The effects of pension on depressive symptoms in Chinese older adults: A moderated multiple mediator model

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2024-04-26 DOI:10.1002/gps.6088

Boye Fang, Youwei Wang, Qian Sun

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引用次数: 0

Abstract

Objectives

This study investigates the impact of pension on depressive symptoms among Chinese older adults. Additional effort is made to test the mediating effect of multidimensional downward intergenerational support and the moderating effect of age on this relationship.

Methods

A total of 1828 Chinese older community-dwellers who met our inclusion criteria are drawn from the 2018 China Health and Retirement Longitudinal Study. Multivariate regression modeling is applied to analyze the effect of pensions on depressive symptoms of older adults. Additionally, bootstrap method with resampling strategies is used to estimate the mediating effect of three dimensions of downward intergenerational support (instrumental, emotional, and financial support). Further, Johnson-Neyman technique is employed to analysis and visualize the moderating effect of age.

Results

The findings reveal a significant inverse relationship between pension levels and depressive symptoms (B = −6.664, SE = 2.826, p < 0.05). The analysis shows that downward intergenerational emotional support (B = −0.195, Boot SE = 0.103, 95% Boot CI [−0.404, −0.003]) serves as a partial mediator in this relationship. Furthermore, the results highlight the moderating role of age in the linkage between pension and depressive symptoms (B = 0.065, SE = 0.039, p < 0.1).

Discussion

This investigation is pioneering in simultaneously assessing the mediating role of multidimensional downward intergenerational support and the moderating effect of age in the context of pension and depressive symptoms. The study underscores the necessity of an interdisciplinary approach in devising comprehensive intervention strategies. These should encompass pension policy consultation, respite services, and other crucial elements aimed at mitigating the severity or reducing the risk of depressive symptoms among the older adults.

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养老金对中国老年人抑郁症状的影响：多中介调节模型

研究目的本研究探讨了养老金对中国老年人抑郁症状的影响。此外，还检验了多维度向下代际支持的中介效应以及年龄对这一关系的调节效应。方法从 2018 年中国健康与退休纵向研究中选取符合纳入标准的 1828 名中国老年社区居民。采用多元回归模型分析养老金对老年人抑郁症状的影响。此外，还采用了带有重采样策略的引导法来估计向下代际支持的三个维度（工具支持、情感支持和经济支持）的中介效应。此外，还采用了约翰逊-奈曼（Johnson-Neyman）技术对年龄的调节效应进行分析和可视化。结果研究结果显示，养老金水平与抑郁症状之间存在明显的反向关系（B = -6.664，SE = 2.826，p < 0.05）。分析表明，代际情感支持的下降（B = -0.195，Boot SE = 0.103，95% Boot CI [-0.404，-0.003]）是这一关系的部分调解因素。此外，研究结果还强调了年龄在养老金与抑郁症状之间关系中的调节作用（B = 0.065，SE = 0.039，p <0.1）。讨论本研究开创性地同时评估了多维向下代际支持的中介作用和年龄在养老金与抑郁症状中的调节作用。这项研究强调了采用跨学科方法制定综合干预策略的必要性。这些战略应包括养老金政策咨询、临时服务和其他旨在减轻老年人抑郁症状的严重程度或降低其风险的重要因素。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.