体能与心理健康的交互关系:随机截距交叉滞后面板模型分析。

IF 1.5 4区 医学 Q3 GERONTOLOGY Journal of Gerontological Social Work Pub Date : 2023-10-01 Epub Date: 2023-04-02 DOI:10.1080/01634372.2023.2197017
Yuanyuan Ji, Xiaoling Xiang
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引用次数: 0

摘要

考虑到潜在的性别差异,本研究调查了老年人心理健康和身体能力的相互影响。使用Mplus的随机截距交叉滞后面板模型分析了2011-2015年NHATS调查中7504名65岁以上的医疗保险受益人的数据。结果显示,体能对心理健康的人内影响中等(βt12=-19,βt23=-32,βt34=-42,βt45=-40),而相反的关系显示出较小的影响(βt12=-0.02,βt22=-0.03,βt33=.03,βt45=-0.02)。出现了性别差异,心理健康对体能的影响在男性中显著,但在女性中不显著。此外,男性体力变化与心理健康之间的相关性更强。最后,体力对心理健康的滞后效应明显强于相反的滞后效应。研究结果表明,增强体能可以缓解老年人,尤其是男性的抑郁和焦虑症状。
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The Reciprocal Relationship of Physical Capacity and Mental Health: A Random Intercept Cross-Lagged Panel Model Analysis.

This study investigates the mutual influence of mental health and physical capacity in older adults, considering potential gender differences. Data from 7,504 Medicare beneficiaries aged 65+ from the NHATS 2011-2015 surveys were analyzed using a random intercept cross-lagged panel model in Mplus. Results revealed moderate within-person effects of physical capacity on mental health (βt12 = -.19, βt23 = -.32, βt34 = -.42, βt45 = -.40), while the reverse relationship showed smaller effects (βt12 = -.02, βt23 = -.03, βt34 = -.03, βt45 = -.02). Gender differences emerged, with the influence of mental health on physical capacity being significant in men but not women. Additionally, correlations between changes in physical capacity and mental health were stronger for men. Lastly, lagged effects of physical capacity on mental health were notably stronger than the reverse. The findings suggest that enhancing physical capacity may alleviate depression and anxiety symptoms in older adults, particularly men.

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来源期刊
CiteScore
4.00
自引率
3.10%
发文量
65
期刊介绍: With over 30 years of consistent, quality articles devoted to social work practice, theory, administration, and consultation in the field of aging, the Journal of Gerontological Social Work offers you the information you need to stay abreast of the changing and controversial issues of today"s growing aging population. A valuable resource for social work administrators, practitioners, consultants, and supervisors in long-term care facilities, acute treatment and psychiatric hospitals, mental health centers, family service agencies, community and senior citizen centers, and public health and welfare agencies, JGSW provides a respected and stable forum for cutting-edge insights by experts in the field.
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