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The association of spousal depressive symptoms and cognitive function among older adults: mediation and moderated mediation analyses.
- Source :
-
Aging & Mental Health . Nov2023, Vol. 27 Issue 11, p2162-2169. 8p. - Publication Year :
- 2023
-
Abstract
- To test whether contagious depressive symptoms mediate the association between spousal depressive symptoms (spousal-DS) and the other spouse's cognitive function, and test the moderated mediation of social activities engagement and sleep quality. A total of 3,230 adults aged ≥60 and one of his/her close relatives were interviewed in 2016 in Xiamen, China. Cognitive function and depressive symptoms were measured by MoCA and GDS-15/CES-D-10, respectively. Social activities engagement and sleep quality were self-reported. Mediation and moderated mediation were tested by PROCESS macro with 5000 bootstrapping re-samples. Among all, 1,193 pairs were husband-wife with complete information and were included. The mean ages of older adults and their spouses were 68.35 ± 6.53 and 66.53 ± 7.91 years, respectively. The mean MoCA and GDS-15 scores for older adults were 22.21 ± 5.45 and 1.73 ± 2.17, respectively. The average score of CES-D-10 for spouses was 14.18 ± 4.77. Spousal-DS were associated with cognitive functions of older adults via the contagious depressive symptoms (indirect effect: −0.048, 95% confidence interval (CI): (-0.075, −0.028)). Such mediation can be buffered by attending social activities (interaction: −0.062, 95% CI: (-0.111, −0.013)) and improving sleep quality (interaction: −0.034, 95% CI: (-0.057, −0.012)). Cognitive function of older adults was associated with his/her spouse's depressive symptoms, and the association was mediated by contagious depressive symptoms and moderated by social activities as well as sleep quality. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SOCIAL participation
*SLEEP quality
*STATISTICS
*CONFIDENCE intervals
*ONE-way analysis of variance
*MATHEMATICAL models
*MENTAL health
*SPOUSES
*PSYCHOLOGICAL tests
*T-test (Statistics)
*MENTAL depression
*FACTOR analysis
*DESCRIPTIVE statistics
*THEORY
*RESEARCH funding
*SENSITIVITY & specificity (Statistics)
*DATA analysis
*COGNITION in old age
Subjects
Details
- Language :
- English
- ISSN :
- 13607863
- Volume :
- 27
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Aging & Mental Health
- Publication Type :
- Academic Journal
- Accession number :
- 172806041
- Full Text :
- https://doi.org/10.1080/13607863.2023.2213665