Zhang Yongduo, Sun Shuo, Jin Zongqiang
Department of Sport, Tiangong University, Tianjin, 300387, China.
School of Mathematical Science, Tiangong University, Tianjin, 300387, China.
Sci Rep. 2025 Aug 5;15(1):28481. doi: 10.1038/s41598-025-14596-7.
This study aims to explore interrelationships among leisure activities and depression and the mediating roles of activities of daily living (ADL) and self-reported health (SRH) among older adults in China. Data were extracted from 9,893 participants aged 50 and older from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) conducted in 2018. Pearson correlation analysis and multiple stepwise regression analysis were conducted by using SPSS, and the mediating effect was tested using the Process plugin. Leisure activities were negatively correlated with depression (r = - 0.169, P < 0.001), and positively correlated with ADL and SRH (r = 0.223, r = 0.123, P < 0.001). ADL and SRH were negatively correlated with depression (r = - 0.120, - 0.376, P < 0.001). Leisure activities can not only directly and negatively affect depression, but also can indirectly affect depression through positive effects on ADL and SRH. The mediating effect accounts for 30.79% of the total effect. ADL and SRH play mediating roles in the relationship among leisure activities and depression. The participation of elderly people in leisure activities reduces the risk of depression by increasing their level of daily activity ability and perceived health.
本研究旨在探讨中国老年人休闲活动与抑郁之间的相互关系，以及日常生活活动（ADL）和自我报告健康状况（SRH）在其中的中介作用。数据来自于2018年进行的中国老年健康影响因素跟踪调查（CLHLS）中9893名年龄在50岁及以上的参与者。使用SPSS进行Pearson相关分析和多元逐步回归分析，并使用Process插件检验中介效应。休闲活动与抑郁呈负相关（r = -0.169，P < 0.001），与ADL和SRH呈正相关（r = 0.223，r = 0.123，P < 0.001）。ADL和SRH与抑郁呈负相关（r = -0.120，-0.376，P < 0.001）。休闲活动不仅能直接对抑郁产生负面影响，还能通过对ADL和SRH的积极影响间接影响抑郁。中介效应占总效应的30.79%。ADL和SRH在休闲活动与抑郁的关系中起中介作用。老年人参与休闲活动可通过提高日常活动能力水平和感知健康状况来降低抑郁风险。
