Impact of meaning in life and living arrangements on association between activities of daily living and depression in older adults
DU Lilu
YAO Renkui
ZHAO Yanyu
LI Mengxuan
ZOU Min
ZHANG Gongfa
Abstract：Objective To analyze the mechanisms of meaning in life and living arrangements impacting the effect of activities of dai-ly living(ADL)on depression for older adults.
Methods From September to November,2024,community-dwelling older adults from Weifang,Shandong,were investi-gated with questionnaire using Basic Activities of Daily Living Scale(BADL),Meaning in Life Questionnaire(MLQ),Geriatric Depression Scale(GDS),and a general information questionnaire including living arrange-ments.
Results A total of 256 questionnaires were distributed,and 245 valid questionnaires were returned.There were signifi-cant differences in GDS scores among older adults with different personal monthly incomes and living arrange-ments(F>3.744,P<0.05).BADL scores were positively correlated with GDS scores(r=0.490,P<0.001)and negatively correlated with MLQ scores(r=-0.370,P<0.001),and MLQ scores were negatively correlated with GDS scores(r=-0.369,P<0.001).There was significant direct effect of BADL scores on GDS scores(effect=1.128,95%CI 0.829～1.427),and mediating effect of MLQ scores on the relationship between BADL and GDS scores(effect=0.171,95%CI 0.028～0.337).The moderating effect of living alone was significant(|B|=0.127,|t|=2.103,P<0.05)on the association between MLQ and GDS,compared with intergenerational coresidence.
Conclusion Meaning in life partially mediates the association between ADL and depression in older adults,especially for those living alone.
Keywords：older adultsactivities of daily livingdepressionmeaning in lifeliving arrangements
Publication Date：2025-08-25
Online Publishing Date：2025-09-05(First online date of this platform, not the publication date of the document)
Pages：6( 987-992 )