School of Nursing, Nanjing Medical University, Nanjing, China.
School of Health Policy and Management, Nanjing Medical University, Nanjing, China.
Front Public Health. 2022 Aug 25;10:998532. doi: 10.3389/fpubh.2022.998532. eCollection 2022.
Elderly migrants who face the dual challenges of aging and migration are more likely to suffer psychological disorders. Existing research has demonstrated a link between loneliness and psychological disorders in the general elderly population. However, we know little about the relationships among elderly migrants, and the psychological mechanisms linking them. This study aims to examine the effects of loneliness on anxiety and depressive symptoms among Chinese elderly migrants, and explore the mediating roles of perceived stress and resilience. All 654 participants were recruited in Nanjing, Jiangsu Province, China. Results showed that loneliness was significantly correlated with anxiety and depressive symptoms ( < 0.001). Perceived stress and resilience mediated the relationship between loneliness and anxiety symptoms. The mediating effect of perceived stress was 0.128 (Bootstrap 95% CI: 0.092-0.168, Ratio = 37.4%). Resilience was 0.026 (Bootstrap 95% CI: 0.005-0.049, Ratio = 7.6%). Furthermore, perceived stress and resilience also mediated the relationship between loneliness and depressive symptoms. The mediating effects were 0.111 and 0.043, respectively (Bootstrap 95% CI: 0.073-0.151, Ratio = 27.9%; Bootstrap 95% CI: 0.020-0.069, Ratio = 10.8%). All the mediating effects were significant because the bootstrap 95% CIs did not contain zero. Overall, our findings suggested that loneliness not only can directly influence elderly migrants' anxiety and depressive symptoms but also by increasing perceived stress or decreasing resilience.
老年移民面临着衰老和移民的双重挑战，更容易患上心理障碍。现有研究表明，孤独感与一般老年人群的心理障碍之间存在联系。然而，我们对老年移民之间的关系以及将它们联系起来的心理机制知之甚少。本研究旨在探讨孤独感对中国老年移民焦虑和抑郁症状的影响，并探讨感知压力和韧性的中介作用。所有 654 名参与者均在江苏省南京市招募。结果表明，孤独感与焦虑和抑郁症状显著相关（<0.001）。感知压力和韧性中介了孤独感与焦虑症状之间的关系。感知压力的中介效应为 0.128（Bootstrap 95%CI：0.092-0.168，Ratio=37.4%）。韧性为 0.026（Bootstrap 95%CI：0.005-0.049，Ratio=7.6%）。此外，感知压力和韧性也中介了孤独感与抑郁症状之间的关系。中介效应分别为 0.111 和 0.043（Bootstrap 95%CI：0.073-0.151，Ratio=27.9%；Bootstrap 95%CI：0.020-0.069，Ratio=10.8%）。由于自举 95%CI 不包含零，所有中介效应均显著。总的来说，我们的研究结果表明，孤独感不仅可以直接影响老年移民的焦虑和抑郁症状，还可以通过增加感知压力或降低韧性来影响。
