The relationship between health-promoting lifestyles and depression in the elderly: roles of aging perceptions and socia
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The relationship between health‑promoting lifestyles and depression in the elderly: roles of aging perceptions and social support Wei Zhou1,2 · Defeng Chen1 · Zijing Hong1,2 · Hang Fan1 · Shen Liu3 · Lin Zhang1 Accepted: 6 October 2020 © Springer Nature Switzerland AG 2020
Abstract Purpose At present, it is not clear about the influence of health-promoting lifestyle, aging perceptions, social support, and other psychosocial factors on elderly depression. This study aims to explore the mediating role of aging perceptions between health-promoting lifestyle and elderly depression, and the moderating role of social support in the mediating process. Methods A cross-sectional survey was conducted among 359 elderly people in six districts of a city. The Chinese version of the Health-Promoting Lifestyle Profile-II (HPLP-IIR), the Brief Aging Perceptions Questionnaire (B-PQ), the Center for Epidemiological Studies Depression Scale (CES-DR), and the Social Support Rate Scale (SSRS) were conducted and recollected on the spot. Stepwise analysis was used to test the mediating effect and moderating effect, and age and gender variables were controlled. Results The results showed the following: (1) health-promoting lifestyle is an important influencing factor of elderly depression; (2) aging perceptions plays a mediating role in the relationship between health-promoting lifestyle and elderly depression, accounting for 31.8% of the total utility; and (3) social support plays a moderating role between aging perceptions and elderly depression, with a high level of social support. The effect of aging perceptions on depression is less than that of the elderly with low social support level. Conclusion Health-promoting lifestyle influence the depression of elderly people through aging perceptions and social support moderates the influence of aging perceptions on the elderly depression. Keywords Health-promoting lifestyle · Depression · Aging perceptions · Social support · Elderly
Introduction The advent of the aging society has, to a certain extent, caused some psychological problems in the elderly, such as anxiety, loneliness, and depression [1]. Depression, as one Wei Zhou and Defeng Chen contributed equally to this work. * Shen Liu [email protected] * Lin Zhang [email protected] 1
Department and Institute of Psychology, Ningbo University, No. 818 Fenghua Road, Jiangbei District, Ningbo 315211, China
2
School of Management, Jinan University, Jinan 510632, China
3
School of Humanities and Social Sciences, University of Science and Technology of China, Hefei 230022, China
of the most common psychological symptoms of the elderly, is a negative emotion caused by the inability to cope with external stress [2, 3]. Studies have shown that age and gender are important factors affecting depression in elderly people. The incidence rate of depression in older adults is higher than that in other adult groups, with a significant increase with age, and women are more likely to have depression than men [4, 5]. Depressi
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