Cited by 202Aging, Health, and DisabilityHealth and Well-being StudiesHealth disparities and outcomes

Loneliness and depression symptoms among the elderly in nursing homes: A moderated mediation model of resilience and social support

Zhao, Xia, Zhang, Dan, Wu, Menglian, Yang, Yang, Xie, Hui, Li, Yuqin, Jia, Jihui, Su, Yonggang·2018·Psychiatry Research

Abstract

Loneliness has been identified as a risk factor for depressive symptoms. Resilience and social support have been regarded as underlying protective factors. Little is known about the complex relations among these factors in the nursing home elderly. This study aimed to assess the prevalence of depressive symptoms, explore whether resilience mediated the association between loneliness and depressive symptoms, and investigate whether social support moderated the indirect or direct effect of mediation model. A total of 323 nursing home elderly were recruited in Jinan City, China. Loneliness, resilience, social support and depressive symptoms were measured. Results shown the association between loneliness and depressive symptoms was partially mediated by resilience. Besides, the indirect effect of the mediation model was moderated by social support. When the level of social support was higher, the indirect effect of loneliness on depressive symptoms through resilience was weaker. The incidence of depressive symptoms among the nursing home elderly could not be neglected. The findings suggest that interventions, such as improving resilience and social support, may help break the link between loneliness and depressive symptoms among the elderly in nursing homes.

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Crossref · 10.1016/j.psychres.2018.07.011

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Authors
Zhao, X., Zhang, D., Wu, M., Yang, Y., Xie, H., Li, Y., Jia, J., & Su, Y.
Affiliations
Shandong University (CN)
Corresponding author
Su, Yonggang
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2018-10
Volume
268
Pages
143-151
ISSN
0165-1781 (ISSN-L)
OpenAlex
W2833840127
Cited by
202
References
71
Citations by year
2026: 14 · 2025: 24 · 2024: 47 · 2023: 39 · 2022: 31 · 2021: 25 · 2020: 16 · 2019: 5 · 2018: 1
FWCI
11.26
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
Reform and Research Program of Cheeloo College of Medicine, Shandong University (qlyxjy-201706)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
  • Social Sciences › Health › Health disparities and outcomes
Keywords
loneliness, depressive symptoms, resilience, social support, older adults, moderated mediation, protective factors, long-term care
MeSH terms
Aged, Aged, 80 and over, China, Cross-Sectional Studies, Depression, Female, Homes for the Aged, Humans, Loneliness, Male, Middle Aged, Nursing Homes, Risk Factors, Social Support, Negotiating, Resilience, Psychological

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