{"title":"家庭功能与中国养老院居民抑郁：感知压力和心理弹性的系列中介作用。","authors":"Wenfen Zhu, Ruiming Gu, Yutong Wang","doi":"10.1080/07317115.2025.2556032","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the associations between family functioning and depressive symptoms among older adults in Chinese nursing homes, focusing on the mediating roles of perceived stress and psychological resilience.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 229 older adults from five nursing homes in Southwest China. Standardized instruments were used, including the Family APGAR Index, Geriatric Depression Scale (GDS), Chinese Perceived Stress Scale (CPSS), and the 10-item Connor - Davidson Resilience Scale (CD-RISC-10).</p><p><strong>Results: </strong>Family functioning was negatively associated with depressive symptoms (β = -0.82, <i>p</i> < .01). Perceived stress and psychological resilience were found to be significant mediators. The total indirect effect accounted for 49.56% of the overall association.Specifically, perceived stress (12.47%) and psychological resilience (26.91%) each served as independent mediators. A serial mediation pathway through perceived stress and then psychological resilience explained an additional 10.2% of the total effect.</p><p><strong>Conclusions: </strong>Family functioning was associated with depressive symptoms among institutionalized older adults both directly and indirectly. The serial mediation model highlights potential pathways linking external and internal psychosocial resources to mental health in nursing homes.</p><p><strong>Clinical implications: </strong>Interventions focusing on family support, stress reduction, and resilience enhancement may be relevant to the psychological well-being of older adults in nursing homes.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.4000,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Family Functioning and Depression in Chinese Nursing Home Residents: The Serial Mediating Role of Perceived Stress and Psychological Resilience.\",\"authors\":\"Wenfen Zhu, Ruiming Gu, Yutong Wang\",\"doi\":\"10.1080/07317115.2025.2556032\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This study examined the associations between family functioning and depressive symptoms among older adults in Chinese nursing homes, focusing on the mediating roles of perceived stress and psychological resilience.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 229 older adults from five nursing homes in Southwest China. Standardized instruments were used, including the Family APGAR Index, Geriatric Depression Scale (GDS), Chinese Perceived Stress Scale (CPSS), and the 10-item Connor - Davidson Resilience Scale (CD-RISC-10).</p><p><strong>Results: </strong>Family functioning was negatively associated with depressive symptoms (β = -0.82, <i>p</i> < .01). Perceived stress and psychological resilience were found to be significant mediators. The total indirect effect accounted for 49.56% of the overall association.Specifically, perceived stress (12.47%) and psychological resilience (26.91%) each served as independent mediators. A serial mediation pathway through perceived stress and then psychological resilience explained an additional 10.2% of the total effect.</p><p><strong>Conclusions: </strong>Family functioning was associated with depressive symptoms among institutionalized older adults both directly and indirectly. The serial mediation model highlights potential pathways linking external and internal psychosocial resources to mental health in nursing homes.</p><p><strong>Clinical implications: </strong>Interventions focusing on family support, stress reduction, and resilience enhancement may be relevant to the psychological well-being of older adults in nursing homes.</p>\",\"PeriodicalId\":10376,\"journal\":{\"name\":\"Clinical Gerontologist\",\"volume\":\" \",\"pages\":\"1-14\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-09-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Gerontologist\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/07317115.2025.2556032\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Gerontologist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07317115.2025.2556032","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Family Functioning and Depression in Chinese Nursing Home Residents: The Serial Mediating Role of Perceived Stress and Psychological Resilience.
Objectives: This study examined the associations between family functioning and depressive symptoms among older adults in Chinese nursing homes, focusing on the mediating roles of perceived stress and psychological resilience.
Methods: A cross-sectional survey was conducted among 229 older adults from five nursing homes in Southwest China. Standardized instruments were used, including the Family APGAR Index, Geriatric Depression Scale (GDS), Chinese Perceived Stress Scale (CPSS), and the 10-item Connor - Davidson Resilience Scale (CD-RISC-10).
Results: Family functioning was negatively associated with depressive symptoms (β = -0.82, p < .01). Perceived stress and psychological resilience were found to be significant mediators. The total indirect effect accounted for 49.56% of the overall association.Specifically, perceived stress (12.47%) and psychological resilience (26.91%) each served as independent mediators. A serial mediation pathway through perceived stress and then psychological resilience explained an additional 10.2% of the total effect.
Conclusions: Family functioning was associated with depressive symptoms among institutionalized older adults both directly and indirectly. The serial mediation model highlights potential pathways linking external and internal psychosocial resources to mental health in nursing homes.
Clinical implications: Interventions focusing on family support, stress reduction, and resilience enhancement may be relevant to the psychological well-being of older adults in nursing homes.
期刊介绍：
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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