老年人日常生活活动能力、社交活跃度在子女代际支持与抑郁症状间的中介效应分析

社交活动减少，甚至避免人际交往，是抑郁症的典型症状。 #生活技巧# #心理健康建议# #抑郁症状识别#

老年人日常生活活动能力、社交活跃度在子女代际支持与抑郁症状间的中介效应分析海南医科大学国际护理学院,海南 海口 571199Mediating effects of activities of daily living and social interaction on intergenerational support and depressive symptoms among the elderlyYANG Wenfei, JIANG Xinjun, LIN YanSchool of International Nursing, Hainan Medical University, Haikou, Hainan 571199, China 摘要参考文献 相关文章Metrics 摘要 目的 分析老年人日常生活活动能力（ADL）、社交活跃度在子女代际支持与抑郁症状间的中介效应。方法 基于中国健康与养老追踪调查（CHARLS）2020年随访调查,收集≥60岁老年人的基本信息、ADL、社交活跃度和子女代际支持等资料,采用简版流调中心抑郁量表评估抑郁症状,采用Process程序分析ADL、社交活跃度在子女代际支持与老年人抑郁症状间的中介效应。结果 收集3 174人资料,其中男性1 638人,占51.61%;女性1 536人,占48.39%。60~<70岁2 264人,占71.33%。抑郁症状得分M（QR）为8（13）分,检出抑郁症状1 346人,占42.41%;子女代际支持、ADL和社交活跃度得分M（QR）分别为2（3）、0（1）和3（6）分。中介效应分析结果显示,子女代际支持分别通过ADL（效应值=-0.224,95%CI：-0.288~-0.161）、社交活跃度（效应值=-0.516,95%CI：-0.807~-0.228）的独立中介效应间接负向影响老年人抑郁症状;也通过ADL和社交活跃度的链式中介效应负向影响老年人抑郁症状（效应值=-0.184,95%CI：-0.237~-0.134）。总中介效应值为-0.924,占总效应的46.67%。结论 子女代际支持以ADL和社交活跃度为中介对老年人抑郁症状产生间接负向影响。服务把本文推荐给朋友加入引用管理器 E-mail AlertRSS作者相关文章杨文菲 蒋新军 林艳关键词 ：抑郁症状, 子女代际支持, 日常生活活动能力, 社交活跃度, 老年人   Abstract：Objective To explore the mediating effects of activities of daily living (ADL) and social interaction on the relationship between intergenerational support and depressive symptoms in the elderly. Methods Basic information, ADL, social interaction and intergenerational support from children of the elderly aged 60 years and above were collected through the 2020 database of China Health and Retirement Longitudinal Study. Depressive symptoms were evaluated using the Short Version of Center for Epidemiological Studies Depression Scales, and the mediating effects of ADL and social interaction on intergenerational support and depressive symptoms in the elderly was analyzed using Process program. Results A total of 3 174 individuals were enrolled, including 1 638 males (51.61%) and 1 536 females (48.39%), and 2 264 individuals were aged 60 to <70 years (71.33%). The median score of depressive symptoms was 8 (interquartile range, 13), with 1 346 individuals (42.41%) identified as having depressive symptoms. The median scores of intergenerational support from children, ADL, and social interaction were 2 (interquartile range, 3), 0 (interquartile range, 1) and 3 (interquartile range, 6), respectively. Intergenerational support negatively affected depressive symptoms through the independent mediating effects of ADL (effect value=-0.224, 95%CI: -0.288 to -0.161) and social interaction (effect value=-0.516, 95%CI: -0.807 to -0.228), and negatively affected depressive symptoms via the chain mediating role of ADL and social interaction (effect value=-0.184, 95%CI: -0.237 to -0.134). The total mediating effect value was -0.924, accounting for 46.67% of the total effect. Conclusion Intergenerational support has a negative indirect impact on depressive symptoms in the elderly, mediated through ADL and social interaction.Key words：depressive symptoms  intergenerational support  activities of daily living  social interaction  elderly收稿日期: 2024-06-13     修回日期: 2024-08-30     出版日期: 2024-10-10基金资助:国家自然科学基金青年科学基金项目（82304262）作者简介: 杨文菲,硕士研究生在读,护理专业通信作者:蒋新军,E-mail：Jxinjun@163.com   

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