Key result
Chronic diseases are linked to increased psychological distress, partially mediated by activities of daily living.
Why the study?
Although chronic diseases and psychological distress are correlated, the underlying mediating and moderating mechanisms have not been sufficiently studied.
Do activities of daily living and perceived social support mediate or moderate the impact of chronic diseases on psychological distress in older adults?
Cross-Sectional (n=3,250)
Do activities of daily living and perceived social support mediate or moderate the impact of chronic diseases on psychological distress in older adults?
Perceived social support acts as a protective factor that can alleviate the adverse effects of chronic diseases on psychological distress in older adults.
Answers are grounded in this paper and cite their sources.
May support assessing social support in multimorbid older adults; hypothesis-generating for interventions targeting ADL and support.
OBJECTIVES: Previous literature has shown that chronic diseases and psychological distress are correlated. However, the mediating and moderating mechanisms underlying this relationship have not been sufficiently studied. The purpose of this study was to explore the role played by activities of daily living (ADL) and perceived social support. METHOD: Face-to-face questionnaire-based surveys were conducted with 3250 valid participants (age ≥60 years). Participants were assessed using the Barthel Index, Perceived Social Support Scale, and Depression Anxiety Stress Scale-21. RESULTS: 1) Chronic diseases had a significant direct effect on psychological distress in older adults; 2) the relationship between chronic diseases and psychological distress was partially mediated by ADL; and 3) the impact of chronic diseases on psychological distress was significantly moderated by perceived social support. More importantly, perceived social support was a protective factor that could effectively alleviate the adverse effects of chronic diseases on psychological distress. CONCLUSION: The results add to the existing literature by uncovering the underlying mechanisms between chronic diseases and mental health. These findings have implications for early intervention and prevention of mental health problems in older adults.
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Xiao et al. (2021) conducted a cross-sectional in Psychological distress (n=3,250). Chronic diseases was evaluated on Psychological distress. Chronic diseases directly increased psychological distress among 3250 older adults, an effect partially mediated by activities of daily living and moderated by perceived social support.
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