Duan Ailing, Zhao Hang, Zhou Chunmin
Public Health, Chongqing Medical University, Chongqing, CHN.
Public Health, Chongqing Medical University, Chonqing, CHN.
Cureus. 2024 Mar 30;16(3):e57258. doi: 10.7759/cureus.57258. eCollection 2024 Mar.
Objectives This study aimed to validate the interrelationships and potential pathways of influence between healthy lifestyles, psychological resilience, and depressive symptoms in the Chinese elderly population. Methods We utilized data from the Chinese Elderly Health Influential Factors Tracking Survey 2018 and included 9448 samples for the study after screening according to the qualifying conditions. The interrelationships among healthy lifestyles, psychological resilience and depressive symptoms were analyzed using stepwise regression, and the robustness of mediation effects was assessed using Sobel and Bootstrap test. Results Among Chinese older adults, healthy lifestyles were negatively associated with depressive symptoms (β = -0.310, 95% CI: -0.405, -0.215), positively associated with psychological resilience (β = 0.137, 95% CI:0.071, 0.023), and psychological resilience was negatively associated with depressive symptoms (β = -1.014, 95% CI: -1.037, -0.990). Conclusions Psychological resilience partially mediated the association between healthy lifestyles and depressive symptoms, with the mediating effect accounting for 44.8% of the total effect. Our study contributes to the understanding of the relationship between healthy lifestyles and depressive symptoms in the elderly population and emphasizes the important role of psychological resilience. It is recommended that the government and policymakers improve depressive symptoms among older adults through comprehensive measures such as promoting healthy lifestyles and education, providing psychological support services, and creating a favorable environment.
目的 本研究旨在验证中国老年人群健康生活方式、心理韧性和抑郁症状之间的相互关系及潜在影响途径。方法 我们利用了2018年中国老年健康影响因素跟踪调查的数据，根据入选条件筛选后纳入9448个样本进行研究。采用逐步回归分析健康生活方式、心理韧性和抑郁症状之间的相互关系，并使用Sobel检验和Bootstrap检验评估中介效应的稳健性。结果 在中国老年人中，健康生活方式与抑郁症状呈负相关（β = -0.310，95%CI：-0.405，-0.215），与心理韧性呈正相关（β = 0.137，95%CI：0.071，0.023），心理韧性与抑郁症状呈负相关（β = -1.014，95%CI：-1.037，-0.990）。结论 心理韧性部分中介了健康生活方式与抑郁症状之间的关联，中介效应占总效应的44.8%。我们的研究有助于理解老年人群健康生活方式与抑郁症状之间的关系，并强调了心理韧性的重要作用。建议政府和政策制定者通过促进健康生活方式和教育、提供心理支持服务以及营造有利环境等综合措施来改善老年人的抑郁症状。
