The DOI matches its Crossref record; 70 of the 71 references it cites were found in a registry or an index.
Loneliness and depression symptoms among the elderly in nursing homes: A moderated mediation model of resilience and social support
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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“Several cross-sectional studies across different age groups have highlighted resilience’s protective role.”
From The prospective association of adolescent loneliness and low resilience with anxiety and depression in young adulthood: The HUNT study (2025) · cites this paper as [94]
In the citing paper
“For instance, Zhao et al. found resilience mediated the link between loneliness and depression in the elderly, while studies on working-age adults and Norwegian adolescents showed resilience moderated this relationship [92–94].”
From The prospective association of adolescent loneliness and low resilience with anxiety and depression in young adulthood: The HUNT study (2025) · cites this paper as [94]
Citations
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282
(2013) · Cited by 44,563
Stress, social support, and the buffering hypothesis
Cohen, S., & Wills, T. A. (1985) · Psychological Bulletin · doi:10.1037/0033-2909.98.2.310 · Cited by 18,093
The Multidimensional Scale of Perceived Social Support
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5201_2 · Cited by 13,339
Bonanno, G. A. (2004) · American Psychologist · doi:10.1037/0003-066x.59.1.20 · Cited by 6,851
UCLA loneliness scale (version 3): reliability, validity, and factor structure
Russell, D. W. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6601_2 · Cited by 5,800
Campbell‐Sills, L., & Stein, M. B. (2007) · Journal of Traumatic Stress · doi:10.1002/jts.20271 · Cited by 3,575
Cacioppo, J. T., Hughes, M. E., Waite, L. J., Hawkley, L. C., & Thisted, R. A. (2006) · Psychology and Aging · doi:10.1037/0882-7974.21.1.140 · Cited by 2,380
The construct of resilience: implications for interventions and social policies
LUTHAR, S. S., & CICCHETTI, D. (2000) · Development and Psychopathology · doi:10.1017/s0954579400004156 · Cited by 2,374
Hayes, A. F., & Rockwood, N. J. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.11.001 · Cited by 2,350
Research works printed but not linked: 9
- Cheng, 2007, Population aging problems and social benefit to the aged health strategies, Chin. Nurs. Res., 8, 2152
- Hua, 2011, Corelation between depressive rate and negative life affairs of senile people in nursing homes, Nurs. J. Chin. Pla, 28, 14
- Huang, 2017, Loneliness and its risk factors among 597 retired elderly in Shenzhen city, Chin. J. Convalescent. Med., 26, 1003
- Li, 2017, Relationship between quality of life and perceived social support and the mediating effect of resilience in old people, J. SDU (Health Sci.), 55, 6
- Liu, 1997, The trend of elderly care: based on the variation of ideas regarding elderly care, Chin. J. Gerontol., 2, 2
- Tao, 2013, Survey on depression of the aged in a nursing home in Shanghai city, Chin. Nurs. Res., 27, 4109
- Tarakci, 2015, Chronic pain, depression symptoms and daily living independency level among geriatrics in nursing home Huzurevinde yaşayan, J. Tur. Soc. Algol., 1, 35
- Zhao, 2017, The relationship among empathy ability, perceived social support and depression of elderly in community of Beijing, Chin. J. Health Psychol., 25, 1449
- Zheng, 2011, Study on relativity between life quality of aged and prevalence of depression in Yanglao institutions of Xi'an city, Chin. Nurs. Res., 25, 106
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Items 201–202 of 202
Chen, X.-Y., Zheng, J.-Q., Maclaren, H., Yin, X.-C., Zheng, Y.-J., & Zhang, H.-H. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1884231
Neef, H. E., Müller‐Werdan, U., Strube‐Lahmann, S., & Lahmann, N. (2026) · Nursing Research and Practice · doi:10.1155/nrp/8458386
Metadata
- 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
- Licence
- 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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