文献类型：期刊文献

英文题名：How are chronic diseases related to depressive symptoms in older adults? The role of life satisfaction and multidimensional intergenerational relationships

作者：Fu, Yuanyuan[1];Ke, Xiachun[2];Hu, Nan[3];Sun, Xiaoyue[4];Xu, Yuebin[1]

机构：[1]Beijing Normal Univ, Sch Sociol, 20-F North Main Bldg,19 Xinjiekouwai St, Beijing 100875, Peoples R China;[2]Beijing Normal Univ, Sch Govt, 20-F North Main Bldg,19 Xinjiekouwai St, Beijing 100875, Peoples R China;[3]Beijing Normal Univ, Sch Social Dev & Publ Policy, 20-F North Main Bldg,19 Xinjiekouwai St, Beijing 100875, Peoples R China;[4]East China Univ Sci & Technol, Sch Social & Publ Adm, Dept Social Work, 130 Meilong st, Shanghai 200237, Peoples R China

年份：2025

卷号：25

期号：1

外文期刊名：BMC GERIATRICS

收录：;WOS:【SSCI(收录号:WOS:001609747900004)，SCI-EXPANDED(收录号:WOS:001609747900004)】；

基金：This work was supported by the National Natural Science Foundation of China (grant number 72304035).

语种：英文

外文关键词：Physical health; Subjective well-being; Intergenerational relations; Moderated mediation effect

摘要：BackgroundThis study investigated the association between chronic diseases and depressive symptoms among older adults while also examining the mediating role of life satisfaction and the moderating role of multidimensional intergenerational relationships in this association.MethodsData were gathered from 3917 community-dwelling older adults in China. Chronic diseases were measured by summing the total number of diagnosed conditions self-reported from a checklist of 16 chronic illnesses included in the questionnaire. Depressive symptoms were measured by the 10-item Center for Epidemiologic Studies Depression Scale. Life satisfaction was measured by the Chinese version of the Satisfaction with Life Scale. Intergenerational relationships were assessed by the Intergenerational Relationship Quality Scale for Aging Chinese Parents, which includes four dimensions: consensual-normative solidarity, structural-associational solidarity, affectual closeness, and intergenerational conflict. We employed the PROCESS macro to test the hypothesized pathways. Specifically, Model 4 was used to examine the mediating effect of life satisfaction on the association between chronic diseases and depressive symptoms. Model 8 was then conducted to simultaneously assess the mediating role of life satisfaction and the moderating effects of different dimensions of intergenerational relationships.ResultsMore chronic diseases were associated with more depressive symptoms. Life satisfaction mediated the association between chronic diseases and depressive symptoms. Among the four dimensions of intergenerational relationships, structural-associational solidarity was found to moderate both the direct pathway between chronic diseases and depressive symptoms and the indirect pathway through life satisfaction.ConclusionsThese findings enhance our understanding of the association between chronic diseases and depressive symptoms and provide important insights that can guide policy-makers and practitioners in addressing the psychological challenges faced by older adults with chronic diseases.