Clinical Gerontologist最新文献_第5页

Malleable Beliefs Matter: Essentialist Beliefs About Aging and Mental Health Among Community-Dwelling Older Adults. 可塑性信念很重要：社区居住老年人关于老龄化和心理健康的本质主义信念。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-07-07 DOI: 10.1080/07317115.2026.2699228

Xinning Su, Kenichiro Sato, Susumu Ogawa, Daichi Yamashiro, Yoshifumi Takahashi, Kanon Tsukada, Tomoya Sagara, Toshihito Tsuchiya, Yan Li, Kiyo Kawakubo, Koki Ito, Tomoki Furuya, Tomoya Takahashi, Hiroyuki Suzuki

{"title":"Malleable Beliefs Matter: Essentialist Beliefs About Aging and Mental Health Among Community-Dwelling Older Adults.","authors":"Xinning Su, Kenichiro Sato, Susumu Ogawa, Daichi Yamashiro, Yoshifumi Takahashi, Kanon Tsukada, Tomoya Sagara, Toshihito Tsuchiya, Yan Li, Kiyo Kawakubo, Koki Ito, Tomoki Furuya, Tomoya Takahashi, Hiroyuki Suzuki","doi":"10.1080/07317115.2026.2699228","DOIUrl":"10.1080/07317115.2026.2699228","url":null,"abstract":"Objectives: This study examined associations between essentialist beliefs about aging (EBA) - comprising perceived malleability and biological determinism - and multiple indicators of mental health, including well-being, depressive symptoms, morale, and life satisfaction, among community-dwelling older adults.Methods: A total of 207 community-dwelling adults aged 65-87 years in Japan completed questionnaires assessing EBA, the World Health Organization - Five Well-Being Index, the Geriatric Depression Scale-15, the Philadelphia Geriatric Center Morale Scale, and the Satisfaction with Life Scale. Hierarchical regression analyses were conducted, with gender, age, and years of education included as covariates.Results: Perceived malleability beliefs about aging were associated with mental health across outcomes, including greater well-being, morale, and life satisfaction, and lower depressive symptoms. These associations remained significant after controlling for covariates in the hierarchical regression analyses, with malleability beliefs explaining additional variance across all outcomes. The association between biological determinism beliefs and mental health was nonsignificant after including covariates.Conclusions: These findings provide initial evidence regarding the association between malleable aging beliefs and more favorable mental health outcomes among older adults.Clinical implications: The results underscore the importance of aging beliefs for psychological well-being in later life, highlighting the potential value of clinical interventions for enhancing malleable aging beliefs to promote mental health.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1457-1466"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148403645","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 Effect of Integrative Reminiscence in Older Adults with Depression: A Systematic Review and Meta-Analysis. 综合记忆在老年抑郁症患者中的作用：系统回顾和荟萃分析。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-09-29 DOI: 10.1080/07317115.2026.2738800

Yuxuan Yang, Hongfei Li, Abdallah Abu Khait, Juliette Shellman

{"title":"The Effect of Integrative Reminiscence in Older Adults with Depression: A Systematic Review and Meta-Analysis.","authors":"Yuxuan Yang, Hongfei Li, Abdallah Abu Khait, Juliette Shellman","doi":"10.1080/07317115.2026.2738800","DOIUrl":"https://doi.org/10.1080/07317115.2026.2738800","url":null,"abstract":"Objectives: The review aimed to evaluate the efficacy of integrative reminiscence interventions in mitigating depressive symptoms among older adults.Methods: A comprehensive literature search was conducted across four electronic databases: PubMed, CINAHL, PsycINFO, and Scopus. The risk of bias in randomized control and quasi-experimental studies was critically evaluated by the Cochrane ROB 2 tool and the Cochrane ROBINS-I tool, respectively.Results: The meta-analysis showed a large and statistically significant effect of integrative reminiscence in reducing depression from post-baseline to baseline (Cohen's d = 0.9608; p < .0001). The effects at 3-month follow-up or longer showed a similarly large effect size (Cohen's d = 1.3159; p < .0001), indicating the effect of integrative reminiscence could be sustained over time for older adults with depressive symptoms.Conclusions: This review provides robust empirical evidence supporting the use of integrative reminiscence to reduce depressive symptoms in older adults.Clinical implications: The current review supports the incorporation of integrative reminiscence into the practice of nursing and other healthcare providers in community, geriatric, and long-term care facilities. It provides guidance for developing standardized protocols for integrative reminiscence and training programs to promote consistency and reproducibility and measure the long-term effects of the intervention.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073750","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 Onset of Parental Loss of a Child Decreases Psychosocial Well-Being Among Persons 40 Years and Older: Longitudinal Evidence from South Africa, 2015-2022. 父母丧子会降低40岁及以上人群的心理健康：南非2015-2022年的纵向证据

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-09-25 DOI: 10.1080/07317115.2026.2737652

Supa Pengpid, Karl Peltzer, André Hajek

{"title":"The Onset of Parental Loss of a Child Decreases Psychosocial Well-Being Among Persons 40 Years and Older: Longitudinal Evidence from South Africa, 2015-2022.","authors":"Supa Pengpid, Karl Peltzer, André Hajek","doi":"10.1080/07317115.2026.2737652","DOIUrl":"https://doi.org/10.1080/07317115.2026.2737652","url":null,"abstract":"Objectives: To assess the longitudinal association between the onset of child death and psychosocial outcomes among adults aged 40 years and older in South Africa between 2015 and 2022.Methods: Data were drawn from three waves of the HAALSI study. Child death was modelled as a time-varying indicator capturing the onset of child death between survey waves. Fixed-effects regression models estimated within-person changes in psychosocial outcomes following bereavement.Results: The pooled analytic sample included 9,494 person-wave observations from adults aged 40 years and older across the 2015, 2019, and 2022 survey waves. Of these, 3,935 observations were among parents with a history of child loss and 5,559 among parents without such a history. During follow-up, 432 participants experienced the onset of child death. Adjusted fixed-effects analyses showed that the onset of child death was associated with increased depressive symptoms, poorer sleep quality, more PTSD symptoms, poorer self-rated health, reduced cognitive functioning, and marginally lower life satisfaction. No significant sex differences were observed.Conclusions: The onset of child death was associated with worsening psychological, sleep, physical health, and cognitive outcomes among adults aged 40 years and older, highlighting the need for routine screening and targeted bereavement support.Clinical implications: Findings support the development of feasible, community-led bereavement support in rural South Africa, with primary healthcare and community health workers helping to identify adults experiencing persistent distress and facilitating appropriate support or referral.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149058799","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

Impact of Caregiving Experiences & Sociocultural Determinants on Cognitive/Emotional Functioning in Black Infor Dementia Caregivers. 照顾经验和社会文化决定因素对黑人痴呆症照顾者认知/情绪功能的影响。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-09-25 DOI: 10.1080/07317115.2026.2734854

Payton Adams, David A S Kaufman

{"title":"Impact of Caregiving Experiences & Sociocultural Determinants on Cognitive/Emotional Functioning in Black Infor Dementia Caregivers.","authors":"Payton Adams, David A S Kaufman","doi":"10.1080/07317115.2026.2734854","DOIUrl":"https://doi.org/10.1080/07317115.2026.2734854","url":null,"abstract":"Objectives: Dementia is commonly referred to as \"silent epidemic,\" with informal caregiving as primary support. Current study examined the impact of sociocultural caregiving experiences on cognitive/emotional functioning among Black informal dementia caregivers in the United States.Methods: A cross-sectional survey study was utilized with 181 participants recruited via Prolific who completed self-report measures. Bivariate Pearson correlations, partial correlations, and ANOVAs were conducted.Results: Greater caregiver identity centrality was associated with higher anxiety symptoms. Higher acquired non-death interpersonal loss was linked to greater perceived impairment in cognitive/emotional functioning, whereas stronger spirituality correlated with lower perceived impairment. Daily discrimination endorsement was associated with higher anxiety symptoms. Post-hoc analyses showed that individuals with care recipients in external settings reported lower anxiety and depression symptoms and non-death interpersonal loss than those co-inhabiting.Conclusion: The shift toward caregiver identity and the experience of non-death interpersonal loss represent important factors related to cognitive/emotional functioning. Spiritual beliefs had a protective role against adverse changes, while everyday discrimination increased anxiety symptoms, attributed to threat detection and challenges in navigating the healthcare system. Subgroup analyses demonstrated that placing a dementia care recipient in an external setting reduced mood dysfunction.Clinical implications: Findings inform evidence-based and culturally responsive recommendations fostering resilience among Black informal dementia caregivers.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-20"},"PeriodicalIF":2.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149058781","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

Assessing Resilience in the 45 and Up Study: Validation of the Prospective Resilience Scale (PRS). 45岁及以上心理弹性评估：前瞻性心理弹性量表（PRS）的验证。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-09-20 DOI: 10.1080/07317115.2026.2733906

Kerrin Bleicher, Jim Lemon, Candice Oster, Vivian Isaac

{"title":"Assessing Resilience in the 45 and Up Study: Validation of the Prospective Resilience Scale (PRS).","authors":"Kerrin Bleicher, Jim Lemon, Candice Oster, Vivian Isaac","doi":"10.1080/07317115.2026.2733906","DOIUrl":"https://doi.org/10.1080/07317115.2026.2733906","url":null,"abstract":"Objective: This study evaluates the psychometric properties of the Prospective Resilience Scale (PRS).Methods: Participants (n = 24,706), aged 56-100+ years, (mean age 69.8 ± 7.0) from the 45 and Up Study completed the PRS. The dataset was randomly split into an exploration sample (n = 12,303) for exploratory factor analysis (EFA) and a validation sample (n = 12,403) for confirmatory factor analysis (CFA), reliability, and construct validity testing.Results: EFA supported a single-factor framework retaining 9 of 10 items (32.09% variance explained). CFA for the 9-item validation sample (mean PRS = 29.2, SD = 5.1, range = 9-45), demonstrated acceptable internal consistency (Validation Sample: Cronbach's α = .75, McDonald's ω = .74) and construct validity. The model showed partial fit (SRMR = .044, RMSEA = .075, CFI = .894, TLI = .859). Correlations with health indicators ranged from small (chronic illness, disability; r = -.14) to very large (quality of life, r = .47; psychological distress, r = -.42).Conclusion: This novel PRS had acceptable psychometric properties utilizing standardized prospective scenarios to minimize measurement variability from different recent events.Clinical implications: The PRS has potential for population health monitoring to track resilience at scale and inform policies and programs to promote healthy aging.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012110","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

Worried but Not Intending: When Expressive Suppression Dampens the Motivational Role of Health Worry in Colorectal Cancer Screening Among Older Adults. 担忧而非有意：当表达抑制抑制健康担忧在老年人结直肠癌筛查中的激励作用时

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-09-18 DOI: 10.1080/07317115.2026.2731416

Daniela Lemmo, Miriam Capasso, Maria Luisa Martino, Anna Rosa Donizzetti, Maria Francesca Freda, Daniela Caso

{"title":"Worried but Not Intending: When Expressive Suppression Dampens the Motivational Role of Health Worry in Colorectal Cancer Screening Among Older Adults.","authors":"Daniela Lemmo, Miriam Capasso, Maria Luisa Martino, Anna Rosa Donizzetti, Maria Francesca Freda, Daniela Caso","doi":"10.1080/07317115.2026.2731416","DOIUrl":"https://doi.org/10.1080/07317115.2026.2731416","url":null,"abstract":"Objectives: Health worry may promote engagement in preventive behaviors, but when poorly regulated it can also foster avoidance. This study examined the relationship between health worry and intention to participate in colorectal cancer screening, investigating the moderating role of emotion regulation strategies and age-related differences.Methods: Within the MIRIADE project, a cross-sectional survey was conducted with 1,451 adults aged 50-74 years, divided into middle-aged (50-60 years) and older adult (61-74 years) groups. Participants completed measures of health worry, cognitive reappraisal, expressive suppression, and screening intention. Moderation analyses were performed separately by age group using PROCESS.Results: Health worry was positively associated with screening intention in both age groups. Cognitive reappraisal predicted higher intention but did not moderate this relationship. Expressive suppression significantly moderated this association only among older adults: health worry predicted higher screening intention at low and moderate levels of suppression, whereas this effect disappeared at high levels of suppression.Conclusions: Emotion regulation strategies, particularly expressive suppression, influence how health worry translates into screening intentions in later adulthood.Clinical implications: Interventions aimed at increasing cancer screening behaviors in older adults should consider not only health worry, but also the ways individuals regulate emotional experiences associated with health threats.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987940","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

What Factors Are Associated with Health Literacy Among Family Caregivers of Older Adults? 哪些因素与老年人家庭照护者的健康素养相关？

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-09-16 DOI: 10.1080/07317115.2026.2729147

Niaskara de Souza Cavalcante, Bruna Moretti Luchesi, Adrieli Oliveira Raminelli, Flávia de Lima Osório, Madson Alan Maximiano-Barreto

{"title":"What Factors Are Associated with Health Literacy Among Family Caregivers of Older Adults?","authors":"Niaskara de Souza Cavalcante, Bruna Moretti Luchesi, Adrieli Oliveira Raminelli, Flávia de Lima Osório, Madson Alan Maximiano-Barreto","doi":"10.1080/07317115.2026.2729147","DOIUrl":"https://doi.org/10.1080/07317115.2026.2729147","url":null,"abstract":"Objectives: To identify factors associated with different levels of health literacy among family caregivers of older adults.Methods: A cross-sectional study was conducted with 150 family caregivers recruited while care recipients attended appointments at a tertiary hospital in the state of São Paulo, Brazil. Caregivers were classified into three groups (i.e. inadequate, marginal, and adequate health literacy) according to the total score on a health literacy measure. In addition to health literacy, caregivers were assessed for burnout, depressive symptoms, social support, and satisfaction with caregiving and completed a questionnaire assessing sociodemographic and caregiving characteristics.Results: In the ordinal logistic regression analysis, higher educational attainment, a greater number of days per week devoted to caregiving, lower levels of burnout, and the absence of depressive symptoms were associated with increased odds of having higher levels of health literacy.Conclusions: Sociodemographic, caregiving-related, and psychological factors were associated with health literacy among family caregivers of older adults.Clinical implications: Although nearly half of the caregivers were classified as having adequate health literacy, interventions aimed at promoting health literacy while also reducing psychological distress, particularly burnout symptoms and depressive symptoms, are warranted for family caregivers recruited from tertiary hospital settings.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148975664","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

Adverse Childhood Experiences and Cognitive-Functional Aging Trajectories: A Nationally Representative Study in China. 不良童年经历与认知功能衰老轨迹：一项具有全国代表性的研究。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-09-16 DOI: 10.1080/07317115.2026.2723617

Yuan Sun, Qian-Wen Xie, Jiaqi Deng

{"title":"Adverse Childhood Experiences and Cognitive-Functional Aging Trajectories: A Nationally Representative Study in China.","authors":"Yuan Sun, Qian-Wen Xie, Jiaqi Deng","doi":"10.1080/07317115.2026.2723617","DOIUrl":"https://doi.org/10.1080/07317115.2026.2723617","url":null,"abstract":"Backgrounds: Adverse childhood experiences (ACEs) are associated with long-term health risks, yet how childhood adversity shapes joint trajectories of cognitive and functional aging remains unclear.Objectives: This study examined associations between ACEs and joint cognitive-functional trajectories and tested whether social participation moderates these relationships.Participants and settings: Data were drawn from 8,590 adults aged 45+ across five waves (2011-2020) of the China Health and Retirement Longitudinal Study.Methods: Group-based trajectory modeling identified joint cognitive-functional patterns. Multinomial logistic regression assessed associations between ACEs and trajectory membership, with social participation moderation tested.Results: Five distinct trajectories emerged. Each additional ACE was associated with 24% higher risk of the most disadvantaged trajectory. Both threat- and deprivation-related ACEs predicted adverse trajectories, with bullying and household mental illness showing strongest associations. Social participation was independently associated with more favorable trajectories, but did not significantly moderate the association between ACEs (cumulative, threat-related, or deprivation-related) and trajectory membership.Conclusions: ACEs were associated with heterogeneous cognitive-functional aging pathways in a dose-response manner. While social participation was independently linked to more favorable trajectories, it did not buffer the adverse associations between ACEs and trajectory membership.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148975730","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

Culturally Familiar Nostalgic Virtual Reality Cognitive Training for Older Adults: A Randomized Controlled Trial in Day-Care Centers. 老年人文化熟悉的怀旧虚拟现实认知训练：日托中心的随机对照试验。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-09-06 DOI: 10.1080/07317115.2026.2724377

Ching-Ling Tu, Ching-Hao Chang, Vivian Ya-Wen Cheng, Su-Fei Huang, Su-Ching Sung, Chiu-Mieh Huang, Jong-Long Guo

{"title":"Culturally Familiar Nostalgic Virtual Reality Cognitive Training for Older Adults: A Randomized Controlled Trial in Day-Care Centers.","authors":"Ching-Ling Tu, Ching-Hao Chang, Vivian Ya-Wen Cheng, Su-Fei Huang, Su-Ching Sung, Chiu-Mieh Huang, Jong-Long Guo","doi":"10.1080/07317115.2026.2724377","DOIUrl":"https://doi.org/10.1080/07317115.2026.2724377","url":null,"abstract":"Objectives: This study examined the effectiveness of a virtual reality based nostalgic cognitive training program for older adults attending day-care centers.Methods: In this two-arm randomized controlled trial (N = 55; mean age = 81.24 years), participants received 12 sessions of VR-based nostalgic cognitive training integrating culturally familiar Taiwanese life scenes (1960s-1990s) with structured multidomain cognitive tasks, or routine activities. The prespecified primary outcome was global cognitive function (MoCA-T). Prespecified secondary outcomes were nostalgia propensity (SNS), depressive symptoms (GDS-15), psychological well-being (PWB-18) and life satisfaction (LSI-SF). Generalized estimating equations (GEE) were used to examine intervention effects. This trial was retrospectively registered at ClinicalTrials.gov (Identifier: NCT06973551).Results: Significant group × time interactions for MoCA-T, SNS, and GDS-15 favored the experimental group. No significant group × time interaction was found for PWB-18 or LSI-SF, although PWB-18 showed within-group improvement in the experimental group.Conclusions: VR-based nostalgic cognitive training may provide short-term benefits for global cognitive function, nostalgia propensity, and depressive symptoms among older adults in day-care settings.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896433","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

Mental Health Effects of Social Participation Among Chinese Older Adults: A Three-Wave Longitudinal Analysis of the Moderating Effect of Multimorbidity. 中国老年人社会参与对心理健康的影响：多病调节效应的三波纵向分析

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-09-01 DOI: 10.1080/07317115.2026.2725180

Manman Peng, Pengfei Wang, Shixin Huang

{"title":"Mental Health Effects of Social Participation Among Chinese Older Adults: A Three-Wave Longitudinal Analysis of the Moderating Effect of Multimorbidity.","authors":"Manman Peng, Pengfei Wang, Shixin Huang","doi":"10.1080/07317115.2026.2725180","DOIUrl":"https://doi.org/10.1080/07317115.2026.2725180","url":null,"abstract":"Objectives: This study examined the bidirectional association between social participation and mental health among older adults and whether multimorbidity moderated this association.Methods: Three wave longitudinal data (2011-2018) from the China Longitudinal Healthy Longevity Survey were analyzed using cross-lagged panel models. Social participation and mental health were assessed by self-reported questionnaires. Multimorbidity was defined as the coexistence of two or more chronic diseases. Analyses were conducted for the overall sample and separately for those with and without multimorbidity.Results: Social participation was positively associated with subsequent mental health across waves. Mental health was positively associated with social participation in the later wave, supporting a bidirectional association. Subgroup analysis revealed a significant bidirectional association among older adults with multimorbidity, whereas no significant longitudinal association was found among those without multimorbidity.Conclusions: Social participation and mental health are bidirectionally associated among Chinese older adults, with multimorbidity significantly moderating this relationship. Social participation should be prioritized to older adults with multimorbidity.Clinical implications: Clinicians and community health practitioners may consider assessing social participation alongside mental health and chronic disease burden in older adults, particularly those with multimorbidity. Opportunities for meaningful social engagement could be incorporated into community and chronic disease management services.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863888","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