The relationship between activities of daily living and suicidal ideation among Chinese rural older adults: a multiple mediation model through sleep quality and psychological distress.
The relationship between activities of daily living and suicidal ideation among Chinese rural older adults: a multiple mediation model through sleep quality and psychological distress.
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中国农村老年人日常生活活动与自杀意念的关系：睡眠质量和心理困扰的多重中介模型
DOI：
10.18632/aging.103857
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发表时间：
2020-11-17
期刊：
影响因子：
--
通讯作者：
Zhou C
中科院分区：
文献类型：
--
作者：
Zhao D;Li J;Hao W;Yuan Y;Yu C;Jing Z;Wang Y;Fu P;Zhou C
很少有研究阐明老年人日常生活活动与自杀意念之间关系的潜在机制。本研究旨在探讨多重中介作用的睡眠质量与心理困扰之间的这种关系。共纳入3243名农村老年人。使用Mplus 8.3进行多重中介分析。发现日常生活活动直接影响自杀意念（β=0.092, 95% CI=0.043 ~ 0.140），并通过三条显著中介通路：(1)睡眠质量通路（β=0.019, 95% CI=0.007 ~ 0.031），占总效应的9.79%；(2)心理困扰路径（β=0.049, 95% CI=0.036 ~ 0.063），占总效应的25.26%；(3)通过睡眠质量和心理困扰的路径（β=0.034, 95% CI=0.026 ~ 0.042），占总效应的17.53%。总中介效应为52.58%。日常生活活动受限的农村老年人应重视睡眠质量和心理健康。对于日常生活活动受限的老年人，有必要采取以睡眠为基础的积极心理干预措施，早期发现和预防自杀意念。
Few studies clarified the mechanisms underlying the relationship between activities of daily living and suicidal ideation among older adults. This study aimed to explore the multiple mediating roles of sleep quality and psychological distress between this relationship. A total of 3,243 rural older adults were included. Multiple mediation analysis was performed using Mplus 8.3. Activities of daily living was found to directly affect suicidal ideation (β=0.092, 95% CI=0.043−0.140) and through three significantly mediation pathways: (1) the path through sleep quality (β=0.019, 95% CI=0.007−0.031), which accounted for 9.79 % of the total effect; (2) the path through psychological distress (β=0.049, 95% CI=0.036−0.063), which accounted for 25.26 % of the total effect; (3) the path through sleep quality and psychological distress (β=0.034, 95% CI=0.026−0.042), which accounted for 17.53 % of the total effect. The total mediating effect was 52.58%. Attention should be paid to sleep quality and mental health among the Chinese rural older adults with activities of daily living limitation. For early detection and prevention of suicidal ideation, it is necessary to take sleep-based and positive psychological interventions for older adults with activities of daily living limitation.
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DOI：
10.1093/geronb/gbw163
发表时间：
2017-09-01
影响因子：
6.2
作者：
Jun, Hey Jung;Kim, Myoung-Yong
通讯作者：
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影响因子：
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影响因子：
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