首页|互联网使用对空巢老人抑郁的影响——日常生活活动能力和社会参与的链式中介作用

互联网使用对空巢老人抑郁的影响——日常生活活动能力和社会参与的链式中介作用

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目的 探讨日常生活活动能力(activities of daily living,ADL)和社会参与在互联网使用和空巢老人抑郁间的中介作用,为降低空巢老人抑郁发生风险,提高生活质量提供参考.方法 选取2020年中国健康与养老追踪调查中3 974例≥60岁的空巢老人作为研究对象,使用ADL量表、CESD-10量表分别测量空巢老人ADL和抑郁状况;运用Spearman相关分析法探究互联网使用、ADL、社会参与和空巢老人抑郁间的相关性,使用SPSS中Process4.1插件模型6分析ADL、社会参与在互联网使用和空巢老人抑郁间的中介作用.结果 互联网使用对空巢老人抑郁的直接效应显著(β=-2.125,95%CI:-2.593~-1.654),ADL 的单独中介效应显著(β=-0.516,95%CI:-0.641~-0.389),社会参与的单独中介效应显著(β=-0.159,95%CI:-0.263~-0.062),ADL 和社会参与的链式中介效应显著(β=-0.007,95%CI:-0.011~-0.002).结论 互联网使用可以直接负向影响空巢老人抑郁情况,也可以通过ADL和社会参与的单独或链式中介作用影响空巢老人抑郁情况.因此,为减轻空巢老人抑郁的发生风险,应提高空巢老人互联网使用率,提升ADL水平,增加社会参与程度,从而缓解空巢老人的抑郁状况.
The impact of internet use on depression among empty nesters:the chain mediating role of activities of daily living and social participation
Objective To investigate the mediating role of Activities of Daily Living(ADL)and social participation in the relationship between internet use and depression among empty nesters,providing references for reducing the risk of depression and improving quality of life in this population.Methods A total of 3 974 empty nesters aged 60 and above from the 2020 China Health and Retirement Longitudinal Study were selected as the research subjects.The ADL scale and the CESD-10 scale were used to measure the ADL and depression status of the empty nesters,respectively.Spearman correlation analysis was conducted to explore the relationships among internet use,ADL,social participation,and depression among empty nesters.The mediating effects of ADL and social participation in the relationship between internet use and depression were analyzed using Model 6 of the Process 4.1 plugin in SPSS.Results Internet use had a significant direct effect on depression among empty nesters(β=-2.125,95%CI:-2.593 to-1.654).The individual mediating effect of ADL was significant(β=-0.516,95%CI:-0.641 to-0.389),as was the individual mediating effect of social participation(β=-0.159,95%CI:-0.263 to-0.062).The chain mediating effect of ADL and social participation was also significant(β=-0.007,95%CI:-0.011 to-0.002).Conclusion Internet use can directly negatively impact depression among empty nesters,and it can also influence depression through the individual or chain mediating effects of ADL and social participation.Therefore,to reduce the risk of depression among empty nesters,it is essential to increase their internet usage,enhance their ADL levels,and promote their social participation,thereby alleviating their depressive symptoms.

Empty nestersInternetActivities of daily livingSocial participationDepression

王文超、冯晓晨、鲜国炜、宫云娜、张宝轩、葛汝旭、马勇

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山东第二医科大学管理学院,山东潍坊 252422

空巢老人 互联网 日常生活活动能力 社会参与 抑郁

2025

现代预防医学
中华预防医学会 四川大学华西公共卫生学院

现代预防医学

北大核心
影响因子:1.285
ISSN:1003-8507
年,卷(期):2025.52(1)