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To analyze the chain-mediated roles of intergenerational spiritual support and depression between social participation and cognitive functioning in older adults.
In this paper, we used data from the China Health and Aging Tracking Survey (CHARLS) 2020 to screen 3 737 study participants who met the criteria. Depression and cognitive function were measured using the Center for Streaming Depression Scale (CES-D 10) and the Overall Cognitive Scoring Instrument, respectively. Two-column correlation analyses (Pearson’s correlation analyses) of correlation were used, and multiple mediating effect models were constructed to investigate the mediating effects of intergenerational spiritual support and depression in the impact of social participation activities and cognitive functioning in older adults.
After including control variables such as age, gender, marital status, chronic disease prevalence, and insurance participation, regression analysis showed that older adults’ social participation status had a significant direct effect on their cognitive functioning (β=0.254, P<0.001), while intergenerational spiritual support (β=0.052, P<0.050) and depression status (β= -0.084, P<0.001) also had a significant effect on cognitive function in older adults. The results of mediation effect analysis showed that the simple mediation effects of intergenerational psychiatric support and depression status on the relationship between social participation status and cognitive function in older adults were 0.006(95% CI: 0.001-0.012) and 0.020(95% CI: 0.006-0.036), respectively, and the chained mediation effect was 0.001(95% CI: 0.001-0.004).
This study finds a direct mediating effect of depressive status and intergenerational psychiatric support between social participation status and cognitive functioning in older adults, as well as a chain-mediated effect between the two. Social participation of older adults should be improved, while their cognitive function can be improved by children caring more about their parents and reducing depressive symptoms to delay or prevent the occurrence of cognitive impairment in older adults.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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