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抑郁在残疾老年人休闲活动与认知功能之间的关系中的调节作用。

Moderating role of depression in the association between leisure activity and cognitive function among the disabled older people.

机构信息

Department of Social Welfare, Jeonbuk National University, Jeonju, Republic of Korea.

出版信息

Front Public Health. 2024 Apr 12;12:1345699. doi: 10.3389/fpubh.2024.1345699. eCollection 2024.

Abstract

BACKGROUND

This study delves into the complex interaction between leisure activities and cognitive function in older people with disabilities, with a particular emphasis on the moderating influence of depression. Despite the well-documented cognitive benefits of leisure activities among the older people, the intricate relationship between depression and the association between leisure activities and cognitive function in this specific demographic has been rarely reported.

METHODS

Drawing on data from the 2017-2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study meticulously examined a cohort of 713 participants aged 65-89 years. We constructed a moderation model to examine the impact of leisure activity on cognitive function in older people with disabilities, with depression levels as a moderating variable.

RESULTS

We found a positive association between engagement in leisure activities and cognitive function, highlighting the potential cognitive advantages associated with leisure engagement among disabled older people. However, the present analysis also reveals a significant moderation effect of depression on this relationship, shedding light on the nuanced nature of this association. Specifically, elevated levels of depression emerge as a critical moderator, attenuating the otherwise favorable impact of leisure activities on cognitive function among older people contending with disabilities.

CONCLUSION

In conclusion, the findings provide a compelling rationale for tailored interventions that comprehensively target both leisure activity engagement and concurrent depression management, effectively fostering improvements in cognitive function among the cohort of disabled older people.

摘要

背景

本研究深入探讨了残疾老年人休闲活动与认知功能之间的复杂相互关系,特别强调了抑郁的调节作用。尽管休闲活动对老年人的认知有充分的记录,但在这一特定人群中,抑郁与休闲活动和认知功能之间关联的复杂关系很少有报道。

方法

本研究利用 2017-2018 年中国健康长寿纵向研究(CLHLS)的数据,对 713 名 65-89 岁的参与者进行了细致的考察。我们构建了一个调节模型,以检验休闲活动对残疾老年人认知功能的影响,抑郁水平作为一个调节变量。

结果

我们发现参与休闲活动与认知功能之间存在正相关,这突出了休闲活动对残疾老年人群体认知的潜在优势。然而,本分析还揭示了抑郁对这种关系的显著调节作用,揭示了这种关联的微妙性质。具体来说,抑郁水平的升高是一个关键的调节因素,削弱了休闲活动对残疾老年人认知功能的有利影响。

结论

总之,这些发现为有针对性的干预措施提供了有力的依据,这些干预措施全面针对休闲活动的参与和同时发生的抑郁管理,有效地促进了残疾老年人群体认知功能的改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f5/11045938/6a2d0f68a185/fpubh-12-1345699-g001.jpg

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