The role of anxiety and depressive symptoms in mediating the relationship between subjective sleep quality and cognitive function among older adults in China
Deterioration of cognitive function has a significant impact on the unavoidable burden on individuals, families, and society. This study aimed to examine the serial multiple mediating effects of anxiety and depressive symptoms on the relationship between subjective sleep quality and cognitive functi...
Gespeichert in:
| Veröffentlicht in: | Journal of affective disorders 2023-03, Vol.325, p.640-646 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 646 |
|---|---|
| container_issue | |
| container_start_page | 640 |
| container_title | Journal of affective disorders |
| container_volume | 325 |
| creator | Xiao, Shujuan Shi, Lei Zhang, Jiachi Li, Xinru Lin, Huang Xue, Yaqing Xue, Benli Chen, Yiming Zhou, Guangqing Zhang, Chichen |
| description | Deterioration of cognitive function has a significant impact on the unavoidable burden on individuals, families, and society. This study aimed to examine the serial multiple mediating effects of anxiety and depressive symptoms on the relationship between subjective sleep quality and cognitive function among older adults in China.
We selected 6442 Chinese older adults aged 65 years and older from the 2018 Chinese Longitudinal Healthy Longevity Survey. The SPSS PROCESS macro was employed to perform simple and serial multiple mediation analyses.
Subjective sleep quality, depressive symptoms, anxiety symptoms, and cognitive function were significantly related (P |
| doi_str_mv | 10.1016/j.jad.2023.01.048 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2768226282</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0165032723000587</els_id><sourcerecordid>2768226282</sourcerecordid><originalsourceid>FETCH-LOGICAL-c353t-3c88e496101ac595adac283231171bf327c4c1cc14e0458657fbc055d23432743</originalsourceid><addsrcrecordid>eNp9UcuO1DAQtBCInV34AC7IRy4JfsRJRpzQCFiklbgsZ8uxOzuOHDtrO8vOx_CveB5w5NRqdVW1qgqhd5TUlND241RPytSMMF4TWpOmf4E2VHS8YoJ2L9GmYERFOOuu0HVKEyGk3XbkNbribSu6Zttu0O_7PeAYHOAwYuWfLeRDmQYbWCKkZJ8Ap8O85DAnbD2ewViVrX_A-UgEV5bg094ueID8C8DjtA4T6HxiOoAFP67K2YusDg_enm7j6vWRi9UcilxwBiJWZnX59Gi3t169Qa9G5RK8vcwb9PPrl_vdbXX349v33ee7SnPBc8V130OxU0JRWmyFMkqznjNOaUeHsQSgG021pg2QRvTF-zhoIoRhvCnHht-gD2fdJYbHFVKWs00anFMewpok69qesZb1rEDpGapjSCnCKJdoZxUPkhJ5bEVOsrQij61IQmVppXDeX-TXoQT4j_G3hgL4dAZAMflkIcqkLXhdwo4lSmmC_Y_8H9e7n-0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2768226282</pqid></control><display><type>article</type><title>The role of anxiety and depressive symptoms in mediating the relationship between subjective sleep quality and cognitive function among older adults in China</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Xiao, Shujuan ; Shi, Lei ; Zhang, Jiachi ; Li, Xinru ; Lin, Huang ; Xue, Yaqing ; Xue, Benli ; Chen, Yiming ; Zhou, Guangqing ; Zhang, Chichen</creator><creatorcontrib>Xiao, Shujuan ; Shi, Lei ; Zhang, Jiachi ; Li, Xinru ; Lin, Huang ; Xue, Yaqing ; Xue, Benli ; Chen, Yiming ; Zhou, Guangqing ; Zhang, Chichen</creatorcontrib><description>Deterioration of cognitive function has a significant impact on the unavoidable burden on individuals, families, and society. This study aimed to examine the serial multiple mediating effects of anxiety and depressive symptoms on the relationship between subjective sleep quality and cognitive function among older adults in China.
We selected 6442 Chinese older adults aged 65 years and older from the 2018 Chinese Longitudinal Healthy Longevity Survey. The SPSS PROCESS macro was employed to perform simple and serial multiple mediation analyses.
Subjective sleep quality, depressive symptoms, anxiety symptoms, and cognitive function were significantly related (P < 0.01). Poor sleep quality can have a direct negative influence on cognitive function among older adults (effect = −0.110; 95 % CI = [−0.166, −0.053]), but it can also have an indirect negative impact via three pathways: the independent mediation of anxiety symptoms (effect = −0.028; 95 % CI = [−0.048, −0.011]), the independent mediation of depressive symptoms (effect = −0.014; 95 % CI = [−0.026, −0.002]), and the serial mediation of anxiety and depressive symptoms (effect = −0.009; 95 % CI = [−0.017, −0.001]).
This study used a cross-sectional design, which restricts the ability to infer causal relationships.
The effect of subjective sleep quality on cognitive function was serially mediated by anxiety and depressive symptoms among older adults. Diverse therapies targeted at improving sleep quality in older adults may improve mood and cognitive functioning.
•Poor sleep quality could significantly and negatively affect cognitive function.•Anxiety and depressive symptoms mediate the link between poor sleep quality and cognitive function, respectively.•The relationship between poor sleep quality and cognitive function was partially mediated through serial mediation by anxiety and depressive symptoms.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2023.01.048</identifier><identifier>PMID: 36657496</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aged ; Anxiety - epidemiology ; Anxiety - psychology ; Anxiety symptoms ; China - epidemiology ; Cognition ; Cognitive function ; Cross-Sectional Studies ; Depression - epidemiology ; Depression - psychology ; Depressive symptoms ; Humans ; Serial multiple mediation model ; Sleep ; Sleep Quality ; Subjective sleep quality</subject><ispartof>Journal of affective disorders, 2023-03, Vol.325, p.640-646</ispartof><rights>2023</rights><rights>Copyright © 2023. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-3c88e496101ac595adac283231171bf327c4c1cc14e0458657fbc055d23432743</citedby><cites>FETCH-LOGICAL-c353t-3c88e496101ac595adac283231171bf327c4c1cc14e0458657fbc055d23432743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jad.2023.01.048$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27904,27905,45975</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36657496$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xiao, Shujuan</creatorcontrib><creatorcontrib>Shi, Lei</creatorcontrib><creatorcontrib>Zhang, Jiachi</creatorcontrib><creatorcontrib>Li, Xinru</creatorcontrib><creatorcontrib>Lin, Huang</creatorcontrib><creatorcontrib>Xue, Yaqing</creatorcontrib><creatorcontrib>Xue, Benli</creatorcontrib><creatorcontrib>Chen, Yiming</creatorcontrib><creatorcontrib>Zhou, Guangqing</creatorcontrib><creatorcontrib>Zhang, Chichen</creatorcontrib><title>The role of anxiety and depressive symptoms in mediating the relationship between subjective sleep quality and cognitive function among older adults in China</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>Deterioration of cognitive function has a significant impact on the unavoidable burden on individuals, families, and society. This study aimed to examine the serial multiple mediating effects of anxiety and depressive symptoms on the relationship between subjective sleep quality and cognitive function among older adults in China.
We selected 6442 Chinese older adults aged 65 years and older from the 2018 Chinese Longitudinal Healthy Longevity Survey. The SPSS PROCESS macro was employed to perform simple and serial multiple mediation analyses.
Subjective sleep quality, depressive symptoms, anxiety symptoms, and cognitive function were significantly related (P < 0.01). Poor sleep quality can have a direct negative influence on cognitive function among older adults (effect = −0.110; 95 % CI = [−0.166, −0.053]), but it can also have an indirect negative impact via three pathways: the independent mediation of anxiety symptoms (effect = −0.028; 95 % CI = [−0.048, −0.011]), the independent mediation of depressive symptoms (effect = −0.014; 95 % CI = [−0.026, −0.002]), and the serial mediation of anxiety and depressive symptoms (effect = −0.009; 95 % CI = [−0.017, −0.001]).
This study used a cross-sectional design, which restricts the ability to infer causal relationships.
The effect of subjective sleep quality on cognitive function was serially mediated by anxiety and depressive symptoms among older adults. Diverse therapies targeted at improving sleep quality in older adults may improve mood and cognitive functioning.
•Poor sleep quality could significantly and negatively affect cognitive function.•Anxiety and depressive symptoms mediate the link between poor sleep quality and cognitive function, respectively.•The relationship between poor sleep quality and cognitive function was partially mediated through serial mediation by anxiety and depressive symptoms.</description><subject>Aged</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Anxiety symptoms</subject><subject>China - epidemiology</subject><subject>Cognition</subject><subject>Cognitive function</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Depressive symptoms</subject><subject>Humans</subject><subject>Serial multiple mediation model</subject><subject>Sleep</subject><subject>Sleep Quality</subject><subject>Subjective sleep quality</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UcuO1DAQtBCInV34AC7IRy4JfsRJRpzQCFiklbgsZ8uxOzuOHDtrO8vOx_CveB5w5NRqdVW1qgqhd5TUlND241RPytSMMF4TWpOmf4E2VHS8YoJ2L9GmYERFOOuu0HVKEyGk3XbkNbribSu6Zttu0O_7PeAYHOAwYuWfLeRDmQYbWCKkZJ8Ap8O85DAnbD2ewViVrX_A-UgEV5bg094ueID8C8DjtA4T6HxiOoAFP67K2YusDg_enm7j6vWRi9UcilxwBiJWZnX59Gi3t169Qa9G5RK8vcwb9PPrl_vdbXX349v33ee7SnPBc8V130OxU0JRWmyFMkqznjNOaUeHsQSgG021pg2QRvTF-zhoIoRhvCnHht-gD2fdJYbHFVKWs00anFMewpok69qesZb1rEDpGapjSCnCKJdoZxUPkhJ5bEVOsrQij61IQmVppXDeX-TXoQT4j_G3hgL4dAZAMflkIcqkLXhdwo4lSmmC_Y_8H9e7n-0</recordid><startdate>20230315</startdate><enddate>20230315</enddate><creator>Xiao, Shujuan</creator><creator>Shi, Lei</creator><creator>Zhang, Jiachi</creator><creator>Li, Xinru</creator><creator>Lin, Huang</creator><creator>Xue, Yaqing</creator><creator>Xue, Benli</creator><creator>Chen, Yiming</creator><creator>Zhou, Guangqing</creator><creator>Zhang, Chichen</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230315</creationdate><title>The role of anxiety and depressive symptoms in mediating the relationship between subjective sleep quality and cognitive function among older adults in China</title><author>Xiao, Shujuan ; Shi, Lei ; Zhang, Jiachi ; Li, Xinru ; Lin, Huang ; Xue, Yaqing ; Xue, Benli ; Chen, Yiming ; Zhou, Guangqing ; Zhang, Chichen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-3c88e496101ac595adac283231171bf327c4c1cc14e0458657fbc055d23432743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Anxiety symptoms</topic><topic>China - epidemiology</topic><topic>Cognition</topic><topic>Cognitive function</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Depressive symptoms</topic><topic>Humans</topic><topic>Serial multiple mediation model</topic><topic>Sleep</topic><topic>Sleep Quality</topic><topic>Subjective sleep quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xiao, Shujuan</creatorcontrib><creatorcontrib>Shi, Lei</creatorcontrib><creatorcontrib>Zhang, Jiachi</creatorcontrib><creatorcontrib>Li, Xinru</creatorcontrib><creatorcontrib>Lin, Huang</creatorcontrib><creatorcontrib>Xue, Yaqing</creatorcontrib><creatorcontrib>Xue, Benli</creatorcontrib><creatorcontrib>Chen, Yiming</creatorcontrib><creatorcontrib>Zhou, Guangqing</creatorcontrib><creatorcontrib>Zhang, Chichen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xiao, Shujuan</au><au>Shi, Lei</au><au>Zhang, Jiachi</au><au>Li, Xinru</au><au>Lin, Huang</au><au>Xue, Yaqing</au><au>Xue, Benli</au><au>Chen, Yiming</au><au>Zhou, Guangqing</au><au>Zhang, Chichen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of anxiety and depressive symptoms in mediating the relationship between subjective sleep quality and cognitive function among older adults in China</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2023-03-15</date><risdate>2023</risdate><volume>325</volume><spage>640</spage><epage>646</epage><pages>640-646</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>Deterioration of cognitive function has a significant impact on the unavoidable burden on individuals, families, and society. This study aimed to examine the serial multiple mediating effects of anxiety and depressive symptoms on the relationship between subjective sleep quality and cognitive function among older adults in China.
We selected 6442 Chinese older adults aged 65 years and older from the 2018 Chinese Longitudinal Healthy Longevity Survey. The SPSS PROCESS macro was employed to perform simple and serial multiple mediation analyses.
Subjective sleep quality, depressive symptoms, anxiety symptoms, and cognitive function were significantly related (P < 0.01). Poor sleep quality can have a direct negative influence on cognitive function among older adults (effect = −0.110; 95 % CI = [−0.166, −0.053]), but it can also have an indirect negative impact via three pathways: the independent mediation of anxiety symptoms (effect = −0.028; 95 % CI = [−0.048, −0.011]), the independent mediation of depressive symptoms (effect = −0.014; 95 % CI = [−0.026, −0.002]), and the serial mediation of anxiety and depressive symptoms (effect = −0.009; 95 % CI = [−0.017, −0.001]).
This study used a cross-sectional design, which restricts the ability to infer causal relationships.
The effect of subjective sleep quality on cognitive function was serially mediated by anxiety and depressive symptoms among older adults. Diverse therapies targeted at improving sleep quality in older adults may improve mood and cognitive functioning.
•Poor sleep quality could significantly and negatively affect cognitive function.•Anxiety and depressive symptoms mediate the link between poor sleep quality and cognitive function, respectively.•The relationship between poor sleep quality and cognitive function was partially mediated through serial mediation by anxiety and depressive symptoms.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>36657496</pmid><doi>10.1016/j.jad.2023.01.048</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0165-0327 |
| ispartof | Journal of affective disorders, 2023-03, Vol.325, p.640-646 |
| issn | 0165-0327 1573-2517 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2768226282 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Anxiety - epidemiology Anxiety - psychology Anxiety symptoms China - epidemiology Cognition Cognitive function Cross-Sectional Studies Depression - epidemiology Depression - psychology Depressive symptoms Humans Serial multiple mediation model Sleep Sleep Quality Subjective sleep quality |
| title | The role of anxiety and depressive symptoms in mediating the relationship between subjective sleep quality and cognitive function among older adults in China |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T10%3A13%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20role%20of%20anxiety%20and%20depressive%20symptoms%20in%20mediating%20the%20relationship%20between%20subjective%20sleep%20quality%20and%20cognitive%20function%20among%20older%20adults%20in%20China&rft.jtitle=Journal%20of%20affective%20disorders&rft.au=Xiao,%20Shujuan&rft.date=2023-03-15&rft.volume=325&rft.spage=640&rft.epage=646&rft.pages=640-646&rft.issn=0165-0327&rft.eissn=1573-2517&rft_id=info:doi/10.1016/j.jad.2023.01.048&rft_dat=%3Cproquest_cross%3E2768226282%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2768226282&rft_id=info:pmid/36657496&rft_els_id=S0165032723000587&rfr_iscdi=true |