The impact of disability status on depression in the aged with the moderating effect of community support.

IF 3 3区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

BMC Psychology Pub Date : 2025-09-29 DOI:10.1186/s40359-025-03289-5

Yongqi Wu, Liying Zhao, Xiaowei Man, Yan Jiang, Lu Zhang

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Abstract

Background: China has entered an aging society, and the mental health of the aged has gradually attracted social attention. This study aimed to model the mediating effect of social activities on the relationship between incapacitation and depression in the aged and to explore the moderating effect of community support on the mediating role.

Methods: This paper used the latest data from The Chinese Longitudinal Healthy Longevity Survey (CLHLS). A moderated mediation effect model was constructed with the degree of incapacity as the independent variable, depressive symptoms as the dependent variable, socialization as the mediator, and community support as the moderator.

Results: Socialization was a partial mediating variable in the relationship between incapacitation and depression in the aged, and its mediating effect accounted for 13.29% of the total effect. The moderating effect of community support on the mediating role of socialization was significant (B = -0.006, SE = 0.003, 95% CI: -0.014 ~ -0.001), but it moderated only the second half of the model, which is the relationship between social activities and depression.

Conclusions: (1) There was a significant positive correlation between disability and depression in the aged. (2) Socialization partially mediated the relationship between disability and depression in the aged. (3) Community support moderated only the relationship between social activities and depressive symptoms, whereas it did not affect the relationship between disability and social activities.

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残疾状况对老年人抑郁的影响及社区支持的调节作用。

背景：中国已进入老龄化社会，老年人的心理健康逐渐受到社会的关注。本研究旨在模拟社会活动在老年人失能与抑郁关系中的中介作用，并探讨社区支持在中介作用中的调节作用。方法：采用中国健康寿命纵向调查（CLHLS）最新数据。以丧失工作能力程度为自变量，抑郁症状为因变量，社会化为中介变量，社区支持为调节变量，构建有调节的中介效应模型。结果：社会化是老年人失能与抑郁关系的部分中介变量，其中介效应占总效应的13.29%。社区支持对社会化中介作用的调节作用是显著的（B = -0.006, SE = 0.003, 95% CI: -0.014 ~ -0.001），但它只调节了模型的后半部分，即社会活动与抑郁的关系。结论：(1)老年人失能与抑郁呈显著正相关。(2)社会化在老年人残疾与抑郁的关系中起部分中介作用。(3)社区支持仅调节社交活动与抑郁症状之间的关系，而不影响残疾与社交活动之间的关系。

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

BMC Psychology Psychology-Psychology (all)

CiteScore

3.90

自引率

2.80%

发文量

265

审稿时长

24 weeks

期刊介绍： BMC Psychology is an open access, peer-reviewed journal that considers manuscripts on all aspects of psychology, human behavior and the mind, including developmental, clinical, cognitive, experimental, health and social psychology, as well as personality and individual differences. The journal welcomes quantitative and qualitative research methods, including animal studies.