The multiple mediating roles of depression and grandchild care in the relationship between social participation and cognitive function among middle-aged and elderly Chinese: an empirical study based on CHARLS 2020 data
Sumei Zhou,
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Tianfang Deng,
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Shuang Shao
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et al.
Frontiers in Aging Neuroscience,
Journal Year:
2025,
Volume and Issue:
17
Published: March 27, 2025
Background
With
global
and
Chinese
populations
aging
rapidly,
maintaining
cognitive
function
among
middle-aged
elderly
individuals
has
become
a
critical
health
priority.
Understanding
the
factors
influencing
is
crucial
for
developing
effective
policies
interventions.
Objectives
This
study
investigates
impact
of
social
participation
on
individuals,
examining
mediating
effects
depression
grandchild
care.
Given
potential
variation
in
these
across
different
demographic
socioeconomic
groups,
this
also
explores
subgroup
differences
to
provide
targeted
policy
recommendations.
Methods
Data
from
2020
China
Health
Retirement
Longitudinal
Study
(CHARLS)
were
used
analyze
relationship
between
function.
Ordinary
Least
Squares
(OLS)
stepwise
regression
models
employed,
with
robustness
checks
conducted
using
2SLS
regression.
Results
The
included
17,962
participants
aged
45
above.
Baseline
results
indicate
that
significantly
enhances
(β
=
0.417,
p
0.001)
after
adjusting
confounding
factors.
Subgroup
analysis
revealed
benefits
more
pronounced
residing
western
region,
those
60
above,
high-income
rural
populations.
Mediation
showed
played
substantial
role
–0.109,
0.001),
while
care
exhibited
statistically
significant
but
relatively
small
mediation
effect
0.004,
0.001).
Conclusion
Social
not
only
directly
improves
indirectly
it
by
reducing
increasing
caregiving
engagement
individuals.
However,
significant,
its
size
remains
small,
suggesting
overall
contribution
should
be
interpreted
caution.
In
contrast,
demonstrates
effect,
highlighting
mental
aging.
findings,
prioritize
interventions
mitigate
as
primary
pathway
enhancing
Expanding
opportunities
key
strategy,
particularly
central
eastern
regions,
under
years
old,
lower
income
levels,
urban
residents,
ensure
equitable
access
benefits.
Additionally,
may
serve
meaningful
form
engagement,
appear
complex
context-dependent.
Future
research
explore
long-term
intensity
emotional
burden
better
inform
intergenerational
support
programs.
Language: Английский
Uncovering unseen ties: a network analysis explores activities of daily living limitations and depression among Chinese older adults
Frontiers in Aging Neuroscience,
Journal Year:
2025,
Volume and Issue:
17
Published: April 11, 2025
Background
Chinese
older
adults
frequently
encounter
limitations
in
activities
of
daily
living
(ADL)
and
experience
depression.
Prior
research
has
not
deeply
explored
the
interconnectedness
these
factors
through
network
analysis.
Methods
The
study
utilized
data
from
2,137
aged
65
older,
sourced
2018
China
Health
Retirement
Longitudinal
Study
(CHARLS).
ADL
scale
CESD-10
were
employed
to
assess
ability
perform
depression,
respectively.
We
conducted
modeling
bridge
expected
influence
(BEI)
evaluations
investigate
relationships
between
Results
Our
analysis
revealed
robust
connections
depressive
symptoms.
Specifically,
somatic
symptoms
emerged
as
significant
predictors
depression
risk
with
highest
BEI
0.21,
whereas
positive
exhibited
a
protective
effect
0.13.
Notably,
toileting
0.04
among
was
identified
pivotal
node
linking
Conclusion
This
illuminated
complex
interplay
adults,
serving
crucial
connecting
point.
findings
offer
valuable
insights
that
can
inform
efforts
enhance
mental
health
improve
quality
life
for
this
population.
Language: Английский
Evaluation of the Prevalence, Trends, and Correlates of Low Back Pain in India: A Retrospective Cross-Sectional Study
Sunil Shetty,
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A. S.,
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Arnab Karmakar
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et al.
Cureus,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 5, 2025
Language: Английский
Association between cognitive function and depressive symptoms in Chinese older adults: The mediating role of activities of daily living
Wenting Sun,
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Yujia Yang,
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Luying Ding
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et al.
Geriatric Nursing,
Journal Year:
2024,
Volume and Issue:
60, P. 258 - 264
Published: Sept. 24, 2024
Language: Английский
The impact of positive activities on mental health: the mediating role of positive emotion
Frontiers in Public Health,
Journal Year:
2024,
Volume and Issue:
12
Published: Dec. 10, 2024
Mental
health
has
become
a
widely
concerned
topic
worldwide.
However,
the
impact
and
mechanism
of
positive
activities
on
mental
still
needed
to
be
explored.
This
study
aimed
apply
positive-activity
model
investigate
effect
participation
in
mediating
role
emotion.
Language: Английский