ArticleInternational journal of public health2025
Mediating Role of Internet Use in Cognitive-Depressive Pathways: A Random Intercept Cross-Lagged Panel Modeling Approach.
Article in International journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Longitudinal bidirectional associations among sarcopenia risk, social isolation, and frailty in Chinese older adults using an item response theory-derived frailty index.Frontiers in public health · 2026Observational
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6 authors.
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Abstract
Objectives: Prior work has identified an inverse relationship between depression and cognition in older adults, but the mechanisms underlying this association remain unclear. This study investigated whether internet use mediates this relationship in middle-aged and older adults. Methods: Data were drawn from the China Health and Retirement Longitudinal Study (CHARLS) from 2015 to 2020 (n = 9,610). The Random Intercept Cross-Lagged Panel Model (RI-CLPM) with mediation analysis was used; subgroup analyses were conducted for middle-aged (45-64) and older (65+) adults. Results: At the between-person level, a significant negative correlation was found between cognitive function and depressive symptoms. Within-person analysis revealed a bidirectional relationship: poorer cognitive function predicted increased depressive symptoms (β* = -0.080, p < 0.001), and conversely, increased depressive symptoms predicted poorer cognitive function (β* = -0.019, p < 0.05). Internet use partially mediated this relationship, accounting for 8.58% and 9.69% of the total effects, respectively. This mediating effect was stronger in middle-aged adults than in older adults. Conclusion: These results emphasize the continued importance of exploring multidisciplinary interventions to mitigate depressive symptoms and delay cognitive decline in middle-aged and older adult populations.
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