中国康复理论与实践2025，Vol.31Issue(8)：987-992,6.DOI:10.3969/j.issn.1006-9771.2025.08.016
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
Impact of meaning in life and living arrangements on association between activities of daily living and depression in older adults
摘要
Abstract
Objective To analyze the mechanisms of meaning in life and living arrangements impacting the effect of activities of dai-ly living(ADL)on depression for older adults. Methods From September to November,2024,community-dwelling older adults from Weifang,Shandong,were investi-gated 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 arrange-ments. Results A total of 256 questionnaires were distributed,and 245 valid questionnaires were returned.There were signifi-cant differences in GDS scores among older adults with different personal monthly incomes and living arrange-ments(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.关键词
老年人/日常生活活动能力/抑郁/生命意义感/居住方式Key words
older adults/activities of daily living/depression/meaning in life/living arrangements分类
医药卫生引用本文复制引用
都丽露,姚仁魁,赵衍宇,李孟轩,邹敏,张功法..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[J].中国康复理论与实践,2025,31(8):987-992,6.基金项目
1.2025 年山东省人文社会科学课题一般项目(入库在研) （入库在研）
2.山东省医药卫生科技项目(No.2023BJ000023) （No.2023BJ000023）
3.山东第二医科大学心理学史课程思政项目(No.17) Supported by Shandong Humanities and Social Sciences Project in 2025(General)(Included Research Project in Progress),Shandong Medical and Health Science and Technology Project(No.2023BJ000023),and Shandong Second Medical University Ideological and Political Education Project for History of Psychology Course(No.17) （No.17）
