ArticleFrontiers in psychology2025
The mediating role of anxiety and depressive symptoms on the relationship between physical limitations and cognitive impairment among older adults in China: differences based on religious perspective.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Physical limitationsand mental health may have a common effect on cognitive function. However, little is known about how religion influences these paths among older Chinese adults. Objective: This study investigated how anxiety and depressive symptoms mediate the association between physical limitations and cognitive impairment. Furthermore, we analyzed discrepancies in path models between participants with or without religious beliefs. Methods: This population-based, cross-sectional study involved 6,656 adults aged ≥ 60 years in six cities in Guangdong Province, China. Participants were divided into two groups based on the presence of religious beliefs. All participants completed a general demographics questionnaire, the Chinese version of the Mini-Mental State Examination (MMSE), the Basic Activities of Daily Living (BADLs) scale, Generalized Anxiety Disorder-7 (GAD-7), and Health Questionnaire-9 (PHQ-9). Simple and serial multiple mediation models were then tested using SPSS PROCESS macro. Results: BADLs, anxiety symptoms, depressive symptoms, and cognitive impairment were significantly related (all Conclusion: Our findings highlight the need for health professionals to promote mental well-being to prevent cognitive decline prevention among older adults with physical limitations who do not have religious belief. These findings should be further confirmed by prospective studies utilizing other methods of assessing cognitive function and religiosity.
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