Research in Community and Public Health Nursing

Original Articles

[English] Bidirectional Relationship Between Depression and Frailty in Older Adults aged 70-84 years using Random Intercepts Cross-Lagged Panel Analysis: Ji Hye Shin, Gyeong A Kang, Sun Young Kim, Won Chang Won, Ju Young Yoon; Res Community Public Health Nurs. 2024;35(1):1-9. Published online February 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00381

9,029 View
163 Download
5 Citations

Purpose
Depression and frailty are common health problems that occur separately or simultaneously in later life. The two syndromes are correlated, but they need to be distinguished to promote successful aging. Previous studies have examined the reciprocal relationship between depression and frailty, but there are limitations in the methods or statistical analysis. This study aims to confirm the potential prospective bidirectional and causal relationship between depression and frailty.
Methods
We used data from 887 older adults aged 70 to 84 from the Korean Frailty and Aging Cohort Study (KFACS) in 2016, 2018, and 2020 (3 waves). We separated the within-individual process from the stable between-individual differences using the random intercepts cross-lagged panel model.
Results
Significant bidirectional causal effects were observed in 2 paths. Older adults with higher depression than their within-person average at T1 had a higher risk of frailty at T2 (β=.22, p=.008). Subsequently, older adults with higher-than-average frailty scores at T2 showed higher depression at T3 (β=.14, p=.010). Autoregressive effects were only significant from T2 to T3 for both constructs (Depression: β=.16, p=.044; Frailty: β=.13, p=.028). At the between-person level, the correlation was significant between the random intercepts between depression and frailty (β=.47, p<.001).
Conclusions
We find that depressed older adults have an increased risk of frailty, which contributes to the onset of depression and the maintenance of frailty. Therefore, interventions for each condition may prevent the entry and worsening of the other condition, as well as prevent comorbidity.

Citations

Citations to this article as recorded by

Four-year associations of wish-to-die trajectories with changes in the frailty of European citizens aged 50 and over
Marcelo de Maio Nascimento, Adilson Marques, Gerson Ferrari, Francisco Martins, Cíntia França, Élvio R. Gouveia, Andreas Ihle
Journal of Affective Disorders.2025; 379: 624. CrossRef
Suicide in later life: the role of frailty and depression
Brian Draper, Anne P.F. Wand
Current Opinion in Psychiatry.2025; 38(5): 383. CrossRef
The Interaction Among Depressive Symptoms, Pain, and Frailty in Middle‐Aged and Older Adults: A Longitudinal Cross‐Lagged Panel Analysis
Tian-Ming Song, Xue Chen, Xue-He Chen, Si-Jia Tan, Chen-Huan Song, Lin Fan, Jia-Yi Li, Hong-Li Li, Raffaella Bosurgi
Depression and Anxiety.2025;[Epub] CrossRef
Frailty as a Predictor of Falls in Older Adults with Type 2 Diabetes: Evidence from Vietnam
Hoa Dinh, Linh Ha, Ngoc Minh Luu, Toan Do, Thu Nguyen, Thanh Nguyen, Anh Nguyen, Anh Nguyen, Huong Nguyen, Hiep Phan, Tam Nguyen, Huyen Vu
Clinical Interventions in Aging.2025; Volume 20: 2641. CrossRef
High-Accuracy Indoor Positioning and Smart Home Technologies for Assessing and Monitoring Frailty in Older Adults
Antonio Miguel Cruz, Mathieu Figeys, Yusuf Ahmed, Farnaz Koubasi, Munirah Alsubaie, Salamah Alshammari, Arsh Narkhede, Geoffrey Gregson, Andrew Chan, Lili Liu, Adriana Ríos Rincón
Sensors.2025; 26(1): 113. CrossRef

[English] Gender Differences in Older Adults’ Muscle Strength and Depressive Symptoms: A Relationship Mediated Through Perceived Stress: Gyeong A Kang, Jihye Shin, Ju Young Yoon; Res Community Public Health Nurs. 2023;34(3):196-204. Published online September 27, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00164

5,856 View
85 Download
3 Citations

Abstract PDF

Purpose
Preventing the effects of physical vulnerability is a practical approach to improving older adults’ depressive symptoms. This study aims to examine the relationship between gender differences related to muscle strength and depressive symptoms mediated by perceived stress.
Methods
In this cross-sectional study, data from 2,705 older adults (65 years old or older) from the Korea National Health and Nutrition Examination Survey VII 2016 and 2018 were analyzed. The moderated mediation model was developed; the outcome, independent, mediation, and moderated mediation variables in the literature-based research model were depressive symptoms, muscle strength, perceived stress, and gender, respectively.
Results
Perceived stress had a mediating effect on the relationship between muscle strength and depressive symptoms. The indirect effect of muscle strength on depressive symptoms mediated by perceived stress was β = -.02 (95% CI:-0.03~-0.01). The moderated mediation model demonstrated that the interaction term of handgrip strength and gender negatively affected perceived stress, which indicated that gender moderated the mediating model of perceived stress on the association of muscle strength and depressive symptoms (β = -.01, p <.05). The conditional indirect effect model was insignificant in the male group (β = -.00, 95% CI:-0.01~0.01) but significant in the female group (β = -.01, 95% CI: -0.02~0.00). Conclusions: Perceived stress mediated the relationship between muscle strength and depressive symptoms. However, the effect differed by gender. A stress-mediated depressive symptoms intervention program for older adults should be developed to consider women’s needs.

Citations

Citations to this article as recorded by

Baseline Measurement of Grip Strength in a Sample of Nepali Nursing Staff and Students: A Cross‐Sectional Study
Tara Jung Gurung, Lisa R. Roberts, Safiye Sahin, Dibyaswori Lakhe, Rubi Pradhan, Neha Shrestha, Uma Thapa Magar, Sangita Shrestha, Radha Pandey Acharya
Health Science Reports.2026;[Epub] CrossRef
Exploring patients’ understanding of behavioral risk factors for non-communicable diseases: a study on diabetes and hypertension in Bushbuckridge, South Africa
Thabo D. Pilusa, Cairo B. Ntimana, Mahlodi P. Maphakela, Eric Maimela
BMC Public Health.2025;[Epub] CrossRef
Associations between muscle-strengthening exercise and depressive and anxiety symptoms in children and adolescents
Lubo Zhai, Zhengyang Yang, Xingyi Yang, Sitong Chen
BMC Public Health.2025;[Epub] CrossRef

First
Prev
Page of 1
Next
Last

Search