The mediating roles of depressive symptoms and social participation in the relationship between the effects of pain and cognitive function among Chinese older adults: A longitudinal study

被引：4

作者：

Gu, Shiping ^{[1
]}

Du, Xinnan ^{[1
]}

Han, Dan ^{[1
]}

Li, Sangsang ^{[2
]}

Zhao, Jie ^{[1
]}

Wu, Yunyi ^{[1
]}

Zhang, Mei ^{[1
]}

Liao, Hui ^{[1
]}

Wang, Jing ^{[1
,2
,3
]}

机构：

[1] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Med & Hlth Management, Dept Hlth Management, 13 Hangkong St, Wuhan 430030, Hubei, Peoples R China

[2] Huazhong Univ Sci & Technol, Key Res Inst Humanities & Social Sci Hubei Prov, Wuhan 430030, Hubei, Peoples R China

[3] Huazhong Univ Sci & Technol, Inst Poverty Reduct & Dev, Wuhan 430030, Hubei, Peoples R China

来源：

GERIATRIC NURSING | 2024年 / 57卷

基金：

美国国家科学基金会;

关键词：

cognitive function; Pain; Depressive symptoms; Social participation; ASSOCIATION; RISK;

D O I：

10.1016/j.gerinurse.2024.04.006

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Decline in cognitive function poses a substantial burden on individuals, families, and society. However, the longitudinal potential mechanism underlying the link of pain and cognitive function remains unclear. Using data of 4247 participants aged 60 years and over from the China Health and Retirement Longitudinal Study in 2011, 2013, 2018, and 2020, we discussed the longitudinal predictive effect of pain on cognitive function and the mediating effects of depressive symptoms and social participation. The longitudinal mediation model analysis revealed that pain could not directly influence cognitive function, but it could indirectly predict cognitive function through the independent mediation effects of depressive symptoms and social participation. Moreover, the association between pain and cognitive function was serially mediated by depressive symptoms and social participation. Diversified interventions aimed at relieving pain and depressive symptoms, and increasing social participation in older adults would be beneficial for their cognitive function. (c) 2024 Elsevier Inc. All rights reserved.

引用

页码：147 / 153

页数：7

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