一个链式中介模型揭示了老年人抑郁与认知功能之间的关联。

A chain mediation model reveals the association between depression and cognitive function in the elderly.

作者信息

Fan Penghao, Li Hongying, Xu Hongyan, Rong Chao

机构信息

School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, 310053, China.

出版信息

Sci Rep. 2024 Dec 28;14(1):31375. doi: 10.1038/s41598-024-82776-y.

Abstract

The purpose of this study was to explore the relationship between depression, cognitive function, social activities and activities of daily living ( ADL ), and verify whether social activities and ADL have a chain mediating effect between depression and cognitive function. Using the data of the fourth phase of the China Health and Retirement Longitudinal Study ( CHARLS ), 7547 elderly samples were studied. Correlation analysis and Bootstrap method were used to analyze the data to test whether social activities and ADL played a chain mediating role between depression and cognitive function in the elderly. In this study, the direct effect of depression on the cognitive function of the elderly accounted for 36.85% of the total effect. The indirect effects of social activities and ADL on depression and cognitive function of the elderly accounted for 15.99% and 44.64% of the total effects, respectively. At the same time, the chain mediating effect of social activities and ADL was significant, accounting for 2.44% of the total effect. The effect of depression on the cognitive function of the elderly is achieved through social activities, ADL and the chain mediating effect of social activities and ADL.

摘要

本研究旨在探讨抑郁、认知功能、社会活动与日常生活活动(ADL)之间的关系,并验证社会活动和ADL在抑郁与认知功能之间是否具有链式中介效应。利用中国健康与养老追踪调查(CHARLS)第四期的数据,对7547名老年样本进行了研究。采用相关分析和Bootstrap方法对数据进行分析,以检验社会活动和ADL在老年人抑郁与认知功能之间是否发挥链式中介作用。在本研究中,抑郁对老年人认知功能的直接效应占总效应的36.85%。社会活动和ADL对老年人抑郁和认知功能的间接效应分别占总效应的15.99%和44.64%。同时,社会活动和ADL的链式中介效应显著,占总效应的2.44%。抑郁对老年人认知功能的影响是通过社会活动、ADL以及社会活动和ADL的链式中介效应实现的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/016f/11682131/82ecaff1af9f/41598_2024_82776_Fig1_HTML.jpg

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