The relationship between activities of daily living and mental health in community elderly people and the mediating role of sleep quality
10.3969/j.issn.1672-8467.2024.02.001
- VernacularTitle:社区老年人日常生活活动能力与心理健康的关系及睡眠质量的中介作用
- Author:
Heng-Yi ZHOU
1
;
Jing LI
;
Dan-Hua DAI
;
Yang LI
;
Bin ZHANG
;
Rong DU
;
Rui-Long WU
;
Jia-Yan JIANG
;
Yuan-Man WEI
;
Jing-Rong GAO
;
Qi ZHAO
Author Information
1. 复旦大学公共卫生学院流行病学教研室 上海 200032
- Keywords:
activities of daily living(ADL);
sleep quality;
mental health;
the elderly
- From:
Fudan University Journal of Medical Sciences
2024;51(2):143-150
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship and internal path between activities of daily living(ADL),sleep quality and mental health of community elderly people in Shanghai.Methods A questionnaire survey was conducted among community residents aged 60 years and older seeing doctors in community health care center of five streets in Shanghai during Sept to Dec,2021 using convenience sampling.Activities of Daily Living(ADL),Pittsburgh Sleep Quality Index(PSQI)and 10-item Kessler Psychological Distress Scale(K10)were adopted in the survey.Single factor analysis,correlation analysis and multiple linear regression were used to analyze the data.The effect relationship between the variables was tested using Bootstrap's mediated effects test.Results A total of 1 864 participants were included in the study.The average score was 15.53±4.47 for ADL,5.60±3.71 for PSQI and 15.50±6.28 for K10.The rate of ADL impairment,poor sleep quality,poor and very poor mental health of the elderly were 23.6%,27.3%,11.9%and 4.9%,respectively.ADL and sleep quality were all positively correlated with mental health(r=0.321,P＜0.001;r=0.466,P＜0.001);ADL was positively correlated with sleep quality(r=0.294,P＜0.001).Multiple linear results of factors influencing mental health showed that ADL(β= 0.457,95%CI:0.341-0.573),sleep quality(β =0.667,95%CI:0.598-0.737)and mental health were positively correlated(P＜0.001).Sleep quality partially mediated the relationship between ADL and mental health(95%CI:0.078-0.124)with an effect size of 33.0%.Conclusion Sleep quality is a mediator between ADL and mental health among community elderly people.Improving ADL and sleep quality may improve mental health in the population.
