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To explore the parallel mediating effects of life satisfaction and parent-child relationship satisfaction on the relationship between daily living activity ability and depression in elderly patients with chronic respiratory diseases, providing references for improving their quality of life.
Data from the China Health and Retirement Longitudinal Study (CHARLS) 2020 were used, involving patients aged 60 and older with chronic respiratory diseases. The PROCESS 4.1 macro was employed to analyze the mediating effects between daily living activity ability and depression, and the bias-corrected nonparametric percentile Bootstrap method was used to validate the mediating variables.
Impaired daily living activity ability was negatively correlated with parent-child relationship satisfaction (r=-0.08, P < 0.01) and life satisfaction (r=-0.16, P <0.001), while positively correlated with depression (r=0.35, P < 0.001). The mediating effect analysis indicated that the total effect value of daily living activity ability on depression was 0.231 (95%CI: 0.600-0.944), with a direct effect value of 0.183(95%CI: 0.451-0.773). Life satisfaction and parent-child relationship satisfaction played parallel mediating roles between daily living activity ability and depression, with mediating effect values of 0.040 (95%CI: 0.018-0.062) and 0.009 (95%CI: 0.002-0.017), respectively. The total mediating effect accounted for 20.78% (95%CI: 0.023-0.074) of the overall effect.
There is a relationship between daily living activity ability and depression in elderly patients with chronic respiratory diseases.Life satisfaction and parent-child relationship satisfaction serve as parallel mediators in this relationship. Focusing on improving daily living activity ability and enhancing life satisfaction and parent-child relationship satisfaction may help alleviate depression in older patients with chronic respiratory diseases.
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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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