The chain mediating effect of family care and loneliness on the degree of disability and psychological distress in disabled elderly people
CHUAI Xinhui
LI Ningning
ZHANG Dongxue
GUO Quanrong
TIAN Miaomiao
HAO Xijun
Abstract：Objective To explore the chain mediating effect of family care and loneliness on the degree of disability and psychological distress in disabled elderly people.Methods From August 2023 to February 2024,a random sam-pling method was adopted to select 361 disabled elderly people who lived within the jurisdiction of 5 community health ser-vice centers directly affiliated to Tangshan Workers'Hospital.General data questionnaire,Barthel index,Family APGAR(Family Care Index),ULS-6(Short-form Loneliness Scale),and DT(Distress Thermometer)were used to investigate.Pearson correlation analysis was used to explore the correlations among the degree of disability,loneliness,family care,and psychological distress of disabled elderly people.The AMOS24.0 software was employed to conduct the analysis of the chain mediating effect.Results The DT scores of the disabled elderly were 5.60±2.63,the Barthel index,Family AP-GAR and ULS-6 scores of the disabled elderly were 54.09±15.48,6.07±2.28,and 12.36±3.57,respectively.Barthel index,family care and psychological distress were negatively correlated(r=-0.517,-0.540,P<0.001),loneliness and psychological distress were positively correlated(r=0.586,P<0.001).Family care and loneliness had a chain mediation effect between the degree of disability and psychological distress in disabled elderly(indirect effect accounted for 12.19%of the total effect).Conclusions The degree of disability,family care and loneliness have significant effects on psycho-logical distress.There is a chain mediation between the degree of disability and psychological distress.
Keywords：disabledpsychological distresslonelinessfamily careagedmediating effect
Publication Date：2025-04-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 54-58 )