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The effect of activities of daily living on anxiety in older adult people

The mediating role of social participation

Bibliographic Data

ID22074815
AuthorsJuan Zheng (0000-0002-4896-8198, Xuzhou Medical College), Jianqiang Xu (0000-0003-0449-4506, Xuzhou Medical College, corresponding author), Daqi Liu (Xuzhou Medical College)
Year2024
Volume12
Pages1450826-1450826
Publication date2024-12-13
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1450826
PMID39735764
OpenAlexW4405383685
LanguageEN
Citations received2
References cited40

Objective Anxiety is a serious psychiatric illness in older adult people. Activities of daily living and social participation are important factors influencing anxiety in older adult people. Using social participation as a mediating variable, this study explored the influence of activities of daily living on anxiety in older adult people to provide scientific evidence for improving the psychological health of older adult people. Methods A multistage stratified random sampling method was used in this study to recruit older adult people. T tests and variance analysis were used for single factor analysis, and a multiple linear regression model was used for multifactor analysis. Pearson correlation analysis was used to study the correlation between activities of daily living and social participation and anxiety. The Process program was used to perform the bootstrap test. Results The mean anxiety score of the interviewed older adult individuals was 3.028 ± 4.606 points, and 28.66% of the older adult individuals had anxiety. There was a statistically significant difference in the anxiety scores of older adult people across sex, age, marital status, education level, and health insurance status ( p < 0.05). After controlling for other variables, each one-point increase in the activities of daily living score significantly increased the anxiety score by 0.122 points (β=0.122, p < 0.001), and each one-point increase in the social participation score significantly decreased the anxiety score by 0.058 points (β= − 0.058, p < 0.001). According to the results of the mediating effect analysis, there was a significant positive relationship between activities of daily living and anxiety, and the total effect was established (β=0.1719, p < 0.001). After controlling for social participation, there was a significant direct effect of activities of daily living on anxiety in older adult people (β=0.1255, p < 0.001). A partial mediating effect of social participation on the relationship between activities of daily living and anxiety in older adult people was found. The indirect effect of social participation was 26.99%. Conclusion Activities of daily living and social participation are important factors affecting anxiety in older adult people. Health education should be increased to enhance the physical activity of older adult people to improve their activities of daily living, create a good atmosphere for their social participation, improve their motivation for and continuity of social participation

Activities of daily living · Analysis of variance · Anxiety · Environmental health · Marital status · Population · Psychiatry · Social support · Stratified sampling · Clinical Psychology · Health and Well-being Studies · Medicine · Music Therapy and Health · Problem Solving Skills Development · Psychology · Gerontology

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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