生命意义感和居住方式在日常生活活动能力对老年人抑郁影响中的效应

doi:10.3969/j.issn.1006-9771.2025.08.016

Abstract

Abstract:

Objective To analyze the mechanisms of meaning in life and living arrangements impacting the effect of activities of daily living (ADL) on depression for older adults.

Methods From September to November, 2024, community-dwelling older adults from Weifang, Shandong, were investigated with questionnaire using Basic Activities of Daily Living Scale (BADL), Meaning in Life Questionnaire (MLQ), Geriatric Depression Scale (GDS), and a general information questionnaire including living arrangements.

Results A total of 256 questionnaires were distributed, and 245 valid questionnaires were returned. There were significant differences in GDS scores among older adults with different personal monthly incomes and living arrangements (F > 3.744, P < 0.05). BADL scores were positively correlated with GDS scores (r = 0.490, P < 0.001) and negatively correlated with MLQ scores (r = -0.370, P < 0.001), and MLQ scores were negatively correlated with GDS scores (r = -0.369, P < 0.001). There was significant direct effect of BADL scores on GDS scores (effect = 1.128, 95%CI 0.829~1.427), and mediating effect of MLQ scores on the relationship between BADL and GDS scores (effect = 0.171, 95%CI 0.028~0.337). The moderating effect of living alone was significant (|B| = 0.127, |t| = 2.103, P< 0.05) on the association between MLQ and GDS, compared with intergenerational coresidence.

Conclusion Meaning in life partially mediates the association between ADL and depression in older adults, especially for those living alone.

Key words: older adults, activities of daily living, depression, meaning in life, living arrangements

CLC Number:

R749.7

DU Lilu, YAO Renkui, ZHAO Yanyu, LI Mengxuan, ZOU Min, ZHANG Gongfa. Impact of meaning in life and living arrangements on association between activities of daily living and depression in older adults[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(8): 987-992.

Figures/Tables 7

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References 32

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项目		n	GDS评分	t/F值	P值
性别	男	66	3.41±2.65	0.885	0.595
性别	女	179	3.08±2.51
年龄/岁	60~64	36	3.63±3.17	2.340	0.074
	65~69	61	2.72±2.31
	70~74	77	2.86±1.99
	≥ 75	71	3.66±2.85
受教育程度	小学及以下	126	3.44±2.57	2.950	0.054
	初中/中专	74	3.19±2.83
	高中及以上	45	2.38±1.77
个人月收入	< 1000元	93	3.94±2.66	7.548	< 0.001
	1000~3000元	86	2.53±2.39
	> 3000元	66	2.92±2.34
居住方式	独居	37	4.16±2.49	3.744	0.025
	仅与配偶同住	130	2.87±2.55
	代际居住	78	3.19±2.67

变量	组别	组别	平均差值	P值	95%CI
变量	组别	组别	平均差值	P值	下限	上限
个人月收入	< 1000元	1000~3000元	1.401	< 0.001	0.669	2.133
	< 1000元	> 3000元	1.011	0.012	0.224	1.799
	1000~3000元	> 3000元	-1.401	0.339	-2.133	-0.669
居住方式	独居	仅与配偶同住	1.285	0.007	0.360	2.211
	独居	代际居住	0.970	0.055	-0.022	1.962
	仅与配偶同住	代际居住	-0.315	0.383	-1.027	0.396

项目	效应值	SE	95%CI	效应量
总效应	1.299	0.142	1.020~1.578
直接效应	1.128	0.152	0.829~1.427	86.84%
中介效应	0.171	0.079	0.028~0.337	13.16%

结果变量	预测变量		B值	t值	P值	R²值	F值
GDS	BADL		1.196	7.919	< 0.001	0.337	17.191
	MLQ		-0.135	-2.433	0.016
	居住方式	W1	-0.577	-1.291	0.198
		W2	-0.643	-1.363	0.174
	交互项	MLQ×W1	0.092	1.571	0.118
		MLQ×W2	0.127	2.103	0.037

结果变量	预测变量		B值	t值	P值	R²值	F值
GDS	BADL		1.196	7.919	< 0.001	0.337	17.191
	MLQ		-0.008	-0.344	0.731
	居住方式	W1	0.643	1.363	0.174
		W2	0.066	0.215	0.830
	交互项	MLQ×W1	-0.127	-2.103	0.037
		MLQ×W2	-0.035	-1.182	0.238

Impact of meaning in life and living arrangements on association between activities of daily living and depression in older adults

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比较组别	Index	BootSE值	95%BootCI值
MLQ×代际居住vs.独居	-0.494	0.254	-1.114~-0.116
MLQ×仅与配偶同住vs.独居	-0.359	0.257	-1.021~0.008
MLQ×仅与配偶同住vs.代际居住	0.135	0.165	-0.229~0.430

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