社会参与在老年人运动认知风险中的中介作用及其与抑郁和孤独感的关系
The Mediating Role of Social Participation in Motoric Cognitive Risk and its Relation to Depression and Loneliness in Older Adults.
作者信息
Park Ji Hyeun, Park Sangmi, Jung Jae Hyu, Bae Suyeong, Yun Sohyeon, Khan Anastassiya, Hong Ickpyo, Park Ji-Hyuk
机构信息
Department of Occupational Therapy, Graduate School, Yonsei University, Wonju, Korea.
Department of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea.
出版信息
Ann Geriatr Med Res. 2023 Jun;27(2):134-140. doi: 10.4235/agmr.23.0007. Epub 2023 Jun 23.
BACKGROUND
Motoric cognitive risk syndrome (MCR) reduces the quality of life, independence, and social interaction in older adults. Social participation is a potentially modifiable factor that benefits cognitive and mental health. This study explored the mediating roles of social participation between MCR and depression and between MCR and loneliness.
METHODS
We performed a secondary analysis of data from the 2015-2016 National Social Life, Health, and Aging Project. Slow gait speed and cognitive decline were used to assess MCR. Mediation analysis was applied to two models, both of which used MCR as an exposure and social participation as a mediator. The outcomes were depression and loneliness for each model, respectively.
RESULTS
Among 1,697 older adults, 196 (11.6%) had MCR. The mediating role of social participation was statistically significant in both models. The indirect effect (β=0.267, p=0.001) of MCR on depression through social participation comprised 11.97% of the total effect (β=2.231, p<0.001). The indirect effect (β=0.098, p=0.001) of MCR on loneliness through social participation was 19.48% of the total effect (β=0.503, p<0.001).
CONCLUSION
Interventions to increase social participation may reduce depression and loneliness of older adults with MCR.
背景
运动认知风险综合征（MCR）会降低老年人的生活质量、独立性和社会交往能力。社会参与是一个潜在的可改变因素，对认知和心理健康有益。本研究探讨了社会参与在MCR与抑郁之间以及MCR与孤独之间的中介作用。
方法
我们对2015 - 2016年全国社会生活、健康与老龄化项目的数据进行了二次分析。使用步速缓慢和认知衰退来评估MCR。中介分析应用于两个模型，两个模型均以MCR作为暴露因素，社会参与作为中介变量。每个模型的结局分别为抑郁和孤独。
结果
在1697名老年人中，196人（11.6%）患有MCR。社会参与的中介作用在两个模型中均具有统计学意义。MCR通过社会参与对抑郁的间接效应（β = 0.267，p = 0.001）占总效应（β = 2.231，p < 0.001）的11.97%。MCR通过社会参与对孤独的间接效应（β = 0.098，p = 0.001）占总效应（β = 0.503，p < 0.001）的19.48%。
结论
增加社会参与的干预措施可能会降低患有MCR的老年人的抑郁和孤独感。
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