Activities of Daily Living and Depression in Chinese Elderly of Nursing Homes: A Mediation Analysis

被引：12
作者：
Gao, Lunan [1 ]
Yang, Jinhong [2 ]
Liu, Jiang [1 ]
Xin, Tingting [1 ]
Liu, Yuxiu [1 ,3 ]
机构：
[1] Weifang Med Univ, Sch Nursing, Weifang, Peoples R China
[2] Weifang Peoples Hosp, Dept Oncol, Weifang, Peoples R China
[3] Weifang Med Univ, Sch Nursing, 7166 Baotong Western St, Weifang, Peoples R China
来源：
PSYCHOLOGY RESEARCH AND BEHAVIOR MANAGEMENT | 2023年 / 16卷
基金：
中国国家自然科学基金;
关键词：
elderly; nursing home; activities of daily living; depressive symptom; sleep quality; QUALITY-OF-LIFE; SUBJECTIVE SLEEP QUALITY; OLDER-ADULTS; RISK-FACTORS; FUNCTIONAL DISABILITY; PSYCHIATRIC-DISORDERS; SOCIAL SUPPORT; SYMPTOMS; INSOMNIA; DISTURBANCE;
D O I：
10.2147/PRBM.S394787
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Purpose: This study aimed to explore the role of sleep quality as a mediator in the activities of daily living (ADLs) and depression. Patients and Methods: Participants (N=645; age >= 60) were included in six nursing homes in Weifang, Shandong Province, using convenience sampling. Participants completed questionnaires to assess sleep quality, ADLs, and depression. Depression condition was assessed by the Patient Health Questionnaire (PHQ-9), ADLs was assessed by the Barthel Index (BI), and sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI). Mediation analysis was carried out by SPSS PROCESS.Results: ADLs (r=0.449, P<0.01) and sleep quality (r=0.450, P<0.01) were found to be positively associated with depression among the elderly. Sleep quality plays a significant mediating role in the influence of ADLs on depression in the elderly in nursing homes (Bootstrap 95% CI [0.076, 0.139]), The pathway from ADLs to sleep quality to depression yielded a medium effect size of 20.23%. Conclusion: ADLs help to explain how sleep quality partly mediates depression among the elderly in nursing homes. It is therefore recommended that timely detection and efficient interventions should focus on promoting physical function and improving sleep quality among the elderly in nursing homes.
引用
收藏
页码：29 / 38
页数：10
相关论文
共 72 条
[1]   Depression, functional disability and quality of life among Nigerian older adults: Prevalences and relationships [J].
Akosile, Christopher Olusanjo ;
Mgbeojedo, Ukamaka Gloria ;
Maruf, Fatai Adesina ;
Okoye, Emmanuel Chiebuka ;
Umeonwuka, Ifeanyi Chuka ;
Ogunniyi, Adesola .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2018, 74 :39-43
[2]   Sleep health mediates the relationship between physical activity and depression symptoms [J].
Barham, William T. ;
Buysse, Daniel J. ;
Kline, Christopher E. ;
Kubala, Andrew G. ;
Brindle, Ryan C. .
SLEEP AND BREATHING, 2022, 26 (03) :1341-1349
[3]   THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].
BARON, RM ;
KENNY, DA .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182
[4]   Association of Poor Subjective Sleep Quality With Risk for Death by Suicide During a 10-Year Period A Longitudinal, Population-Based Study of Late Life [J].
Bernert, Rebecca A. ;
Turvey, Carolyn L. ;
Conwell, Yeates ;
Joiner, Thomas E., Jr. .
JAMA PSYCHIATRY, 2014, 71 (10) :1129-1137
[5]   Sleeping Problems and Suicide in 75,000 Norwegian Adults: A 20 Year Follow-up of the HUNT I Study [J].
Bjorngaard, Johan Hakon ;
Bjerkeset, Ottar ;
Romundstad, Pal ;
Gunnell, David .
SLEEP, 2011, 34 (09) :1155-1159
[6]   Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice [J].
Briguglio, Matteo ;
Vitale, Jacopo Antonino ;
Galentino, Roberta ;
Banfi, Giuseppe ;
Dina, Carlotta Zanaboni ;
Bona, Alberto ;
Panzica, Giancarlo ;
Porta, Mauro ;
Dell'Osso, Bernardo ;
Glick, Ira David .
NEUROPSYCHIATRIC DISEASE AND TREATMENT, 2020, 16 :55-70
[7]   Relationship of physical activity and sleep with depression in college students [J].
Cahuas, Ana ;
He, Zhonghui ;
Zhang, Zhanjia ;
Chen, Weiyun .
JOURNAL OF AMERICAN COLLEGE HEALTH, 2020, 68 (05) :557-564
[8]   Frailty is associated with poor sleep quality in the oldest old [J].
Cavusoglu, Cagatay ;
Deniz, Olgun ;
Dogrul, Rana Tuna ;
Coteli, Suheyla ;
Oncul, Ali ;
Kizilarslanoglu, Muhammet Cemal ;
Goker, Berna .
TURKISH JOURNAL OF MEDICAL SCIENCES, 2021, 51 (02) :540-546
[9]  
Chang PP, 1997, AM J EPIDEMIOL, V146, P105
[10]   Poor Sleep Quality is Independently Associated with Physical Disability in Older Adults [J].
Chien, Meng-Yueh ;
Chen, Hsi-Chung .
JOURNAL OF CLINICAL SLEEP MEDICINE, 2015, 11 (03) :225-232
12345678