Clinical Gerontologist最新文献

What Do We Know About the Validity and Reliability of Mindfulness Self-Report Measures in Persons with Dementia? A Critical Narrative Review. 我们对痴呆症患者正念自我报告测量的有效性和可靠性了解多少？批判性叙事评论》。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-11-19 DOI: 10.1080/07317115.2024.2427268

Philipp M Keune, Regina Meister, Jana Keune, Romy Springer, Patrick Oschmann, Sascha Hansen, Iva Holmerová, Stefanie Auer

{"title":"What Do We Know About the Validity and Reliability of Mindfulness Self-Report Measures in Persons with Dementia? A Critical Narrative Review.","authors":"Philipp M Keune, Regina Meister, Jana Keune, Romy Springer, Patrick Oschmann, Sascha Hansen, Iva Holmerová, Stefanie Auer","doi":"10.1080/07317115.2024.2427268","DOIUrl":"https://doi.org/10.1080/07317115.2024.2427268","url":null,"abstract":"Objectives: Mindfulness-based interventions (MBIs) for persons with dementia (PwD) have yielded mixed results, possibly attributable to the fact that little is known about the validity and reliability of trait mindfulness self-report measures in PwD. This narrative review sought to identify studies involving self-reported trait mindfulness and other clinical measures that may hold information on the convergent validity and reliability of these measures in PwD.Methods: Scientific databases were searched for studies involving PwD and mindfulness assessments.Results: N = 426 studies from PubMed and N = 156 from PsychInfo databases were reviewed. Four cross-sectional studies were identified that allowed inferences about the validity of mindfulness measures. A qualitative review indicated that convergent validity with other measures varied with sample heterogeneity and cognitive impairment. Merely one MBI included self-reported trait mindfulness, however without reporting sample-specific validity or reliability.Conclusions: Despite efforts to implement MBIs in PwD, information on basic methodological psychometric issues is minimal. Future studies ought to address the validity and reliability of self-reported mindfulness in detail across different stages of dementia.Clinical implications: Results of MBIs need to be considered cautiously. Basic information about psychometric properties of mindfulness self-report measures is required and these measures need to be included systematically in MBIs.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Temporal Sequence of Cognitive Function and ADLs and Mediation Effect of Apathy in Parkinson's Disease: Cross-Lagged Analyses. 帕金森病患者认知功能和日常活动能力的时间序列及冷漠的中介效应：交叉滞后分析

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-11-14 DOI: 10.1080/07317115.2024.2426182

Xiaofang Cui, Xiao Lu, Sidan Du, Hongmei Yu

{"title":"Temporal Sequence of Cognitive Function and ADLs and Mediation Effect of Apathy in Parkinson's Disease: Cross-Lagged Analyses.","authors":"Xiaofang Cui, Xiao Lu, Sidan Du, Hongmei Yu","doi":"10.1080/07317115.2024.2426182","DOIUrl":"https://doi.org/10.1080/07317115.2024.2426182","url":null,"abstract":"Objectives: To explore the temporal sequence between cognitive function and activities of daily living (ADLs) in patients with Parkinson's disease (PD) and investigate whether apathy mediates these effects.Methods: We recruited 486 patients from the Parkinson's Progression Marker Initiative. We constructed a cross-lagged panel model to explore the temporal sequence between cognitive function and ADLs and analyzed the longitudinal mediating effect of apathy on the relationship between cognitive function and ADLs.Results: The slopes of ADLs and cognitive function were significant (p < .001), and lower levels of cognitive function indicated lower ADLs, suggesting that a decreased cognitive performance preceded ADLs decline. Cognitive function influenced apathy (negatively) (p < .001) and ADLs (p < .001). A significant indirect effect of cognitive function on ADLs through apathy was revealed by bias-corrected bootstrapping (β = 0.181, p < .001).Conclusions: The rate of change in cognitive function was significantly correlated with that of ADLs, and a decreased cognitive performance preceded ADLs decline. Cognition was indirectly related to ADLs through apathy.Clinical implications: The rate of change in cognitive function in patients with PD was correlated with that of ADLs, and a decreased cognitive performance preceded ADLs decline. Reducing apathy represents a promising approach to reducing the impact of cognitive decline on ADLs.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceiving Greater Ageism in Barriers to Mental Healthcare Relates to Poorer Mental Health for Older Adults. 认为心理保健障碍中的年龄歧视更严重与老年人心理健康较差有关。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-11-07 DOI: 10.1080/07317115.2024.2425307

Grace I L Caskie, Mackenzie E Kirby, Eve Z Root

{"title":"Perceiving Greater Ageism in Barriers to Mental Healthcare Relates to Poorer Mental Health for Older Adults.","authors":"Grace I L Caskie, Mackenzie E Kirby, Eve Z Root","doi":"10.1080/07317115.2024.2425307","DOIUrl":"https://doi.org/10.1080/07317115.2024.2425307","url":null,"abstract":"Objectives: Older adults underutilize mental healthcare, and ageism as a potential barrier has been under-researched. As ageism comes both from external sources and is internalized by older adults, we examined the prevalence of external and internalized ageist barriers to help-seeking and how depressive and anxiety symptoms differed based on how strongly older adults endorsed these ageist barriers.Methods: A sample of 247 older adults completed measures online to assess barriers to mental healthcare (BMHSS-R), depressive symptoms (CES-D), and anxiety symptoms (GAD-7).Results: Barriers representing internalized ageist stereotypes about older adult mental health were endorsed more frequently than external ageist barriers. Older adults endorsing ageist barriers to care reported significantly more depressive and anxiety symptoms than those not endorsing these barriers.Conclusions: Ageism, particularly internalized beliefs that poor mental health is typical in older adulthood, was reflected in older adults' perceptions of barriers to seeking mental healthcare. Both internalized and external ageist barriers to care negatively influence well-being.Clinical implication: To support older adult mental health, clinicians should dispel inaccurate, ageist stereotypes about older adult mental health internalized by their clients and work to increase and then communicate their openness and ability to provide competent mental healthcare to older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Creation and Validation of the MMQ-9: A Short Version of the Multifactorial Memory Questionnaire for Middle-Aged and Older Adults. MMQ-9 的创建与验证：中老年多因素记忆问卷简易版。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-29 DOI: 10.1080/07317115.2024.2421876

Angela K Troyer, Komal T Shaikh, Natasha Baptist-Mohseni, Arjunvir Singh, Jacob Duncan-Kofman, Susan Vandermorris, Jill B Rich

{"title":"Creation and Validation of the MMQ-9: A Short Version of the Multifactorial Memory Questionnaire for Middle-Aged and Older Adults.","authors":"Angela K Troyer, Komal T Shaikh, Natasha Baptist-Mohseni, Arjunvir Singh, Jacob Duncan-Kofman, Susan Vandermorris, Jill B Rich","doi":"10.1080/07317115.2024.2421876","DOIUrl":"https://doi.org/10.1080/07317115.2024.2421876","url":null,"abstract":"Objectives: Memory concerns are common among older adults. The Multifactorial Memory Questionnaire (MMQ) is a well-validated participant-reported measure consisting of 57 items across three subscales assessing satisfaction with memory, self-perceived memory ability, and memory strategy use, respectively. Because short scales are often desired to accommodate clinical time constraints and reduce respondent burden, we created and evaluated 9-item versions of each subscale (MMQ-9).Methods: In Study 1, we used an optimization strategy to identify subsets of items that maximized subscale reliability in a sample of 560 adults ages 50-90. In Study 2, we examined psychometric properties of the MMQ-9 in an independent sample of 638 adults ages 51-95.Results: Internal consistency, test-retest reliability, and convergent and discriminant validity of each subscale met published criteria for good measurement properties. Confirmatory factor analysis validated the original factor structure. A hierarchical series of invariance models showed excellent fit, confirming robust measurement invariance across age, gender, and education.Conclusions: The shortened MMQ-9 is a reliable, valid, and invariant measure of metamemory in middle-aged and older adults.Clinical implications: The MMQ-9 is a reasonable instrument of choice when brief yet psychometrically strong measures of participant-reported memory are required for clinical assessment of patients with memory concerns.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, Attitude, and Practice of Care Providers Toward Non-Pharmacological Intervention for Managing Behavioural and Psychological Symptoms in Australian Aged Care Residents with Dementia: A Cross-Sectional Survey. 护理人员对非药物干预治疗澳大利亚老年痴呆症患者行为和心理症状的认识、态度和实践：一项横断面调查。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-28 DOI: 10.1080/07317115.2024.2419929

Hunduma Dinsa Ayeno, Mustafa Atee, Gizat M Kassie, Tuan Anh Nguyen

{"title":"Knowledge, Attitude, and Practice of Care Providers Toward Non-Pharmacological Intervention for Managing Behavioural and Psychological Symptoms in Australian Aged Care Residents with Dementia: A Cross-Sectional Survey.","authors":"Hunduma Dinsa Ayeno, Mustafa Atee, Gizat M Kassie, Tuan Anh Nguyen","doi":"10.1080/07317115.2024.2419929","DOIUrl":"https://doi.org/10.1080/07317115.2024.2419929","url":null,"abstract":"Objectives: This study aimed to assess the knowledge, attitude, and practice of the healthcare professionals and paid caregivers toward non-pharmacological interventions (NPIs) for managing behavioural and psychological symptoms of dementia (BPSD) in Australian residential aged care homes (RACHs).Methods: A cross-sectional, online survey was completed by RACH staff and physicians over the period 6 March-31 August 2023. Descriptive statistics were used to present the results.Results: Ninety-six respondents participated (41.7% aged 35-54 years, 80.2% female, 38.5% nurses). While 50-65% of the respondents were extremely familiar with 15 of NPIs, only 22% believed there was a sufficient funding for their implementation, and 6% felt there were sufficient human resources. Although 66% of the respondents viewed NPIs as more useful than medications, only 46% expected consistent positive outcomes from NPIs. The most used NPIs were redirection, behaviour management, and validation therapy.Conclusions: The study highlights that barrier such as inadequate funding, limited human resources, skepticism about NPIs' effectiveness, unfamiliarity with certain NPIs, and unfavourable attitude toward NPIs are likely to slow NPI adoption for BPSD management.Clinical implication: To improve practice, it is essential to address these barriers through targeted education, and training, increased funding, and enhancement of the workforce.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-19"},"PeriodicalIF":2.6,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation and Evaluation of a Virtual Skills-Based Dementia Caregiver Group Intervention within a VA Setting: A Pilot Study. 在退伍军人事务部环境中实施和评估基于虚拟技能的痴呆症照护者小组干预：试点研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-21 DOI: 10.1080/07317115.2024.2418834

Katie L Granier, Rebecca Ingram

{"title":"Implementation and Evaluation of a Virtual Skills-Based Dementia Caregiver Group Intervention within a VA Setting: A Pilot Study.","authors":"Katie L Granier, Rebecca Ingram","doi":"10.1080/07317115.2024.2418834","DOIUrl":"https://doi.org/10.1080/07317115.2024.2418834","url":null,"abstract":"Objectives: This study sought to design, implement, and evaluate a 6-week skills-based telehealth group for dementia caregivers within a VA setting.Methods: The protocol was designed based on a CBT skill-building approach and was evaluated using the four levels of evaluation developed by Kirkpatrick (1998). Eight spousal caregivers of individuals with MCI or dementia participated in the pilot group within a VA geriatric clinic. Methods included comparison of pre- and post-intervention outcome measures (caregiver burden, depression, anxiety, flourishing) and inductive narrative analysis of qualitative feedback from participants.Results: Qualitatively, the intervention was well received and participants identified several areas of subjective learning and skill implementation including increased behavioral and communication skills, knowledge, and connection with resources. However, paired-sample t-tests of group outcomes revealed no significant differences on measures of caregiver burden, depression, anxiety, and flourishing pre- and post-intervention.Conclusions: Based on Kirkpatrick's levels of evaluation, this study revealed positive reception of a group-based intervention for dementia caregivers within a VA setting, but further investigation of intervention effectiveness is needed given the lack of significant change found on outcome measures. A virtual skills-based group may be a feasible option for dementia caregiver intervention within VA settings that warrants further investigation.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nocturnal Awakening Associated with Greater Social Disconnectedness in Older Adults: The Compensatory Role of Cognition. 夜间觉醒与老年人更多的社会疏离有关：认知的补偿作用

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-16 DOI: 10.1080/07317115.2024.2417009

Hai-Xin Jiang, Cody Ding, Jing Yu

{"title":"Nocturnal Awakening Associated with Greater Social Disconnectedness in Older Adults: The Compensatory Role of Cognition.","authors":"Hai-Xin Jiang, Cody Ding, Jing Yu","doi":"10.1080/07317115.2024.2417009","DOIUrl":"https://doi.org/10.1080/07317115.2024.2417009","url":null,"abstract":"Objectives: This study aimed to explore the association between sleep and social disconnectedness by examining the role of global cognitive function in diverse samples of older adults.Methods: Study 1 compared differences in social disconnectedness between older adults with clinical sleep disorders and healthy sleepers. Studies 2 and 3 examined the relationship between objective sleep and social disconnectedness in community-dwelling older adults from two independent datasets. In the three studies, we analyzed the moderating effect of global cognitive function in the association between objective sleep and social disconnectedness.Results: Study 1 showed that older adults with clinical sleep disorders had greater social disconnectedness, among whom those with better cognition showed less influence of sleep disorder on social disconnectedness. Studies 2 and 3 showed that nocturnal awakening was robustly associated with social disconnectedness in community-dwelling older adults. Global cognitive function moderated this association, counteracting the negative effect of nocturnal awakening on social function.Conclusions: These findings suggest a relationship between objective sleep, particularly nocturnal awakening, and social disconnectedness, and the compensatory role of global cognitive function.Clinical implications: Geriatric caregivers are encouraged to consider cognitive interventions to mitigate sleep-related, specifically excessive nocturnal awakening-related, social disconnectedness in older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Voices of Older African Immigrants on How They Cope with Social Isolation and Loneliness in the United States. 非洲老年移民如何应对美国社会隔离和孤独的心声。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-16 DOI: 10.1080/07317115.2024.2415949

Dolapo O Adeniji, Gifty D Ashirifi

{"title":"The Voices of Older African Immigrants on How They Cope with Social Isolation and Loneliness in the United States.","authors":"Dolapo O Adeniji, Gifty D Ashirifi","doi":"10.1080/07317115.2024.2415949","DOIUrl":"https://doi.org/10.1080/07317115.2024.2415949","url":null,"abstract":"Objectives: Up to 40% of older adults in the US, including older African immigrants, report experiencing social isolation and loneliness. Despite this prevalence, there is limited understanding of how they cope with these challenges. This study aims to contribute to a broader understanding of the coping mechanisms employed by older African immigrants in the face of loneliness and social isolation.Methods: Using a qualitative approach, this study recruited and conducted semi-structured interviews with 11 participants aged 63-79.Results: Four themes emerged from the data through a thematic analysis approach which includes a) Positive self-talk and adaptation: \"I have to cope with it,\" b) Technology/social media: \"if I cannot interact physically outside, I go through social media/watch TV,\" c) Intergenerational engagement beyond caregiving: \"They [grandchildren] are my immediate constituency,\" and d) Digging deep through faith: \"Interactions have been mostly within the church.\"Conclusions: Older African immigrants may find strategies to cope with social isolation and loneliness, but additional support may be needed to strengthen their coping skills and enhance their social network with people outside of their families.Clinical implications: Intervention should focus on regular assessment and strengthening of their social network outside the family unit.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 2.6 3区医学

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

{"title":"The Relationships Between Activities of Daily Living, Depression, and Quality of Life in Older Adults with Multiple Chronic Conditions: A Path Analysis.","authors":"Azar Jafari-Koulaee, Eesa Mohammadi, Mary T Fox, Aliakbar Rasekhi, Ozra Akha","doi":"10.1080/07317115.2024.2401915","DOIUrl":"https://doi.org/10.1080/07317115.2024.2401915","url":null,"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.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining the Relationship Between Internet Use and Depressive Symptoms Among Older Adults: Analyses of Mediators and Moderators. 研究老年人使用互联网与抑郁症状之间的关系：对调解因素和调节因素的分析。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-07 DOI: 10.1080/07317115.2024.2413667

Maitixirepu Jilili, Linping Liu, Tangnuer Abudoukelimu

{"title":"Examining the Relationship Between Internet Use and Depressive Symptoms Among Older Adults: Analyses of Mediators and Moderators.","authors":"Maitixirepu Jilili, Linping Liu, Tangnuer Abudoukelimu","doi":"10.1080/07317115.2024.2413667","DOIUrl":"https://doi.org/10.1080/07317115.2024.2413667","url":null,"abstract":"Objectives: The study aimed to investigate the influence mechanism underlying the relationship between Internet use and depressive symptoms in Chinese older adults.Methods: Data were derived from the 2018 wave of China Longitudinal Aging Social Survey. Mediation and moderation analyses were conducted using Ordinary list squares (OLS) regression analysis. To address potential endogenous issues, we employed the Propensity Score Matching (PSM) method to explore the association between Internet use and depressive symptoms.Results: Our findings indicate that Internet use can significantly reduce depressive symptoms and enhance mental health of older adults. Loneliness mediated the relationship between Internet use and depressive symptoms among older adults, while socioeconomic status (SES) moderated this relationship. Furthermore, the four purposes of Internet use, namely online chatting, information searching, recreational activities, consumption and investment, were negatively associated with loneliness and depressive symptoms among older adults.Conclusions: The findings emphasize the positive effects of Internet use on the mental health outcomes of older adults.Clinical implications: The proper use of the Internet possesses considerable promise for clinical rehabilitation, targeting the enhancement of the mental health outcomes of older adults during their later life.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0