The Mediating Effect of Depressive Symptoms on the Relationship between Activity Engagement and Cognitive Function among Older Adults.

Purpose: Engaging in activities in later life is beneficial for maintaining cognitive function. This study examined whether depressive symptoms mediate the relationship between activity engagement and cognitive function among older adults. Methods: A secondary data analysis was conducted using the 2...

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Publicado en:Research in Community & Public Health Nursing (RCPHN) Vol. 36; no. 3; pp. 328 - 339
Autores principales: Kim, Da Eun, Kim, Bokyoung
Formato: research tables/charts Journal Article
Publicado: Korean Academy of Community Health Nursing Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 36
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      pub: Korean Academy of Community Health Nursing
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        10.12799/rcphn.2025.01179
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        atl: The Mediating Effect of Depressive Symptoms on the Relationship between Activity Engagement and Cognitive Function among Older Adults.
      aug:
        au:
          Kim, Da Eun
          Kim, Bokyoung
        affil: Associate Professor, College of Nursing, Research Institute of Nursing Innovation, Kyungpook National University, Daegu, Korea.
      sug:
        subj:
          Depression Symptoms
          Cognition In Old Age
          Functional Status In Old Age
          Human Activities In Old Age
          Leisure Activities In Old Age
          Human
          Secondary Analysis
          Aged
          Mediation Analysis
          Physical Activity
          Cross Sectional Studies
          Male
          Female
          Exercise
          Walking
          Coefficient alpha
          Center for Epidemiological Studies Depression Scale
          Psychological Tests
          Descriptive Statistics
          T-Tests
          Pearson's Correlation Coefficient
          Data Analysis Software
          Funding Source
          Aged: 65+ years
          Male
          Female
      ab: Purpose: Engaging in activities in later life is beneficial for maintaining cognitive function. This study examined whether depressive symptoms mediate the relationship between activity engagement and cognitive function among older adults. Methods: A secondary data analysis was conducted using the 2022 Health and Retirement Study, including 2,741 participants aged 65 years and older. Mediation analyses were performed using SPSS PROCESS Macro Model 4 with bootstrapping. Results: A partial mediating effect of depressive symptoms was identified in the relationship between different types of activity engagement (e.g., physical, cognitive, and social activities) and cognitive function. The standardized indirect effects of depressive symptoms were β=.02 (95% boot CI=.01 to .03) for physical activity, β=.01 (95% boot CI=.01 to .02) for cognitive activity, and β=.02 (95% boot CI=.01 to .03) for social activity. Conclusion: These findings suggest that activity engagement may enhance cognitive function by reducing depressive symptoms among older adults. The results highlight the importance of developing and strengthening community-based physical, cognitive, and social activity programs that incorporate depressive symptom management as practical strategies to prevent cognitive decline in older adults.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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