ArticleInternational journal of behavioral medicine2026
Association Between Social Activities and Depression in Middle-Aged and Older Stroke Patients.
Article in International journal of behavioral medicine, 2026. 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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Who cites it
1 citing paper in PubMed.
- An interpretable analysis of the depressive status and its influencing factors in elderly patients with stroke.Frontiers in neurologyArticle
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3 authors.
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Abstract
backgroundPost-stroke depression is a psychological complication among stroke survivors, associated with adverse outcomes. In recent years, social activity engagement has been proposed as a potential intervention to alleviate depression, yet evidence remains limited for middle-aged and older stroke populations in China.
objectiveTo examine the association of participation and diversity of social activities with depression among middle-aged and older Chinese stroke patients.
methodsUsing data from the China Health and Retirement Longitudinal Study (CHARLS) 2018 and 2020, we included 731 stroke patients for cross-sectional analysis, with 365 stroke patients without baseline depression used for longitudinal analysis. Weighted logistic regression assessed social activities-depression associations. Unweighted analyses tested robustness, and subgroup analyses explored sex and age differences.
resultsCross-sectional analysis showed that in the fully adjusted model, interacting with friends (OR = 0.66, 95% CI: 0.45-0.98) and helping others (OR = 0.50, 95% CI: 0.28-0.90) were linked to lower depression likelihood. Longitudinal analysis demonstrated that, in the fully adjusted model, interacting with friends (OR = 0.49, 95% CI: 0.27-0.91), helping others (OR = 0.38, 95% CI: 0.18-0.79), and internet use (OR = 0.36, 95% CI: 0.14-0.91) significantly reduced two-year incident depression likelihood. Compared to non-participants, engagement in multiple social activities was linked to markedly lower odds of depression (OR = 0.48, 95% CI: 0.28-0.81) and two-year incident depression (OR = 0.36, 95% CI: 0.16-0.77). These associations were more prominent in males, those who take care of grandchildren, or those with frequent children visit (once a week or more).
conclusionParticipation in social activities, particularly diverse engagements, is significantly associated with reduced depression likelihood among middle-aged and older Chinese stroke patients, with a stronger effect in males. Based on the above findings, clinical practice should attach importance to integrating social activities into post-stroke rehabilitation and public mental health programs.
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