Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Geriatr Nurs. 2024 Jul-Aug;58:111-118. doi: 10.1016/j.gerinurse.2024.05.009. Epub 2024 May 23.
The objective of this study was to investigate the chain mediating effects of depressive symptoms and social participation between functional teeth and cognitive function based on the biopsychosocial model. Data from the 2018 China Health and Retirement Longitudinal Study were analyzed. The findings revealed a favorable connection between the lack of edentulism and cognitive function, persisting even when accounting for the mediating factors of denture usage, depressive symptoms, and social participation. Furthermore, the study identified six indirect pathways in this relationship. The present study has substantiated the correlation between edentulism and cognitive function, thereby proposing that interventions aimed at denture usage, depressive symptoms, and social participation could potentially serve as preventive measures against cognitive decline in elderly individuals afflicted with edentulism. This underscores the significance of addressing these factors to alleviate cognitive decline.
本研究旨在基于生物-心理-社会模式，探讨抑郁症状和社会参与在功能性牙齿缺失和认知功能之间的链式中介作用。数据分析来自于 2018 年中国健康与养老追踪调查。研究结果表明，缺牙与认知功能之间存在正相关关系，即使考虑到义齿使用、抑郁症状和社会参与等中介因素也是如此。此外，该研究还确定了这种关系中的六个间接途径。本研究证实了缺牙与认知功能之间的相关性，因此提出针对义齿使用、抑郁症状和社会参与的干预措施可能是预防缺牙老年人认知能力下降的有效手段。这凸显了关注这些因素以减轻认知能力下降的重要性。
