Intermediary effect of depression between the Housebound and cognition in community elderly
10.3760/cma.j.issn.1674-6554.2017.07.015
- VernacularTitle:抑郁情绪在社区老年人居家不出与认知功能间的中介效应
- Author:
Lingdi MENG
;
Xiao FENG
;
Kun LIU
- Keywords:
Aged;
Depression;
Housebound;
Cognitive function;
Structural equation model
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2017;26(7):647-650
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the intermediary effect of depression between housebound and cognition in community-dwelling older adults and to provide intervention for the improvement of the life quality.Methods A total of 720 senior adults were selected to fill out demographic questionnaire,including Rasch-Derived Center for Epidemiological Studies Depression Scale (CES-D-R),housebound scale and the minimental state examination (MMES).Results The depression score of the elderly in community was (3.95±4.12),housebound score was (4.26±1.23),cognition score was (21.52±4.04) and the incidence rate of the cognitive disorder was 37.1%.Cognition was significantly negatively related to housebound and depression (r=-0.409,P<0.01;r=-0.485,P<0.01).Housebound was significantly positively related to depression (r=0.555,P<0.01).The community elderly age,sex,marital status,degree of education,self-assessment of health,living space,depression and the housebound could be used to predict the cognitive function,and all of them could explain the variance of cognitive function of 50.8%(P<0.05).Housebound had a direct effect of-0.02 on cognitive function(P>0.05).The indirect effect of housebound on cognitive function through depressive mood was-0.45(P<0.05).Conclusions The elderly housebound has an intermediary effect on the cognitive function through the depression.
