中60岁及以上的参与者,样本量为10215。ADL、社会网络和抑郁采用量表进行测量。采用调节中介模型分析社会网络和子女支持的作用。使用SPSS 25.0软件进行统计分析,采用PROCESS 3.3宏程序检验调节中介效应。共纳入10760名60岁及以上的参与者。日常生活活动对老年人的抑郁有直接影响(β=-0.090,p<0.01),社会网络起中介作用(β=0.035,p<0.01;β=-0.064,p<0.05),子女支持在老年人ADL与抑郁之间起调节作用(β=-0.029,p<0.05)。社会网络是ADL下降对老年人抑郁负面影响的重要缓冲。子女支持是增强社会网络积极作用、降低老年人抑郁风险的有力补充。发挥社会网络和子女支持两者的优势是维护老年人心理健康的重要途径。