Evidence map›Paper›PMID 41139586›Full record

ArticleFamily process2025

Mental Health Literacy, Anxiety, and Insomnia in Chinese Chronically Ill Older Adult-Caregiver Dyads: Actor-Partner Interdependence Moderation Model.

Xinyu Fan, Huiqiong Zheng, Shibin Wang, Wenyan Tan, Jing Liao

Abstract read
In one paragraph

Article in Family process, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xinyu FanDepartment of Medical Statistics, School of Public Health, Sun Yat-Sen University, Guangzhou, China.ORCID 0009-0006-2398-5043
Huiqiong ZhengDepartment of Medical Statistics, School of Public Health, Sun Yat-Sen University, Guangzhou, China.
Shibin WangGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Wenyan TanGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Jing LiaoDepartment of Medical Statistics, School of Public Health, Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0001-6370-3430

Funding

National Natural Science Foundation of China 81803302National Social Science Fund of China 19ZDA360
6 · The paper itself

Abstract

Anxiety and insomnia are correlated in older adults and their caregivers, yet the moderating role of mental health literacy (MHL) is unclear. This study aimed to explore dyadic effects of anxiety on insomnia among Chinese chronically ill older adults and family caregivers across age groups and whether MHL moderates these effects. Data came from 1033 dyads of older adults and their family caregivers in China through the Guangdong Mental Health Survey. Anxiety was assessed with the Generalized Anxiety Disorder-7, insomnia with the Insomnia Severity Index, and MHL with the Chinese National Mental Health Literacy Scale (consisting of mental health knowledge, attitudes, and capacity). The Actor-Partner Interdependence Moderation Model was applied for analysis. Young caregivers' mental health attitudes, β = -0.558, p = 0.002, mitigated the effect of their anxiety on their insomnia, while older adults' mental health knowledge, β = 0.428, p = 0.019, enhanced this relationship. Older adults' mental health attitudes, β = -0.731, p = 0.004, reduced the impact of middle-aged caregivers' anxiety on the latter's insomnia. Middle-aged caregivers' mental health capacity, β = -0.367, p = 0.004, attenuated the effect of older adults' anxiety on caregivers' insomnia. No significant moderating effects were observed in the dyad group of older adults and older caregivers. Within caregiving dyads, enhancing MHL can potentially reduce the impact of anxiety on insomnia. Interventions aimed at improving the mental health attitudes of older adults and caregivers are more likely to alleviate anxiety and insomnia than mental health knowledge and capacity.

Indexed as

AnxietyCaregiversHealth LiteracySleep Initiation and Maintenance DisordersAdultAgedChinaChronic DiseaseFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMental HealthMiddle Agedactor‐partner interdependence moderation modelanxietycaregiversinsomniamental health literacyolder adults

Identifiers

PMID41139586
PMCPMC12554632

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.