The Relationships Between Activities of Daily Living, Depression, and Quality of Life in Older Adults with Multiple Chronic Conditions: A Path Analysis.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2024-10-08 DOI:10.1080/07317115.2024.2401915

Azar Jafari-Koulaee, Eesa Mohammadi, Mary T Fox, Aliakbar Rasekhi, Ozra Akha

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引用次数: 0

Abstract

Objectives: This study was conducted to determine the relationships between activities of daily living (ADL), depression, and quality of life. Specifically, the study aimed to evaluate the potential mediating role of depression in the relationship between activities of daily living and quality of life in a sample of Iranian older adults.

Methods: This cross-sectional study recruited 118 older adult adults with multiple chronic conditions in Iran from December 2022 to September 2023. Data were collected using a demographic and health information questionnaire, the Katz Index, the Lawton scale, Old-World Health Organization Quality of Life, and the Geriatric Depression Scale. Path analysis was used to test the hypothesis.

Results: Participants' average age was 70.15 ± 6.91 years. BADL (B = 0.2, p = .02), and depression (B = -0.25, p = .004) were significantly related to the quality of life. The standardized indirect effect of BADL on quality of life was 0.08 (p = .006).

Conclusions: According to the results of this study, functional status can directly and also, indirectly affect the quality of life of older adults with multiple chronic conditions through depression.

Clinical implications: Health care providers are advised to carefully assess older adults' mental health and functional status and consider their relationships to quality of life.

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患有多种慢性疾病的老年人日常生活活动、抑郁和生活质量之间的关系：路径分析

研究目的本研究旨在确定日常生活活动 (ADL)、抑郁和生活质量之间的关系。具体而言，该研究旨在评估抑郁症在伊朗老年人日常生活活动与生活质量之间的潜在中介作用：这项横断面研究从 2022 年 12 月至 2023 年 9 月在伊朗招募了 118 名患有多种慢性疾病的老年人。使用人口统计学和健康信息问卷、卡茨指数、劳顿量表、旧世界卫生组织生活质量量表和老年抑郁量表收集数据。结果显示，参与者的平均年龄为 70.15 岁：参与者的平均年龄为 70.15 ± 6.91 岁。BADL（B = 0.2，P = 0.02）和抑郁（B = -0.25，P = 0.004）与生活质量显著相关。BADL 对生活质量的标准化间接影响为 0.08 (p = .006)：根据这项研究的结果，功能状态会直接影响患有多种慢性疾病的老年人的生活质量，同时也会通过抑郁症间接影响其生活质量：建议医疗服务提供者仔细评估老年人的心理健康和功能状况，并考虑它们与生活质量之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.