The relationship between living alone or not and depressive symptoms in older adults: a parallel mediation effect of sleep quality and anxiety

被引:21
作者
Huang, Mina [1 ]
Liu, Kun [2 ]
Liang, Chunguang [1 ]
Wang, Yongzhu [3 ]
Guo, Zhanpeng [3 ]
机构
[1] Jinzhou Med Univ, Dept Nursing, Jinzhou, Peoples R China
[2] Jinzhou Med Univ, Dept Med Coll, Jinzhou, Peoples R China
[3] Jinzhou Med Univ, Dept Orthoped, Affiliated Hosp 1, 2,Sect 5,Renmin St, Jinzhou 121001, Liaoning, Peoples R China
关键词
Living alone; Depressive symptoms; Sleep quality; Anxiety; Older adults; Living arrangements; CLHLS; PHYSICAL-ACTIVITY; SHORT-FORM; OF-LIFE; HEALTH; ASSOCIATION; POPULATION; LONELINESS; CHINA;
D O I
10.1186/s12877-023-04161-0
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
BackgroundWith modernization and ageing in China, the population of older adults living alone is increasing. Living alone may be a potential risk factor for depressive symptoms. However, no parallel mediation model analysis has investigated the mediating factors for living alone or not (living arrangements) and depressive symptoms.MethodsThis cross-sectional study included a total number of 10,980 participants from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), 1699 of whom lived alone and 9281 of whom did not live alone. Binary logistic regression and parallel mediation effect model were used to explore the relationship between living alone or not and depressive symptoms and possible mediation effects. Bootstrap analysis was used to examine the mediation effect of living alone or not on depressive symptoms.ResultsCompared to the participants who were not living alone, the living alone group had a higher rate of depressive symptoms. The binary logistic regression showed that after adjusting for other covariates, the risk of depressive symptoms was approximately 0.21 times higher for living alone compared to not living alone (OR = 1.21, 95% CI: 1.06, 1.37). Further, the results of the bootstrap analysis supported the partial mediating role of sleep quality and anxiety. Mediation analysis revealed that sleep quality and anxiety partially mediate the relationship between living alone and depressive symptoms (& beta; = 0.008, 95% CI [0.003, 0.014]; & beta; = 0.015, 95% CI [0.008, 0.024], respectively).ConclusionsSleep quality and anxiety were identified as partially parallel mediators between living alone or not and depressive symptoms. Older adults living alone with poorer sleep quality and more pronounced anxiety were positively associated with higher levels of depressive symptoms. Older adults living alone should be encouraged to engage in social activities that may improve sleep quality, relieve anxiety, and improve feelings of loneliness caused by living alone. Meanwhile, older adults living alone should receive attention and support to alleviate their depressive symptoms.
引用
收藏
页数:11
相关论文
共 75 条
[1]   Long-Term High Dietary Diversity Maintains Good Physical Function in Chinese Elderly: A Cohort Study Based on CLHLS from 2011 to 2018 [J].
Aihemaitijiang, Sumiya ;
Zhang, Li ;
Ye, Chen ;
Halimulati, Mairepaiti ;
Huang, Xiaojie ;
Wang, Ruoyu ;
Zhang, Zhaofeng .
NUTRIENTS, 2022, 14 (09)
[2]   SCREENING FOR DEPRESSION IN WELL OLDER ADULTS - EVALUATION OF A SHORT-FORM OF THE CES-D [J].
ANDRESEN, EM ;
MALMGREN, JA ;
CARTER, WB ;
PATRICK, DL .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 1994, 10 (02) :77-84
[3]   Doubling up: A gift or a shame? Intergenerational households and parental depression of older Europeans [J].
Aranda, Luis .
SOCIAL SCIENCE & MEDICINE, 2015, 134 :12-22
[4]   Depression and sleep quality in older adults: a meta-analysis [J].
Becker, Nathalia B. ;
Jesus, Saul N. ;
Joao, Karine A. D. R. ;
Viseu, Joao N. ;
Martins, Rute I. S. .
PSYCHOLOGY HEALTH & MEDICINE, 2017, 22 (08) :889-895
[5]   Loneliness in the general population: prevalence, determinants and relations to mental health [J].
Beutel, Manfred E. ;
Klein, Eva M. ;
Braehler, Elmar ;
Reiner, Iris ;
Juenger, Claus ;
Michal, Matthias ;
Wiltink, Joerg ;
Wild, Philipp S. ;
Muenzel, Thomas ;
Lackner, Karl J. ;
Tibubos, Ana N. .
BMC PSYCHIATRY, 2017, 17
[6]   Mindfulness Meditation and Improvement in Sleep Quality and Daytime Impairment Among Older Adults With Sleep Disturbances A Randomized Clinical Trial [J].
Black, David S. ;
O'Reilly, Gillian A. ;
Olmstead, Richard ;
Breen, Elizabeth C. ;
Irwin, Michael R. .
JAMA INTERNAL MEDICINE, 2015, 175 (04) :494-501
[7]   Chronic Diseases and Associated Factors among Older Adults in Loja, Ecuador [J].
Bonilla-Sierra, Patricia ;
Vargas-Martinez, Ana-Magdalena ;
Davalos-Batallas, Viviana ;
Leon-Larios, Fatima ;
Lomas-Campos, Maria-de-las-Mercedes .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (11)
[8]   Perceived sleep quality is associated with depression in a Korean elderly population [J].
Chang, Ki Jung ;
Son, Sang Joon ;
Lee, Yunhwan ;
Back, Joung Hwan ;
Lee, Kang Soo ;
Lee, Soo Jin ;
Chung, Young Ki ;
Lim, Ki Young ;
Noh, Jai Sung ;
Kim, Hyun Chung ;
Koh, Sang Hyun ;
Roh, Hyun Woong ;
Park, Mi Ae ;
Kim, Jin Ju ;
Hong, Chang Hyung .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2014, 59 (02) :468-473
[9]   Sleep and anxiety: From mechanisms to interventions [J].
Chellappa, Sarah L. ;
Aeschbach, Daniel .
SLEEP MEDICINE REVIEWS, 2022, 61
[10]   Factorial validity of the Center for Epidemiologic Studies Depression Scale short form in older population in China [J].
Chen, Huajuan ;
Mui, Ada C. .
INTERNATIONAL PSYCHOGERIATRICS, 2014, 26 (01) :49-57