Activities of Daily Living and Depression in Chinese Elderly of Nursing Homes: A Mediation Analysis
Lunan Gao,1 Jinhong Yang,2 Jiang Liu,1 Tingting Xin,1 Yuxiu Liu1 1School of Nursing, Weifang Medical University, Weifang, People’s Republic of China; 2Department of Oncology, Weifang People’s Hospital, Weifang, People’s Republic of ChinaCorrespondence: Yuxiu Liu, School of Nursing, Weifang Medical U...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-01-01
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| Series: | Psychology Research and Behavior Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/activities-of-daily-living-and-depression-in-chinese-elderly-of-nursin-peer-reviewed-fulltext-article-PRBM |
| _version_ | 1797955584515899392 |
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| author | Gao L Yang J Liu J Xin T Liu Y |
| author_facet | Gao L Yang J Liu J Xin T Liu Y |
| author_sort | Gao L |
| collection | DOAJ |
| description | Lunan Gao,1 Jinhong Yang,2 Jiang Liu,1 Tingting Xin,1 Yuxiu Liu1 1School of Nursing, Weifang Medical University, Weifang, People’s Republic of China; 2Department of Oncology, Weifang People’s Hospital, Weifang, People’s Republic of ChinaCorrespondence: Yuxiu Liu, School of Nursing, Weifang Medical University, No. 7166 Baotong Western Street, Weifang, People’s Republic of China, Tel +8618663608162, Email 18663608162@163.comPurpose: This study aimed to explore the role of sleep quality as a mediator in the activities of daily living (ADLs) and depression.Patients and Methods: Participants (N=645; age≥ 60) were included in six nursing homes in Weifang, Shandong Province, using convenience sampling. Participants completed questionnaires to assess sleep quality, ADLs, and depression. Depression condition was assessed by the Patient Health Questionnaire (PHQ-9), ADLs was assessed by the Barthel Index (BI), and sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI). Mediation analysis was carried out by SPSS PROCESS.Results: ADLs (r=0.449, P< 0.01) and sleep quality (r=0.450, P< 0.01) were found to be positively associated with depression among the elderly. Sleep quality plays a significant mediating role in the influence of ADLs on depression in the elderly in nursing homes (Bootstrap 95% CI [0.076, 0.139]), The pathway from ADLs to sleep quality to depression yielded a medium effect size of 20.23%.Conclusion: ADLs help to explain how sleep quality partly mediates depression among the elderly in nursing homes. It is therefore recommended that timely detection and efficient interventions should focus on promoting physical function and improving sleep quality among the elderly in nursing homes.Keywords: elderly, nursing home, activities of daily living, depressive symptom, sleep quality |
| first_indexed | 2024-04-10T23:35:31Z |
| format | Article |
| id | doaj.art-dd4136a872b84be79ba1711d489f5fba |
| institution | Directory Open Access Journal |
| issn | 1179-1578 |
| language | English |
| last_indexed | 2024-04-10T23:35:31Z |
| publishDate | 2023-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Psychology Research and Behavior Management |
| spelling | doaj.art-dd4136a872b84be79ba1711d489f5fba2023-01-11T19:18:14ZengDove Medical PressPsychology Research and Behavior Management1179-15782023-01-01Volume 16293880830Activities of Daily Living and Depression in Chinese Elderly of Nursing Homes: A Mediation AnalysisGao LYang JLiu JXin TLiu YLunan Gao,1 Jinhong Yang,2 Jiang Liu,1 Tingting Xin,1 Yuxiu Liu1 1School of Nursing, Weifang Medical University, Weifang, People’s Republic of China; 2Department of Oncology, Weifang People’s Hospital, Weifang, People’s Republic of ChinaCorrespondence: Yuxiu Liu, School of Nursing, Weifang Medical University, No. 7166 Baotong Western Street, Weifang, People’s Republic of China, Tel +8618663608162, Email 18663608162@163.comPurpose: This study aimed to explore the role of sleep quality as a mediator in the activities of daily living (ADLs) and depression.Patients and Methods: Participants (N=645; age≥ 60) were included in six nursing homes in Weifang, Shandong Province, using convenience sampling. Participants completed questionnaires to assess sleep quality, ADLs, and depression. Depression condition was assessed by the Patient Health Questionnaire (PHQ-9), ADLs was assessed by the Barthel Index (BI), and sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI). Mediation analysis was carried out by SPSS PROCESS.Results: ADLs (r=0.449, P< 0.01) and sleep quality (r=0.450, P< 0.01) were found to be positively associated with depression among the elderly. Sleep quality plays a significant mediating role in the influence of ADLs on depression in the elderly in nursing homes (Bootstrap 95% CI [0.076, 0.139]), The pathway from ADLs to sleep quality to depression yielded a medium effect size of 20.23%.Conclusion: ADLs help to explain how sleep quality partly mediates depression among the elderly in nursing homes. It is therefore recommended that timely detection and efficient interventions should focus on promoting physical function and improving sleep quality among the elderly in nursing homes.Keywords: elderly, nursing home, activities of daily living, depressive symptom, sleep qualityhttps://www.dovepress.com/activities-of-daily-living-and-depression-in-chinese-elderly-of-nursin-peer-reviewed-fulltext-article-PRBMelderlynursing homeactivities of daily livingdepressive symptomsleep quality |
| spellingShingle | Gao L Yang J Liu J Xin T Liu Y Activities of Daily Living and Depression in Chinese Elderly of Nursing Homes: A Mediation Analysis Psychology Research and Behavior Management elderly nursing home activities of daily living depressive symptom sleep quality |
| title | Activities of Daily Living and Depression in Chinese Elderly of Nursing Homes: A Mediation Analysis |
| title_full | Activities of Daily Living and Depression in Chinese Elderly of Nursing Homes: A Mediation Analysis |
| title_fullStr | Activities of Daily Living and Depression in Chinese Elderly of Nursing Homes: A Mediation Analysis |
| title_full_unstemmed | Activities of Daily Living and Depression in Chinese Elderly of Nursing Homes: A Mediation Analysis |
| title_short | Activities of Daily Living and Depression in Chinese Elderly of Nursing Homes: A Mediation Analysis |
| title_sort | activities of daily living and depression in chinese elderly of nursing homes a mediation analysis |
| topic | elderly nursing home activities of daily living depressive symptom sleep quality |
| url | https://www.dovepress.com/activities-of-daily-living-and-depression-in-chinese-elderly-of-nursin-peer-reviewed-fulltext-article-PRBM |
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