The association between falls and anxiety among elderly Chinese individuals: The mediating roles of functional ability and social participation

Yue, Zhang; Liang, Hang; Gao, Xuyao; Qin, Xigang; Li, Huwei; Xiang, Nan; Liu, Erpeng

doi:10.1016/j.jad.2022.01.070

Cited by 19 publications

(12 citation statements)

References 42 publications

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“…GAD-7 has been widely verified to be representative and valuable in measuring anxiety in older adults. 42 The Cronbach's alpha coefficient of anxiety in this study was 0.918.…”

Section: Anxietymentioning

confidence: 50%

Sensory impairment and cognitive function among older adults in China: The mediating roles of anxiety and depressive symptoms

Liu

Yang

et al. 2023

Int J Geriat Psychiatry

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Objectives Through a cross‐sectional study, we explored the association between sensory impairment and cognitive function in Chinese older adults, and tested the mediating roles of anxiety and depressive symptoms between this relationship. Methods Based on the 2018 Chinese Longitudinal Healthy Longevity Survey, a total of 10,895 older adults aged 65 and above were selected as samples for research. Anxiety, depressive symptoms and cognitive function were evaluated by the Generalized Anxiety Disorder, the Center for Epidemiologic Studies Depression (CES‐D10) and the Chinese version of modified Mini‐Mental State Examination scales, respectively. Sensory impairment was assessed from self‐reported vision and hearing functions. Multiple linear regression and SPSS Macro PROCESS were used for statistical analysis. Results Compared with no sensory impairment, vision impairment (B = −1.012, 95%CI: −1.206, −0.818), hearing impairment (B = −2.683, 95%CI: −2.980, −2.386) and dual sensory impairment (B = −6.302, 95%CI: −6.585, −6.020) have a significant association with cognitive function in older adults, respectively. Anxiety and depressive symptoms not only acted as independent mediators, but also played sequential mediating effects on the relationship between sensory impairment and cognitive function. Conclusions Greater attention should be paid to anxiety and depressive symptoms of older adults with sensory impairment, which might be beneficial to maintain cognitive function.

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“…GAD-7 has been widely verified to be representative and valuable in measuring anxiety in older adults. 42 The Cronbach's alpha coefficient of anxiety in this study was 0.918.…”

Section: Anxietymentioning

confidence: 50%

Sensory impairment and cognitive function among older adults in China: The mediating roles of anxiety and depressive symptoms

Liu

Yang

et al. 2023

Int J Geriat Psychiatry

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“…Participants’ anxiety was assessed by the 7-item Generalized Anxiety Disorder (GAD-7) scale translated into Chinese language ( 28 ). The scale has been proved to be applicable to Chinese older adults ( 29 , 30 ). GAD-7 is composed of 7 items, including “feeling uneasy, worried and annoyed,” “can’t stop or can’t control worry,” “is worried too much about all kinds of things,” “is very nervous and it is difficult to relax,” “is very anxious, so you can’t sit still,” “becomes easy to get annoyed or easily irritated,” “feels like something terrible happens.” The options vary from 0 to 3 for each question (0 = never, 1 = for several days, 2 = more than half of days, and 3 = almost every day).…”

Section: Methodsmentioning

confidence: 99%

“…Social participation refers to individuals’ reasonable participation in social activities ( 35 ). According to previous studies ( 30 ), social participation among the elderly was measured by group activities and self-recreation activities. Group activities were indicated by the following three aspects: outdoor activities (Tai Ji, square dance, visit and interact with friends, other outdoor activities), playing cards or mah-jong and some social activities.…”

Section: Methodsmentioning

confidence: 99%

The prevalence of anxiety and its key influencing factors among the elderly in China

Liu

Xu²,

Yang³

et al. 2023

Front. Psychiatry

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IntroductionWith the rapid aging population, the mental health of older adults is paid more and more attention. Anxiety is a common mental health illness in older adults. Therefore, the study aimed to explore the current situation of anxiety and its factors among the elderly in China.MethodsBased on the data from 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS), a total of 10,982 respondents aged 60 and above were selected. Generalized Anxiety Disorder (GAD-7) scale was used to assess the anxiety. Univariate and multivariate analysis were used to analyze the influencing factors of anxiety. Random forest was established to rank the importance of each influencing factors.ResultsThe results showed that the prevalence of anxiety among the elderly was 11.24%. Anxiety was mainly associated with 14 factors from five aspects: sociodemographic characteristics, health status, psychological state, social trust and social participation, among which loneliness related to psychological status was the most important factor.DiscussionThe revelation of this study is that the present situation of anxiety among the elderly cannot be ignored, and it is necessary to take measures to prevent and control it from many aspects.

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“…A higher score indicated greater social involvement deeper degree of social participation. Some scholars have used the similar method to measure social participation [ 41 ]. The Cronbach’s alpha coefficient of social participation in this study was 0.72.…”

Section: Methodsmentioning

confidence: 99%

Effect of socioeconomic status on the physical and mental health of the elderly: the mediating effect of social participation

Zhang

Chen

et al. 2022

BMC Public Health

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Background Previous studies have demonstrated the effect of socioeconomic status on the health status of the elderly. Nevertheless, the specific dimensions of the effect and the mechanism await further investigation. In this study, socioeconomic status was divided into three dimensions and we used social participation as the mediation variable to investigate the specific path of effect. Methods Using the 2018 Waves of Chinese Longitudinal Healthy Longevity Survey (CLHLS) dataset, a total of 10,197 effective samples of the elderly over 65 years old were screened out. Socioeconomic status included income, education level, and main occupation before retirement. The physical health and mental health of the elderly was measured by the Instrumental Activities of Daily Living Scale and the Minimum Mental State Examination, respectively. The social participation of the elderly was the mediation variable, including group exercise, organized social activities and interacting with friends. Omnibus mediation effect analysis was adopted to examine the mediation effect and mediation analysis was completed using the SPSS PROCESS program. Results First, the results showed that when the income gap between the elderly reached a certain level, there was a significant difference in health status. Significant differences existed in health status amongst with different education levels. There was no sufficient evidence to show that occupation has a significant effect on the physical health. But when the dependent variable was mental health, the effect was significant. Second, group exercise mediated 64.11% (aib = 0.24, 95% CI [0.17,0.3]) and up to 20.44% (aib = 0.12, 95% CI [0.07,0.17]) of the disparity in physical and mental health due to income gap, respectively. And it could mediate the effect up to 56.30% (aib = 0.62, 95% CI [0.52,0.73]) and 17.87% (aib = 0.50, 95% CI [0.4,0.61]) of education on physical and mental health status, respectively. The proportion of relative mediation effect of occupation was up to 28.74% (aib = 0.19, 95% CI [0.13,0.25]) on mental health. Interacting with friends mediated only on the path that the education affected the health status of the elderly. The proportion was up to 33.72% (aib = 0.29, 95% CI [0.16,0.44]). The relative mediation effect of organized social activities on the health gap caused by income or education level gap was significant at some levels. The proportion was up to 21.20% (aib = 0.33, 95% CI [0.26,0.4]). Conclusion The SES of the elderly including relatively large income gap, different education levels and occupational categories could indeed have a significant effect on health status of the elderly, and the reason why this effect existed could be partly explained by the mediation effect of social participation. Policymakers should pay more attention to the social participation of the elderly.

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The association between falls and anxiety among elderly Chinese individuals: The mediating roles of functional ability and social participation

Cited by 19 publications

References 42 publications

Sensory impairment and cognitive function among older adults in China: The mediating roles of anxiety and depressive symptoms

Sensory impairment and cognitive function among older adults in China: The mediating roles of anxiety and depressive symptoms

The prevalence of anxiety and its key influencing factors among the elderly in China

Effect of socioeconomic status on the physical and mental health of the elderly: the mediating effect of social participation

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