Deprivation-related adverse childhood experiences and cognitive function among older adults: Mediating role of depression symptoms

IF 3.4 2区心理学 Q1 FAMILY STUDIES Child Abuse & Neglect Pub Date : 2024-10-15 DOI:10.1016/j.chiabu.2024.107088

Na Zhang , Yisong Yao , Limin Li , Mingjun Sun , Baihe Zhou , Hong Fu , Binjin Guo , Qing Li , Wang Jinfu , Wenhui Jiang

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Abstract

Background

Cognitive dysfunction imposes a heavy economic burden on families and society. Depression and deprivation-related adverse childhood experiences (ACEs) are important factors that contribute to cognitive dysfunction. However, few studies have explored these complex interactions.

Objective

This study aimed to elucidate the mediating effect of depression on the relationship between deprivation-related ACEs and cognitive function in older adults.

Methods

This national, cross-sectional study used data from the 2020 Chinese Longitudinal Aging Social Survey. Information regarding depression, ACEs, and cognitive function was collected from individuals aged 60 years and older. A structural equation model was used to examine the mediating effect of depression on the relationship between deprivation-related ACEs and cognitive function.

Results

A total of 9828 participants were included in this study. Their mean total cognitive function score was 13.488 ± 3.006. The results showed that sex, age, educational level, marital status, body mass index, registered residence, chronic disease situation, health, smoking, living alone, life satisfaction, social security, and internet use were all related to cognitive function (P < 0.05). Deprivation-related ACEs were negatively correlated with cognitive function (r = −0.132, P < 0.01). And depression symptoms were negatively correlated with cognitive function (r = −0.158, P < 0.01). The mediating effect analysis indicated that depression symptoms had a significant mediating effect between the 3 dimensions of deprivation-related ACEs and cognitive function.

Conclusions

This study highlighted that improvement of deprivation-related ACEs was indirectly related to a reduced likelihood of cognitive dysfunction through depression in older adults. With the limitations of cross-sectional studies, validation through longitudinal design studies is deemed necessary. Future interventions should focus on alleviating depression symptoms to prevent cognitive decline and impairment in this population.

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与匮乏有关的童年不良经历与老年人的认知功能：抑郁症状的中介作用

背景认知功能障碍给家庭和社会带来了沉重的经济负担。抑郁和与贫困相关的不良童年经历（ACEs）是导致认知功能障碍的重要因素。这项全国性横断面研究使用了 2020 年中国老龄社会纵向调查的数据。这项全国性横断面研究使用了 2020 年中国老龄社会纵向调查的数据，收集了 60 岁及以上老年人有关抑郁、ACE 和认知功能的信息。研究采用结构方程模型来检验抑郁对与贫困相关的 ACE 与认知功能之间关系的中介效应。他们的平均认知功能总分为 13.488 ± 3.006。结果显示，性别、年龄、受教育程度、婚姻状况、体重指数、户籍所在地、慢性病情况、健康状况、吸烟、独居、生活满意度、社会保障和互联网使用均与认知功能有关（P < 0.05）。与贫困相关的 ACE 与认知功能呈负相关（r = -0.132，P <0.01）。抑郁症状与认知功能呈负相关（r = -0.158，P <0.01）。中介效应分析表明，抑郁症状在与贫困相关的 ACEs 的 3 个维度与认知功能之间具有显著的中介效应。鉴于横断面研究的局限性，有必要通过纵向设计研究进行验证。未来的干预措施应侧重于缓解抑郁症状，以预防该人群认知能力下降和受损。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.