{"title":"中国中老年人网络使用与抑郁症状的双向关联：主动健康行为的交叉滞后模型","authors":"Zhibin Li, Huijun Liu","doi":"10.1155/da/9391682","DOIUrl":null,"url":null,"abstract":"<p><b>Objectives:</b> The present study aimed to examine the bidirectional relationship between internet use and depressive symptoms among middle-aged and older adults. Moreover, it explored whether proactive health behavior mediates the association between internet use and depressive symptoms.</p><p><b>Methods:</b> We used the latest three-wave data (2015, 2018, and 2020) from the China Health and Retirement Longitudinal Study (CHARLS), which included 11,332 participants aged 45 years and older. The bidirectional relationship between internet use and depressive symptoms was examined using a cross-lagged model. The mediating role of proactive health behavior was also investigated using a cross-lagged mediation model.</p><p><b>Results:</b> Cross-lagged models indicated reciprocal effects between depressive symptoms and internet use. Internet use had a greater impact on subsequent depressive symptoms than vice versa. Mediation analyses further revealed that proactive health behavior significantly mediated the path from internet use to depressive symptoms. Furthermore, subgroup analyses showed these effects were not significantly heterogeneous in subgroups by age and chronic disease status.</p><p><b>Conclusions:</b> This study sheds light on the direction of the association between internet use and depressive symptoms. Internet use could reduce depressive symptoms among middle-aged and older adults by enhancing proactive health behavior.</p>","PeriodicalId":55179,"journal":{"name":"Depression and Anxiety","volume":"2025 1","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/da/9391682","citationCount":"0","resultStr":"{\"title\":\"Bidirectional Association Between Internet Use and Depressive Symptoms Among Middle-Aged and Older Adults in China: A Cross-Lagged Model of Proactive Health Behavior as the Mediating Role\",\"authors\":\"Zhibin Li, Huijun Liu\",\"doi\":\"10.1155/da/9391682\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><b>Objectives:</b> The present study aimed to examine the bidirectional relationship between internet use and depressive symptoms among middle-aged and older adults. Moreover, it explored whether proactive health behavior mediates the association between internet use and depressive symptoms.</p><p><b>Methods:</b> We used the latest three-wave data (2015, 2018, and 2020) from the China Health and Retirement Longitudinal Study (CHARLS), which included 11,332 participants aged 45 years and older. The bidirectional relationship between internet use and depressive symptoms was examined using a cross-lagged model. The mediating role of proactive health behavior was also investigated using a cross-lagged mediation model.</p><p><b>Results:</b> Cross-lagged models indicated reciprocal effects between depressive symptoms and internet use. Internet use had a greater impact on subsequent depressive symptoms than vice versa. Mediation analyses further revealed that proactive health behavior significantly mediated the path from internet use to depressive symptoms. Furthermore, subgroup analyses showed these effects were not significantly heterogeneous in subgroups by age and chronic disease status.</p><p><b>Conclusions:</b> This study sheds light on the direction of the association between internet use and depressive symptoms. Internet use could reduce depressive symptoms among middle-aged and older adults by enhancing proactive health behavior.</p>\",\"PeriodicalId\":55179,\"journal\":{\"name\":\"Depression and Anxiety\",\"volume\":\"2025 1\",\"pages\":\"\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-09-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1155/da/9391682\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Depression and Anxiety\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1155/da/9391682\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Depression and Anxiety","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/da/9391682","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Bidirectional Association Between Internet Use and Depressive Symptoms Among Middle-Aged and Older Adults in China: A Cross-Lagged Model of Proactive Health Behavior as the Mediating Role
Objectives: The present study aimed to examine the bidirectional relationship between internet use and depressive symptoms among middle-aged and older adults. Moreover, it explored whether proactive health behavior mediates the association between internet use and depressive symptoms.
Methods: We used the latest three-wave data (2015, 2018, and 2020) from the China Health and Retirement Longitudinal Study (CHARLS), which included 11,332 participants aged 45 years and older. The bidirectional relationship between internet use and depressive symptoms was examined using a cross-lagged model. The mediating role of proactive health behavior was also investigated using a cross-lagged mediation model.
Results: Cross-lagged models indicated reciprocal effects between depressive symptoms and internet use. Internet use had a greater impact on subsequent depressive symptoms than vice versa. Mediation analyses further revealed that proactive health behavior significantly mediated the path from internet use to depressive symptoms. Furthermore, subgroup analyses showed these effects were not significantly heterogeneous in subgroups by age and chronic disease status.
Conclusions: This study sheds light on the direction of the association between internet use and depressive symptoms. Internet use could reduce depressive symptoms among middle-aged and older adults by enhancing proactive health behavior.
期刊介绍：
Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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