ArticleBMC public health2024
Relationship between social participation and depressive symptoms in patients with multimorbidity: the chained mediating role of cognitive function and activities of daily living.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Digital divide and health status among rural older adults in China: evidence from CHARLS.Global health action · 2026Article
- Multimorbidity Clusters and Depressive Symptom Networks in Old Age: Evidence From China.Psychiatry investigation · 2026Article
- Predictors of psychological symptom risk in older adults in Türkiye: the role of mental health literacy and demographic-clinical factors.BMC geriatrics · 2026Article
- The association between internet use and cognition in older adults: empirical analysis based on CLASS 2023.Frontiers in psychology · 2026Article
- Inter- and intra- individual variability in audiovisual multisensory processes in healthy ageing.Aging brain · 2026Article
- The mediating role of activities of daily living in the association between nutritional risk and cognitive function among stroke survivors: a cross-sectional study.Frontiers in medicine · 2026Article
- Disability status and expectations of disability services among individuals with chronic diseases.PloS one · 2026Article
- The association between physical activity and depressive symptoms among Chinese older adults: the chain mediating roles of sleep duration and cognitive function.BMC psychology · 2025Article
- The influence of intergenerational relationships on depressive symptoms in elderly patients with multiple chronic conditions: the mediating roles of self-rated health and well-being.BMC public health · 2025Article
- The relationship between sarcopenia and mental health status in Chinese older adults: the mediating role of activities of daily living.BMC geriatrics · 2025Article
- Determinants of Social Activity Among Geriatric Patients in Northern Romania: A Cross-Sectional Study.Journal of clinical medicine · 2025Article
- ADL and Cognitive Function in Chinese Elderly: Mediating Role of Social Participation and Moderating Role of Intergenerational Support.Journal of multidisciplinary healthcare · 2025Article
- From work to community: how social participation and retirement can benefit older adults' depression.Frontiers in psychiatry · 2025Article
- Association between social participation and hope levels in stroke patients: a cross-sectional study.Frontiers in psychology · 2025Article
- Association between nighttime sleep duration and cognitive function in middle-aged and older adult patients with multimorbidity: the mediating role of depression.Frontiers in public health · 2025Article
- The Mediating Role of Activities of Daily Living in the Relationship Between Depressive Symptoms and Multidimensional Frailty in the Elderly with Multimorbidity.Clinical interventions in aging · 2025Article
- Increased Depressive and Anxiety Symptoms Predict Increased Severity of Functional Impairment After Five Years: A Nationally Representative Retrospective Cohort Study.Journal of patient-centered research and reviews · 2025Article
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10 authors.
Funding
Abstract
objectiveThe potential mechanisms linking social participation and depressive symptoms in Chinese individuals with multimorbidity are not yet fully understood. This study aims to explore how cognitive function and activities of daily living (ADLs) mediate the relationship between social participation and depressive symptoms in individuals with multimorbidity.
methodsWe selected 3782 participants with multimorbidity from the 2018 China Health and Retirement Longitudinal Study. Data related to social participation, cognitive function, ADLs, and depressive symptoms were extracted. Regression and Bootstrap analyses were used to explore the sequential mediating effects of social participation, cognitive function, ADLs, and depressive symptoms.
results(1) There was a significant correlation between social participation, cognitive function, activities of daily living, and depressive symptoms (p < 0.01). (2) Social participation directly affected depressive symptoms (β = -0.205, p < 0.05). (3) Cognitive function (β = -0.070, p < 0.01) and activities of daily living (β = -0.058, p < 0.01) played separate mediating roles in the effect of social participation on depressive symptoms. (4) Cognitive function and activities of daily living had a chain-mediated role in the relationship between social participation and depressive symptoms in patients with multimorbidity (β = -0.020, p < 0.01).
conclusionA chained mediating effect was found between cognitive function, ADLs, social participation, and depressive symptoms in patients with multimorbidity. Social participation was found to improve the cognitive function of patients with multimorbidity, which in turn enhanced their daily life activities and ultimately alleviated their depressive symptoms.
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