Mediating effects of meaning in life on the relationship between family care, depression, and quality of life in Chinese older adults

BackgroundThe study explored sources of meaning in older adults and the action path among family care, meaning in life, quality of life, and depression.Materials and methodsWe investigated 627 older adults using the Sources of Meaning in Life Scale for the Elderly (SMSE), the Family Care Index (APGA...

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Main Authors: Jing-Jing Zhou, Yu Zhang, Qing-Zhuo Ren, Ting Li, Gui-Ding Lin, Min-Yi Liao, Shao-Hua Chen, Pei Tong, Yu-Lin Gao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1079593/full
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author Jing-Jing Zhou
Jing-Jing Zhou
Yu Zhang
Qing-Zhuo Ren
Ting Li
Ting Li
Gui-Ding Lin
Min-Yi Liao
Shao-Hua Chen
Pei Tong
Yu-Lin Gao
author_facet Jing-Jing Zhou
Jing-Jing Zhou
Yu Zhang
Qing-Zhuo Ren
Ting Li
Ting Li
Gui-Ding Lin
Min-Yi Liao
Shao-Hua Chen
Pei Tong
Yu-Lin Gao
author_sort Jing-Jing Zhou
collection DOAJ
description BackgroundThe study explored sources of meaning in older adults and the action path among family care, meaning in life, quality of life, and depression.Materials and methodsWe investigated 627 older adults using the Sources of Meaning in Life Scale for the Elderly (SMSE), the Family Care Index (APGAR), the Center for Epidemiological Studies Depression Scale-10 (CES-D-10), and the EuroqOL-5 Dimensions (EQ-5D).ResultsScores categorized 454 older adults with good family function, 99 with moderate, and 47 with severe family dysfunction; 110 older adults had depression. The structural equation model showed that family care affected the quality of life and depression by influencing meaning, and depression had a significant negative effect on the quality of life (P < 0.05). The model was a good fit for the data (χ2/df = 3.300, SRMR = 0.0291, GFI = 0.975, IFI = 0.971, TLI = 0.952, CFI = 0.971, RMSEA = 0.062).ConclusionMeaning in life is an intermediary factor that affects depression and quality of life in older adults. Family care had a significant positive impact on SMSE and a negative influence on depression. The SMSE effectively clarifies the sources of meaning in life and can be used to improve meaning and promote mental health in older adults.
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spelling doaj.art-de3db5568a0a473fb5980c27b463459b2023-04-03T05:20:25ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-04-011110.3389/fpubh.2023.10795931079593Mediating effects of meaning in life on the relationship between family care, depression, and quality of life in Chinese older adultsJing-Jing Zhou0Jing-Jing Zhou1Yu Zhang2Qing-Zhuo Ren3Ting Li4Ting Li5Gui-Ding Lin6Min-Yi Liao7Shao-Hua Chen8Pei Tong9Yu-Lin Gao10School of Nursing, Southern Medical University, Guangzhou, ChinaSchool of Public Health and Management, Guangzhou University of Chinese Medicine, Guangzhou, ChinaSchool of Nursing, Southern Medical University, Guangzhou, ChinaSchool of Nursing, Southern Medical University, Guangzhou, ChinaSchool of Nursing, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaGuangzhou First People’s Hospital, Guangzhou, ChinaLiurong Community Health Service Center in Yuexiu District, Guangzhou, ChinaJingxi Community Health Service Center in Baiyun District, Guangzhou, ChinaSchool of Nursing, Southern Medical University, Guangzhou, ChinaSchool of Nursing, Southern Medical University, Guangzhou, ChinaBackgroundThe study explored sources of meaning in older adults and the action path among family care, meaning in life, quality of life, and depression.Materials and methodsWe investigated 627 older adults using the Sources of Meaning in Life Scale for the Elderly (SMSE), the Family Care Index (APGAR), the Center for Epidemiological Studies Depression Scale-10 (CES-D-10), and the EuroqOL-5 Dimensions (EQ-5D).ResultsScores categorized 454 older adults with good family function, 99 with moderate, and 47 with severe family dysfunction; 110 older adults had depression. The structural equation model showed that family care affected the quality of life and depression by influencing meaning, and depression had a significant negative effect on the quality of life (P < 0.05). The model was a good fit for the data (χ2/df = 3.300, SRMR = 0.0291, GFI = 0.975, IFI = 0.971, TLI = 0.952, CFI = 0.971, RMSEA = 0.062).ConclusionMeaning in life is an intermediary factor that affects depression and quality of life in older adults. Family care had a significant positive impact on SMSE and a negative influence on depression. The SMSE effectively clarifies the sources of meaning in life and can be used to improve meaning and promote mental health in older adults.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1079593/fulldepressionsources of meaningmeaning in lifeolder adultsquality of lifesuccessful aging
spellingShingle Jing-Jing Zhou
Jing-Jing Zhou
Yu Zhang
Qing-Zhuo Ren
Ting Li
Ting Li
Gui-Ding Lin
Min-Yi Liao
Shao-Hua Chen
Pei Tong
Yu-Lin Gao
Mediating effects of meaning in life on the relationship between family care, depression, and quality of life in Chinese older adults
Frontiers in Public Health
depression
sources of meaning
meaning in life
older adults
quality of life
successful aging
title Mediating effects of meaning in life on the relationship between family care, depression, and quality of life in Chinese older adults
title_full Mediating effects of meaning in life on the relationship between family care, depression, and quality of life in Chinese older adults
title_fullStr Mediating effects of meaning in life on the relationship between family care, depression, and quality of life in Chinese older adults
title_full_unstemmed Mediating effects of meaning in life on the relationship between family care, depression, and quality of life in Chinese older adults
title_short Mediating effects of meaning in life on the relationship between family care, depression, and quality of life in Chinese older adults
title_sort mediating effects of meaning in life on the relationship between family care depression and quality of life in chinese older adults
topic depression
sources of meaning
meaning in life
older adults
quality of life
successful aging
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1079593/full
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