Social Engagement and Cognitive Impairment in Older Chinese Adults: The Mediating Role of Psychological Well-Being

Objective: The objective of this study was to explore the association between social engagement and cognitive impairment with psychological well-being (PWB) as a mediator in older Chinese adults and to further test the gender differences in this association. Method: Data were drawn from the Chinese Longitudinal Healthy Longevity Survey of older Chinese adults, aged 65 and older ( N = 6,998). The total effect was decomposed into direct and indirect effects by logistic regression based on the Karlson, Holm, and Breen method. Results: Higher social engagement was significantly associated with lower odds of cognitive impairment, odds ratio (OR) = 0.89, 95% confidence interval (CI) = [0.82, 0.97]. Moreover, a better PWB would decrease the odds of cognitive impairment (OR = 0.96, 95% CI = [0.94, 0.98]). The mediating effect was 15.4% in the full sample and 13.1% in the men subsample. However, mediation was not significant in the women subsample. Discussion: Higher social engagement was associated with a decreased odds of cognitive impairment in older men, and this association was mediated by PWB.

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Excessive sleep increased the risk of incidence of cognitive impairment among older Chinese adults: a cohort study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS)

International Psychogeriatrics ◽

10.1017/s1041610221000168 ◽

2021 ◽

pp. 1-10

Author(s):

Ming Zhang ◽

Xiaozhen Lv ◽

Yulu Chen ◽

Lihui Tu ◽

Zili Fan ◽

...

Keyword(s):

Cognitive Impairment ◽

Sleep Duration ◽

Older Individuals ◽

Clinical Tool ◽

Chinese Adults ◽

Short Sleep Duration ◽

Healthy Longevity ◽

Long Duration ◽

Older Chinese ◽

Older Chinese Adults

ABSTRACT Study objectives: Based on a cohort from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we aimed to evaluate the relationship between sleep duration and the incidence of cognitive impairment among older Chinese adults. Methods: We conducted a prospective analysis based on 3692 participants from the CLHLS at baseline (in 2011), and as a 3-year follow-up (till 2014), 531 participants (14.4%) had cognitive impairment, which was defined as a Mini-Mental State Examination score <24. Sleep duration was classified into three groups: short (≤5 hours/day), normal (>5 but <10 hours), and long (≥10 hours/day). A logistic regression model was used to examine the association between baseline sleep duration and cognitive impairment after adjusting for sociodemographic data, living habits, and health conditions. Results: Five hundred sixty-two participants (15.2%) were in the short-duration group, and 608 participants (16.5%) were in the long-duration group. After adjusting for multiple potential confounders, compared with normal sleep duration, long sleep duration was associated with the incidence of cognitive impairment (OR = 1.309, 95% CI: 1.019–1.683), especially among men (OR = 1.527, 95% CI: 1.041–2.240) and those having a primary and above education level (OR = 1.559, 95% CI: 1.029–2.361). No significant association was observed between short sleep duration and cognitive impairment (OR = 0.860, 95% CI: 0.646–1.145). Conclusions: Excessive sleep may increase the risk of cognitive impairment in older individuals. It may be a suggestive sign of early neurodegeneration and may be a useful clinical tool to identify those at a higher risk of progressing to cognitive impairment.

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The mediating role of health professionals' recommendation in the uptake of colorectal cancer testing among older Chinese adults

International Journal of Nursing Practice ◽

10.1111/ijn.12118 ◽

2013 ◽

Vol 20 (2) ◽

pp. 170-178 ◽

Cited By ~ 1

Author(s):

Kai-chow Choi ◽

Helen YL Chan ◽

Dorothy NS Chan ◽

Wendy WT Lam ◽

Carmen WH Chan ◽

...

Keyword(s):

Colorectal Cancer ◽

Health Professionals ◽

Chinese Adults ◽

Mediating Role ◽

Older Chinese ◽

Older Chinese Adults

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Self-efficacy and psychological well-being of nursing home residents in China: the mediating role of social engagement

Asia Pacific Journal of Social Work and Development ◽

10.1080/02185385.2018.1464942 ◽

2018 ◽

Vol 28 (2) ◽

pp. 128-140 ◽

Cited By ~ 7

Author(s):

Fang Fu ◽

Yongxin Liang ◽

Yuanyan An ◽

Fang Zhao

Keyword(s):

Nursing Home ◽

Self Efficacy ◽

Social Engagement ◽

Nursing Home Residents ◽

Well Being ◽

Psychological Well Being ◽

Mediating Role

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Politically Motivated Internet Addiction: Relationships among Online Information Exposure, Internet Addiction, FOMO, Psychological Well-being, and Radicalism in Massive Political Turbulence

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17020633 ◽

2020 ◽

Vol 17 (2) ◽

pp. 633 ◽

Cited By ~ 2

Author(s):

Gary Tang ◽

Eva Hung ◽

Ho-Kong Au-Yeung ◽

Samson Yuen

Keyword(s):

Political Communication ◽

Internet Addiction ◽

Well Being ◽

Mediating Effect ◽

Depression Symptoms ◽

Online Information ◽

Psychological Well Being ◽

Digital Architecture ◽

Mediating Role ◽

Related Information

This research examines the mediating role of the tendency for Internet addiction, fear of missing out (FOMO), and psychological well-being in the relationship between online exposure to movement-related information and support for radical actions. A questionnaire survey that targets tertiary students was conducted during the Anti-Extradition Law Amendment Bill (Anti-ELAB) Movement (N = 290). The findings reveal the mediating effect of Internet addiction and depression on the main relationship. These findings enrich the literature of political communication by addressing the political impact of Internet use beyond digital architecture. From the perspective of psychology, this research echoes the literature that concerns depression symptoms driven by a protest environment. Radical political attitudes driven by depression during protests should also be concerned based on the findings of this survey.

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Carotid stenosis and cognitive impairment amongst older Chinese adults living in a rural area: a population-based study

European Journal of Neurology ◽

10.1111/ene.12906 ◽

2015 ◽

Vol 23 (1) ◽

pp. 201-204 ◽

Cited By ~ 6

Author(s):

Z. Yan ◽

Y. Liang ◽

J. Shi ◽

C. Cai ◽

H. Jiang ◽

...

Keyword(s):

Cognitive Impairment ◽

Carotid Stenosis ◽

Rural Area ◽

Population Based ◽

Chinese Adults ◽

Population Based Study ◽

Older Chinese ◽

Older Chinese Adults

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Tea consumption and cognitive impairment and decline in older Chinese adults

American Journal of Clinical Nutrition ◽

10.1093/ajcn/88.1.224 ◽

2008 ◽

Vol 88 (1) ◽

pp. 224-231 ◽

Cited By ~ 135

Author(s):

Tze-Pin Ng ◽

Lei Feng ◽

Mathew Niti ◽

Ee-Heok Kua ◽

Keng-Bee Yap

Keyword(s):

Cognitive Impairment ◽

Tea Consumption ◽

Chinese Adults ◽

Older Chinese ◽

Older Chinese Adults

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The effect of ethical leadership on management accountants’ performance: the mediating role of psychological well-being

Problems and Perspectives in Management ◽

10.21511/ppm.17(2).2019.17 ◽

2019 ◽

Vol 17 (2) ◽

pp. 228-241

Author(s):

Muhannad Akram Ahmad ◽

Seif Obeid Al-Shbiel

Keyword(s):

Ethical Leadership ◽

Structural Equation ◽

Employee Performance ◽

Well Being ◽

Mediating Effect ◽

Equation Modeling ◽

Psychological Well Being ◽

Mediating Role ◽

Management Accountants

This paper examined the impacts imparted by ethical leadership on both the performance and well-being of management accountants employed in public shareholding companies operating in Jordan. The mediating effect of psychological well-being was also examined. In testing the study hypotheses, analysis was performed on 93 obtained responses. The structural equation modeling (SEM) approach was used. From the outcomes, the ethical leadership level has significant impact on the psychological well-being of management accountants, while ethical leadership indirectly and significantly affects job performance, but only by way of psychological well-being. All these lend support to the mediating role of the psychological well-being of employees in the delineation of the link existing between ethical leadership and employee performance. Limitations and implications of the study are discussed. The directions of forthcoming studies are proposed as well.

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Living Environment, Built Environment and Cognitive Function among Older Chinese Adults: Results from a Cross-Sectional Study

Journal of Prevention of Alzheimer's Disease ◽

10.14283/jpad.2021.59 ◽

2021 ◽

pp. 1-10

Author(s):

H. Fangfang ◽

H. Xiao ◽

Z. Shuai ◽

W. Qiong ◽

Z. Jingya ◽

...

Keyword(s):

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Cognitive Function ◽

Built Environment ◽

Living Environment ◽

Chinese Adults ◽

Cross Sectional ◽

Older Chinese ◽

Older Chinese Adults ◽

The Relationship

Background: Many studies have addressed the relationship between environmental factors and cognitive function; however, evidence from China is very rare. Objectives: To discuss the relationship between the living and built environment and cognitive function among older Chinese adults. Design: The Anhui Healthy Longevity Survey (AHLS) was used to investigate the ability to control major non-communicable diseases through behavioural techniques among adults aged 60 or older dwelling in Anhui Province. A multistage sampling strategy was used to obtain a representative sample. Cross-sectional data were collected for the analyses. Setting: The included participants were recruited from four selected cities in Anhui Province, China. Participants: The participants were adults aged 60 or older and resided in the selected urban or rural communities. Measurements: The Mini Mental State Examination was used to measure the cognitive status of the participants. Mild cognitive impairment (MCI) was defined as illiteracy with MMSE scores lower than 18, MMSE scores lower than 21 among those educated for 0–6 years, or MMSE scores lower than 25 among those with 6 or more years of education. The living environment was assessed by asking the participants about their daily living conditions. The distances between the participants’ dwellings and the nearest facilities and the proportions of green/blue spaces within 800 m buffers were calculated based on the textural address to indicate the built environment. Results: The male participants who lived in a non-dusty environment had higher MMSE scores (β=0.828, 95% CI: 0.240, 1.416, p=0.006) and lower risks of mild cognitive impairment (MCI) (OR=0.651, 95% CI: 0.488, 0.868, p=0.003), and the male participants with no access to recreation spaces had lower MMSE scores (β=-1.107, 95% CI: -1.531, -0.684, p<0.001) and higher risks of MCI (OR=1.403, 95% CI: 1.134, 1.737, p=0.002). The female participants who lived far from a supermarket had significantly lower MMSE scores (Q3:β=-0.750, 95% CI: -1.266, -0.233, p adjusted=0.036; Q4: β=-1.184, 95% CI: -1.745, -0.624, p adjusted<0.001) than those who lived near a supermarket (Q1). Conclusions: The living environment and built environment might have sex-specific associations with cognitive function among older adults.

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