社会参与如何影响中老年人抑郁、生活满意度和IADL残疾之间的关系？纵向中介与调节模型。

IF 1.5 4区医学 Q3 GERONTOLOGY

Journal of Gerontological Social Work Pub Date : 2025-07-11 DOI:10.1080/01634372.2025.2525273

Manman Peng, Pengfei Wang

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引用次数: 0

摘要

本研究探讨了中老年人日常生活工具活动（Instrumental Activities of Daily Living， IADL）功能障碍与抑郁之间的纵向关联及其机制。利用中国健康与退休纵向研究（CHARLS）的三波（2015、2018、2020）数据，采用交叉滞后模型。结果表明，IADL残障对抑郁有预测作用，生活满意度起中介作用。社会参与轨迹调节了这些纵向关联，较高的轨迹通过提高生活满意度来减少IADL残疾对抑郁的负面影响。研究结果表明，促进社会参与以提高生活满意度可能有助于预防与IADL残疾相关的抑郁症。

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How Does Social Participation Affect the Associations Between Depression, Life satisfaction, and IADL Disability in Middle-Aged and Older Adults? A Longitudinal Mediation and Moderation Model.

This study examined the longitudinal associations and mechanisms between Instrumental Activities of Daily Living (IADL) disability and depression among middle-aged and older adults. Using data from three waves (2015, 2018, 2020) of the China Health and Retirement Longitudinal Study (CHARLS), a cross-lagged model was employed. It revealed that IADL disability predicted depression, with life satisfaction as a mediator. Social participation trajectory moderated these longitudinal associations, with a higher trajectory reducing negative effects of IADL disability on depression by enhancing life satisfaction. The findings suggest that promoting social participation to improve life satisfaction may help prevent depression associated with IADL disability.

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来源期刊

Journal of Gerontological Social Work Multiple-

CiteScore

4.00

自引率

3.10%

发文量

期刊介绍： With over 30 years of consistent, quality articles devoted to social work practice, theory, administration, and consultation in the field of aging, the Journal of Gerontological Social Work offers you the information you need to stay abreast of the changing and controversial issues of today"s growing aging population. A valuable resource for social work administrators, practitioners, consultants, and supervisors in long-term care facilities, acute treatment and psychiatric hospitals, mental health centers, family service agencies, community and senior citizen centers, and public health and welfare agencies, JGSW provides a respected and stable forum for cutting-edge insights by experts in the field.