Mediating Effect of Social Participation on the Relationship between Incontinence and Depressive Symptoms in Older Chinese Women

2017 ◽  
Vol 42 (2) ◽  
pp. e94-e101 ◽  
Author(s):  
Daniel W. L. Lai ◽  
Xue Bai ◽  
Aimei Guo
2021 ◽  
Author(s):  
Shan Mao ◽  
Yue Zeng ◽  
Nan Lu

Abstract Depressive symptoms are one of the most common mental health problems in later life. Although previous studies examined the social determinants of depressive symptoms, older adults’ attitudes toward ageing and the underlying mechanisms are understudied, especially in developing country contexts such as China. The objective of this study was to examine the mediator role of attitudes toward ageing on the relationship between social participation and depressive symptoms among older Chinese adults. The data were drawn from the 2014 baseline wave of China longitudinal Ageing Social Survey, and a total of 8568 respondents aged 60 years and older were included in this study. Path analysis was used to test the hypotheses. The results indicated that both psychological loss and psychological growth (i.e., two types of attitudes toward ageing) had direct effect on depressive symptoms. In addition, attitudes toward ageing were found to play significant mediator roles on the relationship between social participation and depressive symptoms among older adults. In conclusion, this study implicated the importance of older adults’ attitudes toward ageing in reducing depressive symptoms, and engaging in social activities could modify attitudes toward ageing and further reduce the risk of depressive symptoms.


2011 ◽  
Vol 36 (5) ◽  
pp. 527-531 ◽  
Author(s):  
Diana Fishbein ◽  
Scott P. Novak ◽  
Christopher Krebs ◽  
Tara Warner ◽  
Jane Hammond

Author(s):  
Jinqin Hou ◽  
Zhiyan Chen ◽  
Fei Guo

Sameroff’s transactional theory emphasizes a bidirectional process between parents and offspring. The present study explored the reciprocal relationships between parental and adolescent depressive symptoms using a cross-lagged model and examined the mediating effect of nurturant–involved parenting on the relationship between them. Data for the present study were collected from a longitudinal study, and a total of 1644 adolescents and their mothers and fathers participated in the present study. The results revealed a reciprocal relationship between maternal and adolescent depressive symptoms, and the child-driven effect was more robust than the mother-driven effect. Adolescent depressive symptoms significantly predicted paternal depressive symptoms, but not vice versa. In addition, adolescent depressive symptoms indirectly predicted maternal and paternal depressive symptoms by deteriorating nurturant-involved parenting. These findings highlight a child-driven effect on parents’ psychopathology, which may shed light on the mechanism underlying depression transmission between parents and adolescents.


2020 ◽  
Author(s):  
Daniel W.L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y.P. Li

Abstract Background: Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants. Methods: Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n=30 each). Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. An randomized control trial design was used to capture the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including loneliness, social support, barriers to social participation, depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life. Results: The intervention group participants showed a decrease in loneliness and increase in resilience when compared to control group participants. They reported fewer depressive symptoms, fewer barriers to social participation, increased life satisfaction, and happiness while no such improvements were observed in the control group. Conclusions: There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches. Trial registration: ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered, https://doi.org/10.1186/ISRCTN14572069 Funding: There are no external funding for this study.


2020 ◽  
Author(s):  
Daniel W.L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y.P. Li

Abstract Background: Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants.Methods: Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n=30 each) in a randomized control parallel trial design. Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. Social workers who are not blinded to the group assignment measured the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including three primary outcomes (loneliness, social support, barriers to social participation) and five secondary outcomes (depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life).Results: The 30 intervention group participants showed a statistically significant decrease in loneliness and increase in resilience when compared to the 30 control group participants. They reported fewer barriers to social participation, fewer depressive symptoms, increased life satisfaction, and happiness while no such improvements were observed in the control group.Conclusions: There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches.Trial registration: ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered, https://doi.org/10.1186/ISRCTN14572069Funding: There are no external funding for this study.


2018 ◽  
Vol 32 (7) ◽  
pp. 967-979
Author(s):  
George CT Mugoya ◽  
Lisa M Hooper ◽  
Sara Tomek ◽  
Safiya George Dalmida ◽  
Anneliese Bolland ◽  
...  

Objective: To explore the mediating effect of loneliness on the relationship between pain interference and depressive symptoms and to determine whether this mechanism is contingent on employment status. Design: Cross-sectional study. Subjects: A total of 876 adult caregivers of adolescents living in extremely impoverished conditions. Analysis: Mediation and moderated mediation analyses using standard path-analytic approaches. Results: The mean age of the sample was 39.0 (SD = 12.8) years and 80.7% ( n = 707) identified as female. Almost half (48.9%, n = 425) of the participants did not report any pain, while 32.5% ( n = 285) reported non-disabling pain, and 19.0% ( n = 166) reported disabling pain. The mean depressive symptoms score was 16.20 (SD = 10.6), and the mean loneliness score was 40.09 (SD = 10.5). Loneliness mediated the effect of both non-disabling and disabling pain on depressive symptoms. However, the indirect effect of pain interference on depressive symptoms through loneliness was more pronounced among participants reporting disabling pain (coefficient, 2.11; Boot 95% confidence interval (CI) (1.25–3.01)) than non-disabling pain (coefficient, 0.99; Boot 95% CI (0.25–1.76)). Moderated mediation results showed that the indirect effect of pain interference on depressive symptoms, via loneliness varied in magnitude as a function of employment status among participants reporting disabling pain but not those reporting non-disabling pain. Conclusion: Loneliness provides an important link in the relationship between depressive symptoms and pain interference. Furthermore, employment status is an important factor to consider, especially among individuals reporting disabling pain with comorbid depressive symptoms.


Sign in / Sign up

Export Citation Format

Share Document