ArticleBMC geriatrics2024
The relationship between marital status and cognitive impairment in Chinese older adults: the multiple mediating effects of social support and depression.
Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Prevalence and associated factors of cognitive frailty in older adults with heart failure: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Emerging trends in cognitive impairment and dementia among older populations in Asia: A systematic review.Journal of global health · 2024Pooled it
- Gender Differences in the Association Between Marriage and Cognitive Decline: Evidence From the China Health and Retirement Longitudinal Study (CHARLS).PsyCh journal · 2026Article
- Assessing cognitive impairment in Saudi Arabian diabetes patients: A cross-sectional study in Aseer region.Journal of family medicine and primary care · 2026Article
- Health literacy among residents in communities implementing healthy community initiatives: a cross-sectional study.Frontiers in public health · 2026Article
- Interpretable machine learning models for identifying cognitive impairment in middle-aged and older adults with mild and severe insomnia: development, temporal validation, and clinical external validation.Frontiers in aging neuroscience · 2026Article
- Depression among older parents' and their associated factors after adult children's migration: A mixed method study in an urban setting of Kathmandu Metropolitan City.PLOS mental health · 2026Article
- Association between housework frequency and cognitive impairment among Chinese older adults: a prospective cohort study based on CLHLS.BMC public health · 2025Article
- Predictive model for mild cognitive impairment in older Chinese adults with depression.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2025Article
- Marital status and risk of dementia over 18 years: Surprising findings from the National Alzheimer's Coordinating Center.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Changes in psychological well-being among older adults: a latent transition analysis from China.BMC public health · 2025Article
- How does ego-depletion affect the reemployment intention of county public sector retirees? The mediating effect of psychological ownership and the moderating effect of social trust.Frontiers in psychology · 2025Article
- Impact of dual sensory impairment on cognition in older Chinese adults: a moderated chain-mediated effect.Frontiers in public health · 2025Article
- Number of chronic diseases and cognitive function among the elderly in China: a moderated mediation model.Frontiers in psychology · 2025Article
- Factors associated with the presence of anxiety and depression symptoms in rural hypertensive adults in Bangladesh: leveraging extreme gradient booster machine learning algorithm.Frontiers in psychology · 2025Article
- Functional Capacity of Institutionalized Older People and Their Quality of Life, Depressive Symptoms and Feelings of Loneliness: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2024Article
- Subjective Cognitive Impairment and Physical Activity: Investigating Risk Factors and Correlations among Older Adults in Spain.Journal of functional morphology and kinesiology · 2024Article
- The relationship between marital status and cognitive function in Chinese older adults: The mediating role of depressive symptoms.Journal of Alzheimer's disease reportsArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMarital status is a potentially essential factor for cognitive impairment. Relevant research examining the potential pathways through which the marital status of spouseless older people is associated with cognitive impairment needs to be more adequate. Therefore, this study aims to investigate the serial mediating effects of various forms of social support and depression between marital status and cognitive impairment in older Chinese people.
methodsThis study involved a secondary analysis of data from the 2014-2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), with a total of 2,647 Chinese older adults and 53.6% being males. Mediation analysis using the SPSS process macro was conducted.
resultsThe results indicated that marital status was significantly predictive of cognitive impairment among older people, and those with a spouse exhibited higher cognitive functioning. Informal social support and depression were found to play partial mediating roles in the association between marital status and cognitive impairment. The findings also revealed that marital status was unrelated to formal social support, and no association between formal social support and cognitive impairment was found.
conclusionsThe study findings highlight the need for social service providers to design programs for promoting connections associated with informal support to reduce their risk of depression and cognitive impairment and for policymakers to develop effective formal social support systems for older people without spouses. This study indicated that older people could regain the benefits of marriage to lower the risk of depression and improve their mental health.
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