Mediating effect of activities of daily living between pain and depressive symptoms in Chinese elderly
10.3969/j.issn.1006-2483.2025.04.003
- VernacularTitle:日常生活活动能力在中国老年人疼痛与抑郁症状中介效应研究
- Author:
Shan JIANG
1
;
Huaiju GE
1
;
Wenyu SU
1
;
Shihong DONG
1
;
Weimin GUAN
1
;
Qing YU
1
;
Huiyu JIA
1
;
Wenjing CHANG
1
;
Jinglei ZHANG
1
;
Kang ZHANG
2
;
Guifeng MA
1
;
Wentao WEI
3
,
4
Author Information
1. School of Public Health , Shandong Second Medical University , Weifang , Shandong 261053, China
2. School of Clinical Medicine , Shandong Second Medical University , Weifang , Shandong 261053, China
3. The Second People'
4. s Hospital of Weifang , Weifang , Shandong 261041 , China
- Publication Type:Journal Article
- Keywords:
Elderly;
Pain;
Activities of daily living;
Depressive symptoms;
Mediating effect
- From:
Journal of Public Health and Preventive Medicine
2025;36(4):12-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating role of activities of daily living (ADL) in pain and depressive symptoms in the elderly in China. Methods Utilizing the data from 2020 China Health and Retirement Longitudinal Study, 4403 Chinese elderly individuals aged ≥ 60 years old were selected as the research subjects. Depression Scale (CES-D 10) of the Center for Epidemiological Survey and ADL scale were used in the study. The PROCESS4.1 macro was used to test the mediating effect of daily living activities between pain and depressive symptoms, and the Bootstrap method was applied for verification of the mediating variables. Results A total of 2368 cases of depressive symptoms were detected in the elderly in China, with a detection rate of 53.78%. Pain was positively correlated with depressive symptoms (r=0.27, P<0.01), and activities of daily living were negatively correlated with pain and depressive symptoms (r=-0.27, -0.337, P<0.01). The results showed that the total effect value of pain on depressive symptoms was 0.33, the direct effect value was 0.24, and the mediating effect value of daily living activities was 0.09, accounting for 27.27%. Conclusion Pain and activities of daily living are important factors influencing depressive symptoms in the elderly, and activities of daily living play a partial mediating role in the relationship between pain and depressive symptoms in the elderly.
