文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

日常生活工具性活动在社区居住老年人认知功能与抑郁症状之间的中介作用:阿朗研究

The mediating role of instrumental activities of daily living between cognitive function and depressive symptoms in community-dwelling older adults: the Arao study.

作者信息

Nagaoka Maiko, Nagaoka Katsuya, Kajitani Naoto, Yuki Seiji, Koyama Asuka, Yoshiura Kazuhiro, Honda Kazuki, Miyagawa Yusuke, Boku Shuken, Fujise Noboru, Takebayashi Minoru

机构信息

Health Care Center, Kumamoto University, 2-40-1 Kurokami, Chuo-Ku, Kumamoto, Kumamoto, 860-8555, Japan.

Department of Gastroenterology and Hepatology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjo, Chuo-Ku, Kumamoto, Kumamoto, 860-8556, Japan.

出版信息

BMC Psychiatry. 2025 Jul 2;25(1):674. doi: 10.1186/s12888-025-07061-2.


DOI:10.1186/s12888-025-07061-2
PMID:40604518
Abstract

AIM: The association between cognitive decline and late-life depression (LLD) is well-reported, but few studies have investigated the mediating factors. This study aimed to identify mediating factors between cognitive function and depressive symptoms (outcome), focusing on IADL, in adults aged 65 years and older. METHODS: This cross-sectional study included 1,401 community-dwelling Japanese individuals aged ≥ 65 years. LLD was defined using the Geriatric Depression Scale (GDS). Cognitive function was assessed using the Mini-Mental State Examination Test Form (MMSE), and IADL was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC). Multiple regression and mediation analyses were conducted by fully adjusted potential confounding factors. RESULTS: Among the 1,401 participants, the prevalence of late-life depression was 10.2%. In the adjusted multiple regression analysis, IADL demonstrated a significant correlation coefficient and was significantly associated with depressive symptoms (regression coefficient [β] = -0.33, 95% confidence interval [CI] = -0.39 to -0.26). Cognitive function was also significantly associated with depressive symptoms (β = -0.05, CI: -0.09 to -0.01). In the mediation analysis, IADL scores significantly mediated the relationship between cognitive function and depressive symptoms (estimated indirect effect = -0.1000, bootstrap standard error = 0.0142, bootstrap standard CI = -0.1290 to -0.0737). CONCLUSIONS: IADL was a mediating factor in the relationship between cognitive function and depressive symptoms, and cognitive function contributed to depressive symptoms through IADL. IADL might play an important role in the prevention and early diagnosis of late-life depression.

摘要

目的:认知功能衰退与老年期抑郁症(LLD)之间的关联已有充分报道,但很少有研究探讨其中介因素。本研究旨在确定65岁及以上成年人认知功能与抑郁症状(结果)之间的中介因素,重点关注日常生活活动能力(IADL)。 方法:这项横断面研究纳入了1401名年龄≥65岁的日本社区居民。使用老年抑郁量表(GDS)定义LLD。使用简易精神状态检查表(MMSE)评估认知功能,使用东京都老人综合研究所能力指数(TMIG-IC)评估IADL。通过对潜在混杂因素进行充分调整后进行多元回归和中介分析。 结果:在1401名参与者中,老年期抑郁症的患病率为10.2%。在调整后的多元回归分析中,IADL显示出显著的相关系数,且与抑郁症状显著相关(回归系数[β]= -0.33,95%置信区间[CI]= -0.39至-0.26)。认知功能也与抑郁症状显著相关(β= -0.05,CI:-0.09至-0.01)。在中介分析中,IADL得分显著介导了认知功能与抑郁症状之间的关系(估计间接效应= -0.1000,自抽样标准误= 0.0142,自抽样标准CI= -0.1290至-0.0737)。 结论:IADL是认知功能与抑郁症状之间关系的中介因素,认知功能通过IADL导致抑郁症状。IADL可能在老年期抑郁症的预防和早期诊断中发挥重要作用。

相似文献

[1]
The mediating role of instrumental activities of daily living between cognitive function and depressive symptoms in community-dwelling older adults: the Arao study.

BMC Psychiatry. 2025-7-2

[2]
Relationships between physical frailty, depressive symptoms, and cognitive ability among community-dwelling older adults in India.

BMC Public Health. 2025-7-2

[3]
Association between the use of information and communication technology and cognitive decline stratified by social isolation: The Otassha study.

J Prev Alzheimers Dis. 2025-3-25

[4]
Multi-domain interventions for the prevention of dementia and cognitive decline.

Cochrane Database Syst Rev. 2021-11-8

[5]
The association between hearing loss and depression in the China health and retirement longitudinal study.

Sci Rep. 2025-7-1

[6]
Cross-sectional and longitudinal associations between adherence to Mediterranean diet with physical performance and cognitive function in older adults: A systematic review and meta-analysis.

Ageing Res Rev. 2021-9

[7]
Multi-trajectories of intrinsic capacity and their effect on higher-level functional capacity, life satisfaction, and self-esteem in community-dwelling older adults: the NILS-LSA.

J Nutr Health Aging. 2025-1

[8]
Longitudinal association between ADL disability and depression in middle-aged and elderly: national cohort study.

J Nutr Health Aging. 2025-2

[9]
Chronic Musculoskeletal Pain is Associated With Depressive Symptoms in Community-Dwelling Older Adults Independent of Physical Activity.

Exp Aging Res. 2025

[10]
Digital Endpoints for Assessing Instrumental Activities of Daily Living in Mild Cognitive Impairment: Systematic Review.

J Med Internet Res. 2023-7-25

本文引用的文献

[1]
A chain mediation model reveals the association between depression and cognitive function in the elderly.

Sci Rep. 2024-12-28

[2]
Association between cognitive function and depressive symptoms in Chinese older adults: The mediating role of activities of daily living.

Geriatr Nurs. 2024

[3]
Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission.

Lancet. 2024-8-10

[4]
Interaction between activities of daily living and cognitive function on risk of depression.

Front Public Health. 2024

[5]
The association between functional disability and depressive symptoms among older adults: Findings from the China Health and Retirement Longitudinal Study (CHARLS).

J Affect Disord. 2024-4-15

[6]
Brain-cognition relationships in late-life depression: a systematic review of structural magnetic resonance imaging studies.

Transl Psychiatry. 2023-8-19

[7]
Late-life suicide in an aging world.

Nat Aging. 2022-1

[8]
Late-life depression: Epidemiology, phenotype, pathogenesis and treatment before and during the COVID-19 pandemic.

Front Psychiatry. 2023-4-6

[9]
Clinical characteristics of older adults with hypertension and unrecognized cognitive impairment.

Hypertens Res. 2022-4

[10]
Late-Life Depression, Cognitive Impairment, and Relationship with Alzheimer's Disease.

Dement Geriatr Cogn Disord. 2021

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索