Chain Mediating Effect of Physical Activity and Psychological Resilience on Social Isolation and Psychological Well-Being in Community-Dwelling Older Adults
PURPOSE: To explore the relationship between social isolation and psychological well-being among community-dwelling older adults and analyze the mediating role of physical activity and psychological resilience in the chain mediation effect between social isolation and psychological well-being. METHOD: Two hundred sixty-five older adults from six communities in Baoding City were selected using convenience sampling. Social isolation, physical activity, psychological resilience, and psychological well-being were measured. The SPSS PROCESS program was used to test the chain mediation effect. RESULTS: Pearson correlation analysis indicated significant relationships between psychological well-being and social isolation, psychological resilience, and physical activity (all p < 0.001). Mediation analysis results showed that social isolation directly affects psychological well-being and influences psychological well-being through three mediation chains: physical activity, psychological resilience, and the chain mediation effect of physical activity and psychological resilience. Total mediation effect accounted for 60% of the total effect. CONCLUSION: Social isolation is a significant risk factor for decreased psychological well-being among older adults, and physical activity and psychological resilience serve as important explanatory mechanisms. Community health workers should prioritize the impact of social isolation on the psychological well-being of older adults and develop intervention strategies based on the pathways of physical activity and psychological resilience to enhance psychological well-being and promote healthy aging.
基金:
Hebei University Medical Discipline Development Project [2022X01]
第一作者机构:[1]Hebei Univ, Coll Nursing, Baoding, Peoples R China[2]Key Lab Bone Metab & Physiol Chron Kidney Dis Hebe, Baoding, Peoples R China
通讯作者:
通讯机构:[6]Hebei Univ, Affiliated Hosp, Dept Nursing, Baoding, Hebei, Peoples R China[*1]Hebei Univ, Dept Nursing, Affiliated Hosp, 212,East Yuhua Rd, Baoding 071000, Hebei, Peoples R China
推荐引用方式(GB/T 7714):
Li Zheng,Chen Shuang,Wang Yilin,et al.Chain Mediating Effect of Physical Activity and Psychological Resilience on Social Isolation and Psychological Well-Being in Community-Dwelling Older Adults[J].JOURNAL OF GERONTOLOGICAL NURSING.2025,doi:10.3928/00989134-20250324-01.
APA:
Li, Zheng,Chen, Shuang,Wang, Yilin,Wang, Bei,Yuan, Jing...&Li, Yanling.(2025).Chain Mediating Effect of Physical Activity and Psychological Resilience on Social Isolation and Psychological Well-Being in Community-Dwelling Older Adults.JOURNAL OF GERONTOLOGICAL NURSING,,
MLA:
Li, Zheng,et al."Chain Mediating Effect of Physical Activity and Psychological Resilience on Social Isolation and Psychological Well-Being in Community-Dwelling Older Adults".JOURNAL OF GERONTOLOGICAL NURSING .(2025)