Work

Daily Living, Depressive Symptoms, and Cognition in Older Adults With Chronic Diseases

Year: 2026

Type: article

Abstract: This study examined the associations of activities of daily living (ADL) limitations and depressive symptoms with global and domain-specific cognition among older adults with chronic diseases. Data were drawn from the 2020 wave of the China Health and Retirement Longitudinal Study, including 5,112 participants aged ≥60 years. Functional ability and depressive symptoms were assessed using the ADL scale and CES-D-10, respectively. Cognitive function was assessed using CHARLS cognitive measures, including the Telephone Interview of Cognitive Status-10 and other cognition-related items. Spearman correlation and path analyses were performed using AMOS and Stata. ADL limitations were associated with poorer global and domain-specific cognitive function, and depressive symptoms accounted for part of these associations in the path models. The proportion accounted for by the indirect effect ranged from 17.39% for visuospatial ability to 60.27% for delayed recall. These findings suggest that functional status, depressive symptoms, and cognition are closely interrelated in this population.

Source: American Journal of Alzheimer s Disease & Other Dementias®

DOI: 10.1177/15333175261451924

Authors: Cui Luo, Xiannan Xian, Jing Yin, Yu Shi

Institution: Sichuan University

Language: English

Topic: Dementia and Cognitive Impairment Research

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,650