Full
Outline
To explore the influence mechanism of adverse childhood experiences on the depression status of the elderly and test the mediating role of self-care ability between them.
Using data from the 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS), 1 811 elderly individuals aged 65 and above were included in the survey. The CES-D10 scale was used to assess the depression score, adverse childhood experiences were quantified through childhood lack of medical treatment and hunger experiences, and the activities of daily living (ADL) limitation index was used to measure self-care ability. Linear regression was used to analyze the direct associations among variables, and Process 4.2 Model 4 was used to analyze the mediating effect of self-care ability between adverse childhood experiences and the depression status of the elderly,while controlling for covariates.
The number of childhood adverse experiences showed a significant positive correlation with depression scores, with a total effect value of 0.461 (95% CI: 0.093-0.830). Self-care ability showed a partial mediating effect, with an mediation effect of 0.050 (95% CI: 0.003-0.108), accounting for 10.90% of the total effect.
Adverse childhood experiences can directly (89.10%) or indirectly through impairing self-care ability (10.90%) jointly increase the depression level of the elderly. It is recommended to implement early intervention throughout the life course, incorporating self-care ability maintenance into the core of elderly mental health services. The intervention measures should focus on vulnerable elderly populations, and through early screening and targeted intervention, improve psychological resilience, strengthen social support, and alleviate the long-term negative effects of childhood adversity.
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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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