Effects of social support on cognitive frailty among the older adults in China: mediation of psychological resilience and moderated mediation of education.

IF 4.5 2区 医学 Q2 GERIATRICS & GERONTOLOGY
Frontiers in Aging Neuroscience Pub Date : 2025-05-16 eCollection Date: 2025-01-01 DOI:10.3389/fnagi.2025.1579485
Wenjuan Li, Yiwen Ma, Jinli Wei, Shanzheng Wu, Liangliang Cui, Chengchao Zhou
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引用次数: 0

Abstract

Objectives: Previous research has revealed a relationship between social support and cognitive frailty. However, the underlying mechanisms of this connection have still not been well explored. The study aimed to investigate the effect of social support on cognitive frailty, mediated by psychological resilience and to examine the moderated mediation effect of education.

Methods: A total of 1,758 older adults aged 60 years and above were included in the analysis. A descriptive analysis was conducted to describe the sample characteristics. The moderated mediation models were examined using Mplus 8.3, in which the mediation variables was psychological resilience, and the moderation variable was education.

Results: The prevalence of cognitive frailty among the older adults was 4.3%. Social support had a significant negative predictive effect on the cognitive frailty (B = -0.066, p < 0.01), the psychological resilience partially mediated the relationship between social support and cognitive frailty (B = -0.103, p < 0.001). Compared to illiterate, primary school (B = -0.184, p < 0.05), middle school (B = -0.244, p < 0.01) and high school or above (B = -0.315, p < 0.01) could regulate the relationship between social support and psychological resilience in older adults.

Discussion: We present a conceptual model containing the mediated effects of psychological resilience and the moderated effect of education on the relationship between social support and cognitive frailty. We believe this model enhances understanding of these associations and could be instrumental in formulating intervention strategies to mitigate the incidence of cognitive frailty in older adults.

社会支持对中国老年人认知脆弱性的影响:心理弹性的中介作用和教育的调节作用。
目的:以往的研究已经揭示了社会支持与认知脆弱性之间的关系。然而,这种联系的潜在机制尚未得到很好的探索。本研究旨在探讨社会支持在心理弹性的中介作用下对认知脆弱性的影响,并检验教育的调节作用。方法:对1758名60岁及以上老年人进行分析。进行描述性分析以描述样本特征。采用Mplus 8.3对被调节的中介模型进行检验,中介变量为心理弹性,调节变量为学历。结果:老年人认知衰弱患病率为4.3%。社会支持对认知脆弱有显著的负向预测作用(B = -0.066, p < 0.01),心理弹性在社会支持与认知脆弱的关系中起部分中介作用(B = -0.103, p < 0.001)。与文盲相比,小学阶段(B = -0.184, p < 0.05)、中学阶段(B = -0.244, p < 0.01)和高中及以上阶段(B = -0.315, p < 0.01)能调节老年人社会支持与心理弹性的关系。讨论:我们提出了一个包含心理弹性的中介效应和教育对社会支持与认知脆弱性关系的调节效应的概念模型。我们相信该模型增强了对这些关联的理解,并可能有助于制定干预策略,以减轻老年人认知衰弱的发生率。
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
Frontiers in Aging Neuroscience
Frontiers in Aging Neuroscience GERIATRICS & GERONTOLOGY-NEUROSCIENCES
CiteScore
6.30
自引率
8.30%
发文量
1426
期刊介绍: Frontiers in Aging Neuroscience is a leading journal in its field, publishing rigorously peer-reviewed research that advances our understanding of the mechanisms of Central Nervous System aging and age-related neural diseases. Specialty Chief Editor Thomas Wisniewski at the New York University School of Medicine is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
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