互联网使用在中国中老年ADL功能障碍和抑郁症状之间的作用：来自纵向研究的证据

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-09-24 DOI:10.1016/j.jpsychores.2025.112394

Ruirui Guo , Yixuan Liu , Xuyang Zhao , Yibing Chen , Ranran Li , Xinyu Gao , Jiamin Feng , Cuiping Wang , Bingyang Nian , Hongjian Liu , Xiumin Zhang

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引用次数: 0

摘要

目的：探讨网络使用在ADL功能障碍与抑郁症状发生之间的作用，以及年龄对上述关联的影响。方法：将来自中国健康与退休纵向研究（CHARLS）的45岁及以上的参与者纳入2018年基线和2020年随访研究。采用Logistic回归分析，探讨2018年ADL残疾与2020年抑郁症状之间的关系。使用交互测试和分层分析来评估互联网使用在他们之间的作用。结果：6784名受试者被纳入研究，1503名（22.2%）受试者在随访中出现抑郁症状。在调整所有协变量后，所有参与者的ADL残疾与抑郁症状风险增加相关（OR: 1.530, 95% CI: 1.301, 1.797）。这种关联在不使用互联网的参与者中仍然存在（OR: 1.532, 95% CI: 1.294, 1.811），但在使用互联网的参与者中没有发现这种关联（OR: 1.242, 95% CI: 0.638, 2.290）。此外，互联网使用的作用因年龄组而异。互联网的使用可能会减弱中年人和年轻老年人的ADL残疾和抑郁症状之间的联系，但在70岁及以上的老年人中则不然。结论：ADL功能障碍与中老年人抑郁症状呈正相关，网络使用可能减弱两者之间的相关性，尤其是在中青年老年人中。

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The role of internet use between ADL disability and depressive symptoms in Chinese middle-aged and older adults: Evidence from a longitudinal study

Objective

We aimed to explore the role of internet use between ADL disability and depressive symptoms onset and the effect of age on association mentioned above.

Methods

The participants who are 45 years old and above from the China Health and Retirement Longitudinal Study (CHARLS) were included in the 2018 baseline and 2020 follow-up research. Logistic regression analysis was used to investigate the association between ADL disability in 2018 and depressive symptoms in 2020. Interaction testing and stratified analyses were used to assess the role of internet use between them.

Results

There were 6784 subjects included in the study and 1503 (22.2 %) participants developed depressive symptoms in follow-up. ADL disability was associated with an increased risk of depressive symptoms in all participants after adjusting for all covariates (OR: 1.530, 95 %CI: 1.301, 1.797). This association remained in participants not using the internet (OR: 1.532, 95 %CI: 1.294, 1.811), but this association was not found in participants using the internet (OR: 1.242, 95 %CI: 0.638, 2.290). In addition, the role of internet use varied by age groups. Internet use may attenuate the association between ADL disability and depressive symptoms in middle-aged adults and younger older adults, but not in older adults aged 70 years and above.

Conclusions

ADL disability positively associated with depressive symptoms in middle-aged and older adults and internet use may attenuate the association between them especially in middle-aged and younger older adults.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.