Na Zhang , Yisong Yao , Limin Li , Mingjun Sun , Baihe Zhou , Hong Fu , Binjin Guo , Qing Li , Wang Jinfu , Wenhui Jiang
{"title":"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","authors":"Na Zhang , Yisong Yao , Limin Li , Mingjun Sun , Baihe Zhou , Hong Fu , Binjin Guo , Qing Li , Wang Jinfu , Wenhui Jiang","doi":"10.1016/j.chiabu.2024.107088","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>This study aimed to elucidate the mediating effect of depression on the relationship between deprivation-related ACEs and cognitive function in older adults.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>P</em> < 0.05). Deprivation-related ACEs were negatively correlated with cognitive function (<em>r</em> = −0.132, <em>P</em> < 0.01). And depression symptoms were negatively correlated with cognitive function (<em>r</em> = −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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"158 ","pages":"Article 107088"},"PeriodicalIF":3.4000,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Deprivation-related adverse childhood experiences and cognitive function among older adults: Mediating role of depression symptoms\",\"authors\":\"Na Zhang , Yisong Yao , Limin Li , Mingjun Sun , Baihe Zhou , Hong Fu , Binjin Guo , Qing Li , Wang Jinfu , Wenhui Jiang\",\"doi\":\"10.1016/j.chiabu.2024.107088\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>This study aimed to elucidate the mediating effect of depression on the relationship between deprivation-related ACEs and cognitive function in older adults.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>P</em> < 0.05). Deprivation-related ACEs were negatively correlated with cognitive function (<em>r</em> = −0.132, <em>P</em> < 0.01). And depression symptoms were negatively correlated with cognitive function (<em>r</em> = −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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>\",\"PeriodicalId\":51343,\"journal\":{\"name\":\"Child Abuse & Neglect\",\"volume\":\"158 \",\"pages\":\"Article 107088\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-10-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Child Abuse & Neglect\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0145213424004782\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"FAMILY STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Abuse & Neglect","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0145213424004782","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
Deprivation-related adverse childhood experiences and cognitive function among older adults: Mediating role of depression symptoms
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.
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.
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