The role of internet use between ADL disability and depressive symptoms in Chinese middle-aged and older adults: Evidence from a longitudinal study

We aimed to explore the role of internet use between ADL disability and depressive symptoms onset and the effect of age on association mentioned above. The participants who are 45 years old and above from the China Health and Retirement Longitudinal Study (CHARLS) were included in the 2018 baseline...

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Vydáno v:Journal of psychosomatic research Ročník 198; s. 112394
Hlavní autoři: Guo, Ruirui, Liu, Yixuan, Zhao, Xuyang, Chen, Yibing, Li, Ranran, Gao, Xinyu, Feng, Jiamin, Wang, Cuiping, Nian, Bingyang, Liu, Hongjian, Zhang, Xiumin
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Elsevier Inc 01.11.2025
Témata:
Activities of daily living
Activities of Daily Living - psychology
Aged
Aged, 80 and over
China - epidemiology
Depression - epidemiology
Depressive symptoms
Disability
East Asian People
Female
Humans
Internet use
Internet Use - statistics & numerical data
Longitudinal Studies
Male
Middle Aged
Persons with Disabilities - statistics & numerical data
Psychiatric/Mental Health
China
Disability
Depressive symptoms
Activities of daily living
Internet use
ISSN:0022-3999, 1879-1360, 1879-1360
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Shrnutí:We aimed to explore the role of internet use between ADL disability and depressive symptoms onset and the effect of age on association mentioned above. The participants who are 45 years old and above from the China Health and Retirement Longitudinal Study (CHARLS) were included in the 2018 baseline and 2020 follow-up research. Logistic regression analysis was used to investigate the association between ADL disability in 2018 and depressive symptoms in 2020. Interaction testing and stratified analyses were used to assess the role of internet use between them. There were 6784 subjects included in the study and 1503 (22.2 %) participants developed depressive symptoms in follow-up. ADL disability was associated with an increased risk of depressive symptoms in all participants after adjusting for all covariates (OR: 1.530, 95 %CI: 1.301, 1.797). This association remained in participants not using the internet (OR: 1.532, 95 %CI: 1.294, 1.811), but this association was not found in participants using the internet (OR: 1.242, 95 %CI: 0.638, 2.290). In addition, the role of internet use varied by age groups. Internet use may attenuate the association between ADL disability and depressive symptoms in middle-aged adults and younger older adults, but not in older adults aged 70 years and above. ADL disability positively associated with depressive symptoms in middle-aged and older adults and internet use may attenuate the association between them especially in middle-aged and younger older adults. •People with ADL disability less Internet use than those without.•Internet use may moderate association of ADL disability and depressive symptoms.•The role of Internet use varied by age groups.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0022-3999
1879-1360
1879-1360
DOI:10.1016/j.jpsychores.2025.112394