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从工作到社区:社会参与和退休如何有益于老年人的抑郁症。

From work to community: how social participation and retirement can benefit older adults' depression.

作者信息

Zhan Yiyu, Ning He, Zhang Yuchen

机构信息

Department of Sociology, Sungkyunkwan University, Seoul, Republic of Korea.

出版信息

Front Psychiatry. 2025 Mar 3;16:1522222. doi: 10.3389/fpsyt.2025.1522222. eCollection 2025.

DOI:10.3389/fpsyt.2025.1522222
PMID:40099148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11911512/
Abstract

OBJECTIVES

The retirement phase and social participation influence the depressive symptoms of older individuals. Nonetheless, the fundamental mechanisms connecting these factors remain unclear. This analysis examined mediating social participation in the relationship between older adults' retirement and depressive symptoms.

METHODS

The study analyzed 9,103 Chinese individuals aged 60 and above utilizing the 2020 China Health and Retirement Longitudinal Study (CHARLS). Researchers evaluated participants' depression utilizing the Center for Studies in Epidemiology Depression Scale (CESD-10). The hierarchical multiple regression models were utilized to evaluate the link between retirement and depression, through cross-sectional analyses, along with the possible influence of social participation on this relationship.

RESULTS

Retirement significantly reduce older individuals' depression and improves their mental health state. In addition, social participation as a mediating variable further enhanced the beneficial impacts of retirement on the mental health state.

CONCLUSION

This research discovered that retirement indirectly influences older adults' depression, with social participation playing a significant impact. Thus, it establishes a foundation for mitigating psychological issues in this demographic. Engaging in or sustaining social activities during later life enhances the mental well-being of older individuals. Promoting social participation among older individuals is a viable approach to reduce depression and facilitating successful aging initiatives in this demographic.

摘要

目的

退休阶段和社会参与会影响老年人的抑郁症状。然而,连接这些因素的基本机制仍不清楚。本分析研究了社会参与在老年人退休与抑郁症状之间关系中的中介作用。

方法

该研究利用2020年中国健康与养老追踪调查(CHARLS)对9103名60岁及以上的中国老年人进行了分析。研究人员使用流行病学研究中心抑郁量表(CESD-10)评估参与者的抑郁情况。通过横断面分析,采用分层多元回归模型评估退休与抑郁之间的联系,以及社会参与对这种关系的可能影响。

结果

退休显著降低了老年人的抑郁水平,改善了他们的心理健康状况。此外,社会参与作为一个中介变量进一步增强了退休对心理健康状况的有益影响。

结论

本研究发现退休通过社会参与对老年人的抑郁产生间接影响。因此,为缓解该人群的心理问题奠定了基础。晚年参与或持续参与社会活动可提升老年人的心理健康。促进老年人参与社会活动是减少抑郁并推动该人群成功老龄化的可行途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ca/11911512/a71ae5407760/fpsyt-16-1522222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ca/11911512/a71ae5407760/fpsyt-16-1522222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ca/11911512/a71ae5407760/fpsyt-16-1522222-g001.jpg

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BMC Public Health. 2024 Jul 10;24(1):1844. doi: 10.1186/s12889-024-19157-7.
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The effect of retirement on physical and mental health in China: a nonparametric fuzzy regression discontinuity study.退休对中国身心健康的影响:一项非参数模糊回归断点研究。
BMC Public Health. 2024 Apr 27;24(1):1184. doi: 10.1186/s12889-024-18649-w.
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Prevalence of prolonged grief disorder and its symptoms among bereaved individuals in China: a systematic review and meta-analysis.
中国丧亲者中持续性悲伤障碍及其症状的患病率:一项系统评价和荟萃分析
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Transition to retirement impact on risk of depression and suicidality: results from a longitudinal analysis of the Survey of Health, Ageing and Retirement in Europe (SHARE).退休过渡对抑郁和自杀风险的影响:来自欧洲健康、老龄化和退休调查(SHARE)的纵向分析结果。
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