ArticleAging clinical and experimental research2024
Association between social engagement decline and cognitive function changes: mediating effect of depressive symptoms.
Article in Aging clinical and experimental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Possible and Probable Dementia and Depressive/Anxiety Symptoms in U.S. Older Adults: One-Year Follow-Up.Journal of aging and health · 2026Article
- Social connectedness and cognitive outcomes in rural middle- to older-age adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- The relationship between social interaction patterns and cognitive trajectory in older adult: evidence from ELSA.BMC public health · 2026Article
- Relationship Between Socioeconomic Status and Depression in Older Adults: The Roles of Cognitive Function and Sleep Quality.Psychology research and behavior management · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundCognitive decline is a significant public health problem worldwide, but little is known about social engagement's impact on cognitive changes over time. This study aimed to explore the relationship between social engagement decline and cognitive function change in Chinese adults, and to analyze the effect of changes in depressive symptoms on this relationship.
methodsParticipants were selected from the China Health and Retirement Longitudinal Study. Multiple linear regression was conducted to determine the association between social engagement decline and cognitive function changes, and a three-step method was used to test the mediating role of changes in depressive symptoms.
resultsDuring the four-year follow-up, participants' overall cognitive function decreased by an average of 0.41 points (3.0%). The decline in social engagement was significantly associated with subsequent poorer global cognitive function (Model 1: β = - 0.060, P =.005; Model 2: β = - 0.056, P =.009), and changes in depressive symptoms partially mediated this effect, accounting for 15.3% of the total effect in Model 1 and 13.8% in Model 2. Model 1 adjusted for sociodemographic characteristics, and Model 2 adjusted for health-related factors based on Model 1.
conclusionWhen developing programs for cognitive improvement in middle-aged and older adults, measures to enhance social engagement should be considered. This may not only reduce depressive symptoms but also help to minimize cognitive decline.
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