SEARCHCOHORTpulmonology, geriatrics

cohort·pulmonology, geriatrics, epidemiology, psychiatry, public health·PMC10883558

Gender difference on the mediation effects of filial piety on the association between chronic obstructive pulmonary disease and depressive symptoms in older adults: A community-based study

PLOS ONE · 11 authors, 5 centres

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TL;DR

This community-based study of older adults in Taiwan examined whether filial piety mediates the association between lung function (FEV1) and depressive symptoms, finding gender-specific effects.

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472 CHARS

Pulmonary function (FEV1), depressive symptoms (CES-D), and filial piety measures—filial piety expectation (FPE) and perceived receipt of filial piety (PRFP)—were assessed. Mediation and interaction analyses were conducted separately for men and women, controlling for age, waist circumference, education, smoking status, hypertension, stroke, and MMSE. In older women, FEV1 and depressive symptoms became insignificant after PRFP mediation, indicating complete mediation.

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cohort

SPECIALTY

pulmonology

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AI pipeline

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ORIGINAL PAPER

PMC10883558

Gender difference on the mediation effects of filial piety on the association between chronic obstructive pulmonary disease and depressive symptoms in older adults: A community-based study

PLOS ONE

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ABSTRACT

Filial piety is viewed as strong family support for older Chinese people, and strongly associated with depressive symptoms. It is unknown if there exists gender difference in the mediation effects of filial piety on the relationship between chronic obstructive pulmonary disease (manifested as lung function) and depression. We investigated whether filial piety mediates the association between lung function and depression in community-dwelling older men and women using the Healthy Aging Longitudinal Study in Taiwan (HALST). Community dwelling adults aged 65 and above were analyzed. Pulmonary function, depressive symptoms, and filial piety expectation (FPE) and receipt of filial piety (RFP) were collected. The interaction and mediation of filial piety between lung function and depression was analyzed. We found that in older men, forced expiratory volume in the first second (FEV1) was inversely correlated with depression (β = -0.1281, p = 0.004) with no mediation effect of FPE. In older women, FEV1 was negatively associated with FPE, but FPE did not increase the risk of depression (β = 0.0605, p = 0.12). In both older men and women, FEV1 was negatively associated with RFP, while RFP reduced the risk of depression (p< 0.001). In older women, the correlation between FEV1 was complete mediation of RFP. Results indicate that feelings of insufficient filial piety may increase the likelihood of depression, especially in elderly women with worse lung function. Although modest, the main mediation effect of filial piety was improvement of lung function in older subjects, which might decrease depression.

CITATION EXPORT

Cheng-Chen Chang, Kaichi Hsu, Chun-Min Chen et al.. Gender difference on the mediation effects of filial piety on the association between chronic obstructive pulmonary disease and depressive symptoms in older adults: A community-based study. PLOS ONE. (2024). https://doi.org/10.1371/journal.pone.0298360

AUTHORS

11 · 5 CENTRES

Cheng-Chen Chang, Kaichi Hsu, Chun-Min Chen, Si-Sheng Huang, I-Chien Wu, Chih-Cheng Hsu, Agnes C. Hsiung, Hsing-Yi Chang, Kalyana Chakravarthy Bairapareddy, Kalyana Chakravarthy Bairapareddy, Kalyana Chakravarthy Bairapareddy

1 Department of Psychiatry, Chung Shan Medical University Hospital, Taichung, Taiwan
2 School of Medicine, Chung Shan Medical University, Taichung, Taiwan
3 Institute of Population Health Sciences, National Health Research Institutes, Maoli, Taiwan
4 Big Data Center, Changhua Christian Hospital, Changhua, Taiwan
University of Sharjah, UNITED ARAB EMIRATES

EDITOR / REVIEWER

Kalyana Chakravarthy Bairapareddy