Effects of social support on cognitive frailty among the older adults in China: mediation of psychological resilience and moderated mediation of education
Previous research has revealed a relationship between social support and cognitive frailty. However, the underlying mechanisms of this connection have still not been well explored. The study aimed to investigate the effect of social support on cognitive frailty, mediated by psychological resilience...
Saved in:
| Published in | Frontiers in aging neuroscience Vol. 17; p. 1579485 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Switzerland
Frontiers Media S.A
2025
|
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Abstract | Previous research has revealed a relationship between social support and cognitive frailty. However, the underlying mechanisms of this connection have still not been well explored. The study aimed to investigate the effect of social support on cognitive frailty, mediated by psychological resilience and to examine the moderated mediation effect of education.
A total of 1,758 older adults aged 60 years and above were included in the analysis. A descriptive analysis was conducted to describe the sample characteristics. The moderated mediation models were examined using Mplus 8.3, in which the mediation variables was psychological resilience, and the moderation variable was education.
The prevalence of cognitive frailty among the older adults was 4.3%. Social support had a significant negative predictive effect on the cognitive frailty (
= -0.066,
< 0.01), the psychological resilience partially mediated the relationship between social support and cognitive frailty (
= -0.103,
< 0.001). Compared to illiterate, primary school (
= -0.184,
< 0.05), middle school (
= -0.244,
< 0.01) and high school or above (
= -0.315,
< 0.01) could regulate the relationship between social support and psychological resilience in older adults.
We present a conceptual model containing the mediated effects of psychological resilience and the moderated effect of education on the relationship between social support and cognitive frailty. We believe this model enhances understanding of these associations and could be instrumental in formulating intervention strategies to mitigate the incidence of cognitive frailty in older adults. |
|---|---|
| AbstractList | Previous research has revealed a relationship between social support and cognitive frailty. However, the underlying mechanisms of this connection have still not been well explored. The study aimed to investigate the effect of social support on cognitive frailty, mediated by psychological resilience and to examine the moderated mediation effect of education.ObjectivesPrevious research has revealed a relationship between social support and cognitive frailty. However, the underlying mechanisms of this connection have still not been well explored. The study aimed to investigate the effect of social support on cognitive frailty, mediated by psychological resilience and to examine the moderated mediation effect of education.A total of 1,758 older adults aged 60 years and above were included in the analysis. A descriptive analysis was conducted to describe the sample characteristics. The moderated mediation models were examined using Mplus 8.3, in which the mediation variables was psychological resilience, and the moderation variable was education.MethodsA total of 1,758 older adults aged 60 years and above were included in the analysis. A descriptive analysis was conducted to describe the sample characteristics. The moderated mediation models were examined using Mplus 8.3, in which the mediation variables was psychological resilience, and the moderation variable was education.The prevalence of cognitive frailty among the older adults was 4.3%. Social support had a significant negative predictive effect on the cognitive frailty (B = -0.066, p < 0.01), the psychological resilience partially mediated the relationship between social support and cognitive frailty (B = -0.103, p < 0.001). Compared to illiterate, primary school (B = -0.184, p < 0.05), middle school (B = -0.244, p < 0.01) and high school or above (B = -0.315, p < 0.01) could regulate the relationship between social support and psychological resilience in older adults.ResultsThe prevalence of cognitive frailty among the older adults was 4.3%. Social support had a significant negative predictive effect on the cognitive frailty (B = -0.066, p < 0.01), the psychological resilience partially mediated the relationship between social support and cognitive frailty (B = -0.103, p < 0.001). Compared to illiterate, primary school (B = -0.184, p < 0.05), middle school (B = -0.244, p < 0.01) and high school or above (B = -0.315, p < 0.01) could regulate the relationship between social support and psychological resilience in older adults.We present a conceptual model containing the mediated effects of psychological resilience and the moderated effect of education on the relationship between social support and cognitive frailty. We believe this model enhances understanding of these associations and could be instrumental in formulating intervention strategies to mitigate the incidence of cognitive frailty in older adults.DiscussionWe present a conceptual model containing the mediated effects of psychological resilience and the moderated effect of education on the relationship between social support and cognitive frailty. We believe this model enhances understanding of these associations and could be instrumental in formulating intervention strategies to mitigate the incidence of cognitive frailty in older adults. Previous research has revealed a relationship between social support and cognitive frailty. However, the underlying mechanisms of this connection have still not been well explored. The study aimed to investigate the effect of social support on cognitive frailty, mediated by psychological resilience and to examine the moderated mediation effect of education. A total of 1,758 older adults aged 60 years and above were included in the analysis. A descriptive analysis was conducted to describe the sample characteristics. The moderated mediation models were examined using Mplus 8.3, in which the mediation variables was psychological resilience, and the moderation variable was education. The prevalence of cognitive frailty among the older adults was 4.3%. Social support had a significant negative predictive effect on the cognitive frailty ( = -0.066, < 0.01), the psychological resilience partially mediated the relationship between social support and cognitive frailty ( = -0.103, < 0.001). Compared to illiterate, primary school ( = -0.184, < 0.05), middle school ( = -0.244, < 0.01) and high school or above ( = -0.315, < 0.01) could regulate the relationship between social support and psychological resilience in older adults. We present a conceptual model containing the mediated effects of psychological resilience and the moderated effect of education on the relationship between social support and cognitive frailty. We believe this model enhances understanding of these associations and could be instrumental in formulating intervention strategies to mitigate the incidence of cognitive frailty in older adults. ObjectivesPrevious research has revealed a relationship between social support and cognitive frailty. However, the underlying mechanisms of this connection have still not been well explored. The study aimed to investigate the effect of social support on cognitive frailty, mediated by psychological resilience and to examine the moderated mediation effect of education.MethodsA total of 1,758 older adults aged 60 years and above were included in the analysis. A descriptive analysis was conducted to describe the sample characteristics. The moderated mediation models were examined using Mplus 8.3, in which the mediation variables was psychological resilience, and the moderation variable was education.ResultsThe prevalence of cognitive frailty among the older adults was 4.3%. Social support had a significant negative predictive effect on the cognitive frailty (B = −0.066, p < 0.01), the psychological resilience partially mediated the relationship between social support and cognitive frailty (B = −0.103, p < 0.001). Compared to illiterate, primary school (B = −0.184, p < 0.05), middle school (B = −0.244, p < 0.01) and high school or above (B = −0.315, p < 0.01) could regulate the relationship between social support and psychological resilience in older adults.DiscussionWe present a conceptual model containing the mediated effects of psychological resilience and the moderated effect of education on the relationship between social support and cognitive frailty. We believe this model enhances understanding of these associations and could be instrumental in formulating intervention strategies to mitigate the incidence of cognitive frailty in older adults. |
| Author | Cui, Liangliang Li, Wenjuan Ma, Yiwen Wu, Shanzheng Zhou, Chengchao Wei, Jinli |
| Author_xml | – sequence: 1 givenname: Wenjuan surname: Li fullname: Li, Wenjuan – sequence: 2 givenname: Yiwen surname: Ma fullname: Ma, Yiwen – sequence: 3 givenname: Jinli surname: Wei fullname: Wei, Jinli – sequence: 4 givenname: Shanzheng surname: Wu fullname: Wu, Shanzheng – sequence: 5 givenname: Liangliang surname: Cui fullname: Cui, Liangliang – sequence: 6 givenname: Chengchao surname: Zhou fullname: Zhou, Chengchao |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40454206$$D View this record in MEDLINE/PubMed |
| BookMark | eNpVks2OFCEURokZ44zjvIALw9JNt1AUVJU70xl1kknc6JpQcKlmQkEJlEm_ik8r_eNE2QA35x6Sy_caXYUYAKG3lGwZ64cPNqjJbRvS8C3l3dD2_AW6oUKwTcsEv_rnfI3ucn4idTFGCO9foeuWtLxtiLhBv--tBV0yjhbnqJ3yOK_LElPBMWAdp-CK-wXYJuV8OWA1xzDhsgccvYGElVl97XYB7_YuqI94BuNUcbW5Gpd80Pvo4-R0FSfIzjsIGrAKBs-xClQB838PmFWfLm_QS6t8hrvLfot-fL7_vvu6efz25WH36XGjmRBlo5uejJ3i3FLbCM5VT0XbDaLhtAfBqWVca06OFdOxSnajqWNrCdcWWsHZLXo4e01UT3JJblbpIKNy8lSIaZIqFac9SOCcqIGMHKBpB6rHwWitgAhGBHS9qq73Z9eS4s8VcpGzyxq8VwHimiVraNsxSoehou8u6DrWATw__PdvKtCcAZ1izgnsM0KJPGZAnjIgjxmQlwywPzWUpnU |
| Cites_doi | 10.1590/1980-57642015DN92000005 10.1111/j.1467-9566.2008.01087.x 10.1093/geront/gnaa072 10.1002/jts.20271 10.1186/s12877-022-03635-x 10.1186/s12888-020-03012-1 10.1177/0022146510395592 10.1111/hsc.13092 10.1186/s12889-022-13062-7 10.1002/brb3.1926 10.18632/aging.104078 10.1017/S1355617702813248 10.1037/neu0000141 10.1111/jsr.12724 10.1186/s12877-022-03251-9 10.1371/journal.pone.0201008 10.1016/j.jamda.2020.05.031 10.1186/s12889-022-12567-5 10.1159/000510639 10.1017/S1041610217002198 10.1002/gps.4241 10.1177/0193841x9301700202 10.1093/gerona/56.3.m146 10.1016/S0140-6736(20)30367-6 10.1016/j.jad.2023.01.112 10.3724/SP.J.1041.2013.01050 10.1016/0022-3956(75)90026-6 10.1590/1980-57642018dn13-020011 10.1177/0265407513488728 10.1016/j.ssmph.2019.100392 10.1007/s12603-016-0685-2 10.1007/s10548-011-0195-9 10.2147/CIA.S211027 10.1037/0021-9010.88.5.879 10.1016/j.jamda.2013.03.010 10.1038/s41598-023-31863-7 10.1093/geronb/55.6.s323 10.1136/bmjopen-2015-008462 10.1016/j.jamda.2016.09.015 10.3389/fmed.2017.00174 10.1186/s12877-021-02525-y 10.3724/SP.J.1041.2014.00714 10.1016/j.archger.2019.104005 10.1037/0033-2909.98.2.310 10.1212/WNL.0000000000005303 10.3724/SP.J.1042.2014.00731 10.1186/1472-6963-3-9 10.1016/j.archger.2019.103997 10.1007/s12603-013-0367-2 10.1016/j.arr.2019.03.002 10.1186/s13643-017-0632-2 |
| ContentType | Journal Article |
| Copyright | Copyright © 2025 Li, Ma, Wei, Wu, Cui and Zhou. |
| Copyright_xml | – notice: Copyright © 2025 Li, Ma, Wei, Wu, Cui and Zhou. |
| DBID | AAYXX CITATION NPM 7X8 DOA |
| DOI | 10.3389/fnagi.2025.1579485 |
| DatabaseName | CrossRef PubMed MEDLINE - Academic DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef PubMed MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic PubMed |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine Education |
| EISSN | 1663-4365 |
| ExternalDocumentID | oai_doaj_org_article_e550a90b5ee2491cb9dccae06306e78a 40454206 10_3389_fnagi_2025_1579485 |
| Genre | Journal Article |
| GroupedDBID | --- 53G 5VS 7X7 88I 8FE 8FH 8FI 8FJ 9T4 AAFWJ AAYXX ABIVO ABUWG ACGFO ACGFS ACXDI ADBBV ADRAZ AEGXH AENEX AFKRA AFPKN AIAGR ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS AZQEC BAWUL BBNVY BCNDV BENPR BHPHI BPHCQ BVXVI CCPQU CITATION DIK DWQXO E3Z EIHBH F5P FYUFA GNUQQ GROUPED_DOAJ GX1 HCIFZ HMCUK HYE KQ8 LK8 M2P M7P M~E O5R O5S OK1 PGMZT PHGZM PHGZT PIMPY PQQKQ PROAC RNS RPM TR2 UKHRP IPNFZ M48 NPM PQGLB RIG 7X8 PUEGO |
| ID | FETCH-LOGICAL-c366t-c280b7a55f1f2655a81647962518e651f35cc507962d73b7a7bd202405cfe4653 |
| IEDL.DBID | M48 |
| ISSN | 1663-4365 |
| IngestDate | Wed Aug 27 01:28:13 EDT 2025 Fri Jul 11 17:11:32 EDT 2025 Mon Jul 21 06:01:32 EDT 2025 Tue Jul 01 04:57:10 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Keywords | social support education cognitive frailty psychological resilience moderated mediation |
| Language | English |
| License | Copyright © 2025 Li, Ma, Wei, Wu, Cui and Zhou. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c366t-c280b7a55f1f2655a81647962518e651f35cc507962d73b7a7bd202405cfe4653 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| OpenAccessLink | http://journals.scholarsportal.info/openUrl.xqy?doi=10.3389/fnagi.2025.1579485 |
| PMID | 40454206 |
| PQID | 3214731199 |
| PQPubID | 23479 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_e550a90b5ee2491cb9dccae06306e78a proquest_miscellaneous_3214731199 pubmed_primary_40454206 crossref_primary_10_3389_fnagi_2025_1579485 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2025-00-00 |
| PublicationDateYYYYMMDD | 2025-01-01 |
| PublicationDate_xml | – year: 2025 text: 2025-00-00 |
| PublicationDecade | 2020 |
| PublicationPlace | Switzerland |
| PublicationPlace_xml | – name: Switzerland |
| PublicationTitle | Frontiers in aging neuroscience |
| PublicationTitleAlternate | Front Aging Neurosci |
| PublicationYear | 2025 |
| Publisher | Frontiers Media S.A |
| Publisher_xml | – name: Frontiers Media S.A |
| References | Du (B14) 2021 Evans (B15) 2018; 13 Zheng (B61) 2020; 87 Yeh (B57) 2003; 3 Kelly (B24) 2017; 6 Liao (B30) 2022; 22 Xie (B54) 2021; 29 Lenti (B28) 2022; 22 Arenaza-Urquijo (B2) 2018; 90 Li (B29) 2021; 21 Lara (B27) 2019; 52 Ye (B56) 2013; 45 Zahodne (B58) 2015; 29 Brigola (B4) 2019; 13 Piolatto (B41) 2022; 22 Brigola (B5) 2020; 87 Stern (B46) 2002; 8 Cosco (B13) 2018; 30 Shimada (B44) 2013; 14 Wang (B49) 2022; 39 Xi (B52) 2013; 27 Malek Rivan (B36) 2019; 14 Feng (B17) 2017; 18 Hildon (B20) 2008; 30 Zhang (B59) 2022; 22 Cohen (B12) 1985; 98 Wen (B51); 46 Xie (B55) 2023; 10 Podsakoff (B42) 2003; 88 Campbell-Sills (B8) 2007; 20 Shimada (B45) 2016; 20 Niemeyer (B38) 2019; 7 Chen (B11) 2014; 31 Pan (B40) 2019; 34 Xiao (B53) 1994; 4 Ozbay (B39) 2007; 4 Makizako (B35) 2015; 5 Livingston (B31) 2020; 396 Wen (B50); 22 Bartrés-Faz (B3) 2011; 24 Thoits (B48) 2011; 52 Folstein (B18) 1975; 12 Brigola (B6) 2015; 9 Zhao (B60) 2020; 66 Kelaiditi (B23) 2013; 17 Jin (B21) 2020; 60 Lou (B32) 2023; 327 Kumpfer (B26) 1999 Mackinnon (B34) 1993; 17 Fried (B19) 2001; 56 Fang (B16) 2019; 28 Chen (B10) 2020; 12 Sun (B47) 2002 Bu (B7) 2021; 11 Aarts (B1) 2015; 30 Ma (B33) 2017; 4 Krause (B25) 2000; 55 Katayama (B22) 2021; 22 Chang (B9) 2023; 13 Mirowsky (B37) 2003 Rivan (B43) 2021; 21 |
| References_xml | – volume: 9 start-page: 110 year: 2015 ident: B6 article-title: Relationship between cognition and frailty in elderly: A systematic review. publication-title: Dement Neuropsychol. doi: 10.1590/1980-57642015DN92000005 – volume: 30 start-page: 726 year: 2008 ident: B20 article-title: Understanding adversity and resilience at older ages. publication-title: Soc. Health Illn. doi: 10.1111/j.1467-9566.2008.01087.x – year: 1999 ident: B26 publication-title: Factors and processes contributing to resilience: The resilience framework. resilience and development: Positive life adaptations. – volume: 60 start-page: 1466 year: 2020 ident: B21 article-title: Relationship between frailty and depression among community-dwelling older adults: The mediating and moderating role of social support. publication-title: Gerontologist doi: 10.1093/geront/gnaa072 – volume: 20 start-page: 1019 year: 2007 ident: B8 article-title: Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. publication-title: J. Trauma Stress doi: 10.1002/jts.20271 – year: 2003 ident: B37 publication-title: Education, social status, and health. – volume: 22 start-page: 948 year: 2022 ident: B30 article-title: The mediating role of psychological resilience between social participation and life satisfaction among older adults in China. publication-title: BMC Geriatr. doi: 10.1186/s12877-022-03635-x – volume: 21 start-page: 16 year: 2021 ident: B29 article-title: Effects of sources of social support and resilience on the mental health of different age groups during the COVID-19 pandemic. publication-title: BMC Psychiatry doi: 10.1186/s12888-020-03012-1 – volume: 52 start-page: 145 year: 2011 ident: B48 article-title: Mechanisms linking social ties and support to physical and mental health. publication-title: J. Health Soc. Behav. doi: 10.1177/0022146510395592 – volume: 29 start-page: 294 year: 2021 ident: B54 article-title: Prevalence and risk factors of the co-occurrence of physical frailty and cognitive impairment in Chinese community-dwelling older adults. publication-title: Health Soc. Care Commun. doi: 10.1111/hsc.13092 – volume: 22 start-page: 605 year: 2022 ident: B59 article-title: Effect of socioeconomic status on the physical and mental health of the elderly: The mediating effect of social participation. publication-title: BMC Public Health doi: 10.1186/s12889-022-13062-7 – volume: 11 start-page: e01926 year: 2021 ident: B7 article-title: Cognitive frailty as a predictor of adverse outcomes among older adults: A systematic review and meta-analysis. publication-title: Brain Behav. doi: 10.1002/brb3.1926 – volume: 4 start-page: 35 year: 2007 ident: B39 article-title: Social support and resilience to stress: From neurobiology to clinical practice. publication-title: Psychiatry (Edgmont) – volume: 12 start-page: 23129 year: 2020 ident: B10 article-title: Cognitive frailty in relation to adverse health outcomes independent of multimorbidity: Results from the China health and retirement longitudinal study. publication-title: Aging doi: 10.18632/aging.104078 – volume: 8 start-page: 448 year: 2002 ident: B46 article-title: What is cognitive reserve? Theory and research application of the reserve concept. publication-title: J. Int. Neuropsychol. Soc. doi: 10.1017/S1355617702813248 – volume: 29 start-page: 649 year: 2015 ident: B58 article-title: Differing effects of education on cognitive decline in diverse elders with low versus high educational attainment. publication-title: Neuropsychology doi: 10.1037/neu0000141 – volume: 28 start-page: e12724 year: 2019 ident: B16 article-title: Effects of napping on cognitive function modulation in elderly adults with a morning chronotype: A nationwide survey. publication-title: J. Sleep Res. doi: 10.1111/jsr.12724 – volume: 22 start-page: 569 year: 2022 ident: B28 article-title: Resilience is associated with frailty and older age in hospitalised patients. publication-title: BMC Geriatr. doi: 10.1186/s12877-022-03251-9 – volume: 34 start-page: 79 year: 2019 ident: B40 article-title: The current status and influencing factors of cognitive frailty among elderly community residents in Zhengzhou city, China. publication-title: J. Nurs. Sci. – volume: 4 start-page: 98 year: 1994 ident: B53 article-title: Social supporting scale: The theoretical foundation and research applications (in Chinese). publication-title: J. Clin. Psychiatry – volume: 13 start-page: e0201008 year: 2018 ident: B15 article-title: Social isolation, cognitive reserve, and cognition in healthy older people. publication-title: PLoS One doi: 10.1371/journal.pone.0201008 – volume: 39 start-page: 68 year: 2022 ident: B49 article-title: Health status and health changes of older adults in china and the relevant socioeconomic impacts: An analysis based on the data of the seventh national census. publication-title: J. Yunnan Minzu Univ. – volume: 22 start-page: 583 year: 2021 ident: B22 article-title: Lifestyle activity patterns related to physical frailty and cognitive impairment in urban community-dwelling older adults in Japan. publication-title: J. Am. Med. Dir. Assoc. doi: 10.1016/j.jamda.2020.05.031 – volume: 22 start-page: 278 year: 2022 ident: B41 article-title: The effect of social relationships on cognitive decline in older adults: An updated systematic review and meta-analysis of longitudinal cohort studies. publication-title: BMC Public Health doi: 10.1186/s12889-022-12567-5 – volume: 66 start-page: 593 year: 2020 ident: B60 article-title: What role does activity engagement play in the association between cognitive frailty and falls among older adults? evidence from rural shandong, China. publication-title: Gerontology doi: 10.1159/000510639 – volume: 27 start-page: 687 year: 2013 ident: B52 article-title: The connotation of frailty and its conceptual framework. publication-title: Pract. Geriatr. – volume: 30 start-page: 695 year: 2018 ident: B13 article-title: Socioeconomic inequalities in resilience and vulnerability among older adults: A population-based birth cohort analysis. publication-title: Int. Psychogeriatr. doi: 10.1017/S1041610217002198 – volume: 30 start-page: 942 year: 2015 ident: B1 article-title: The relation between social network site usage and loneliness and mental health in community-dwelling older adults. publication-title: Int. J. Geriatr. Psychiatry doi: 10.1002/gps.4241 – volume: 17 start-page: 144 year: 1993 ident: B34 article-title: Estimating mediated effects in prevention studies. publication-title: Eval. Rev. doi: 10.1177/0193841x9301700202 – volume: 56 start-page: M146 year: 2001 ident: B19 article-title: Frailty in older adults: Evidence for a phenotype. publication-title: J. Gerontol. Biol. Sci. Med. Sci. doi: 10.1093/gerona/56.3.m146 – volume: 396 start-page: 413 year: 2020 ident: B31 article-title: Dementia prevention, intervention, and care: 2020 report of the lancet commission. publication-title: Lancet doi: 10.1016/S0140-6736(20)30367-6 – volume: 327 start-page: 54 year: 2023 ident: B32 article-title: Association of social participation and psychological resilience with adverse cognitive outcomes among older Chinese adults: A national longitudinal study. publication-title: J. Affect. Disord. doi: 10.1016/j.jad.2023.01.112 – volume: 45 start-page: 1050 year: 2013 ident: B56 article-title: Methods for testing mediated moderation models: Identification and integration. publication-title: Acta Psychol. Sin. doi: 10.3724/SP.J.1041.2013.01050 – volume: 12 start-page: 189 year: 1975 ident: B18 article-title: “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. publication-title: J. Psychiatr. Res. doi: 10.1016/0022-3956(75)90026-6 – volume: 13 start-page: 216 year: 2019 ident: B4 article-title: Limited formal education is strongly associated with lower cognitive status, functional disability and frailty status in older adults. publication-title: Dement Neuropsychol. doi: 10.1590/1980-57642018dn13-020011 – volume: 31 start-page: 141 year: 2014 ident: B11 article-title: Social support, social strain, loneliness, and well-being among older adults:An analysis of the Health and Retirement Study*. publication-title: J. Soc. Pers. Relationsh. doi: 10.1177/0265407513488728 – volume: 7 start-page: 100392 year: 2019 ident: B38 article-title: Education and mental health: Do psychosocial resources matter? publication-title: SSM Popul. Health doi: 10.1016/j.ssmph.2019.100392 – volume: 20 start-page: 729 year: 2016 ident: B45 article-title: Impact of cognitive frailty on daily activities in older persons. publication-title: J. Nutr. Health Aging doi: 10.1007/s12603-016-0685-2 – volume: 24 start-page: 340 year: 2011 ident: B3 article-title: Structural and functional imaging correlates of cognitive and brain reserve hypotheses in healthy and pathological aging. publication-title: Brain Topogr. doi: 10.1007/s10548-011-0195-9 – volume: 14 start-page: 1343 year: 2019 ident: B36 article-title: Cognitive frailty among Malaysian older adults: Baseline findings from the LRGS TUA cohort study. publication-title: Clin. Interv. Aging doi: 10.2147/CIA.S211027 – volume: 88 start-page: 879 year: 2003 ident: B42 article-title: Common method biases in behavioral research: A critical review of the literature and recommended remedies. publication-title: J. Appl. Psychol. doi: 10.1037/0021-9010.88.5.879 – volume: 14 start-page: 518 year: 2013 ident: B44 article-title: Combined prevalence of frailty and mild cognitive impairment in a population of elderly Japanese people. publication-title: J. Am. Med. Dir. Assoc. doi: 10.1016/j.jamda.2013.03.010 – volume: 13 start-page: 4818 year: 2023 ident: B9 article-title: Social support enhances the mediating effect of psychological resilience on the relationship between life satisfaction and depressive symptom severity. publication-title: Sci. Rep. doi: 10.1038/s41598-023-31863-7 – volume: 55 start-page: S323 year: 2000 ident: B25 article-title: Giving social support to others, socioeconomic status, and changes in self-esteem in late life. publication-title: J. Gerontol. Psychol. Sci. Soc. Sci. doi: 10.1093/geronb/55.6.s323 – volume: 5 start-page: e008462 year: 2015 ident: B35 article-title: Impact of physical frailty on disability in community-dwelling older adults: A prospective cohort study. publication-title: BMJ Open doi: 10.1136/bmjopen-2015-008462 – year: 2021 ident: B14 publication-title: Development report on actively responding to population aging in the new era – 20 years of China’s aging society: Achievements, challenges and prospects. – volume: 18 start-page: 252 year: 2017 ident: B17 article-title: Cognitive frailty and adverse health outcomes: Findings from the Singapore Longitudinal Ageing Studies (SLAS). publication-title: J. Am. Med. Dir. Assoc. doi: 10.1016/j.jamda.2016.09.015 – volume: 4 start-page: 174 year: 2017 ident: B33 article-title: Cognitive frailty in China: Results from china comprehensive geriatric assessment study. publication-title: Front. Med. (Lausanne) doi: 10.3389/fmed.2017.00174 – volume: 21 start-page: 593 year: 2021 ident: B43 article-title: Cognitive frailty is a robust predictor of falls, injuries, and disability among community-dwelling older adults. publication-title: BMC Geriatr. doi: 10.1186/s12877-021-02525-y – volume: 46 start-page: 714 ident: B51 article-title: Different methods for testing moderated mediation models: Competitors or backups? publication-title: Acta Psychol. Sin. doi: 10.3724/SP.J.1041.2014.00714 – volume: 87 start-page: 104005 year: 2020 ident: B5 article-title: Cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization: A four-year follow-up study with older adults. publication-title: Arch. Gerontol. Geriatr. doi: 10.1016/j.archger.2019.104005 – volume: 98 start-page: 310 year: 1985 ident: B12 article-title: Stress, social support, and the buffering hypothesis. publication-title: Psychol. Bull. doi: 10.1037/0033-2909.98.2.310 – volume: 90 start-page: 695 year: 2018 ident: B2 article-title: Resistance vs resilience to Alzheimer disease: Clarifying terminology for preclinical studies. publication-title: Neurology doi: 10.1212/WNL.0000000000005303 – volume: 22 start-page: 731 ident: B50 article-title: Analyses of mediating effects: The development of methods and models. publication-title: Adv. Psychol. Sci. doi: 10.3724/SP.J.1042.2014.00731 – year: 2002 ident: B47 publication-title: Medical statistics – volume: 3 start-page: 9 year: 2003 ident: B57 article-title: Influence of social support on cognitive function in the elderly. publication-title: BMC Health Serv. Res. doi: 10.1186/1472-6963-3-9 – volume: 87 start-page: 103997 year: 2020 ident: B61 article-title: Cognitive frailty as a predictor of dementia among older adults: A systematic review and meta-analysis. publication-title: Arch. Gerontol. Geriatr. doi: 10.1016/j.archger.2019.103997 – volume: 17 start-page: 726 year: 2013 ident: B23 article-title: Cognitive frailty: Rational and definition from an (I.A.N.A./I.A.G.G.) international consensus group. publication-title: J. Nutr. Health Aging doi: 10.1007/s12603-013-0367-2 – volume: 52 start-page: 7 year: 2019 ident: B27 article-title: Does loneliness contribute to mild cognitive impairment and dementia? A systematic review and meta-analysis of longitudinal studies. publication-title: Ageing Res. Rev. doi: 10.1016/j.arr.2019.03.002 – volume: 6 start-page: 259 year: 2017 ident: B24 article-title: The impact of social activities, social networks, social support and social relationships on the cognitive functioning of healthy older adults: A systematic review. publication-title: Syst. Rev. doi: 10.1186/s13643-017-0632-2 – volume: 10 start-page: 16 year: 2023 ident: B55 article-title: The development process and changing characteristics of china’s aging policy since the 18th national congress of the communist party of China: Based on the perspective of the overall layout of “The Five-Sphere Integrated Plan”. publication-title: Soc. Construct. |
| SSID | ssj0000330058 |
| Score | 2.3607802 |
| Snippet | Previous research has revealed a relationship between social support and cognitive frailty. However, the underlying mechanisms of this connection have still... ObjectivesPrevious research has revealed a relationship between social support and cognitive frailty. However, the underlying mechanisms of this connection... |
| SourceID | doaj proquest pubmed crossref |
| SourceType | Open Website Aggregation Database Index Database |
| StartPage | 1579485 |
| SubjectTerms | cognitive frailty education moderated mediation psychological resilience social support |
| SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3JTsMwELVQD4gLgrKVTYPEDYXGSZyFGyCqCqmcqMTNSrxIlaqk6nLgV_haZuy0KgfEhavlxE7exH4T2-8xdqswMGItLAZvpYPEcB2Q6lqgFVeWFOx0TAeFR2_pcJy8foiPLasv2hPm5YH9i-sbpNBlEVbCGMwUuKoKjY0akopKTZY7aoRz3lYy5cbgmGTYc39KBrOwom_J9QfzwUjcc5GRJsqPmcgJ9v_OMt1sMzhg-y1NhEffvUO2Y-ouOSy3uzG6bHfULoofsS-vQLyAxoL_BQ6L1Yx4NTQ1bPYHgZ2Xk-nyE5y_ECDxg4YsusFJcCxgUoMz034Ad5qEmqE7zrZHSMDkfDJ1owGUtQby0SGtCf3zGrPu5zEbD17en4dBa7kQqDhNl4GK8rDKSiEst1EqRJmT3liBSRLPTSq4jYVSSCGxRGcx1kSEI5JJE8oakmo7YZ26qc0Zg5KXoa60tVklaHk15yZLjMVI0EkShabH7tavX868sobEjITAkg4sSWDJFqweeyKENjVJFdsVYKzINlbkX7HSYzdrfCV-RbQ0UtamWS2ks2uKOS-KHjv1wG-aSkilMArT8__owgXbo8fyP3EuWWc5X5krpDXL6tpF8DdgI_dd priority: 102 providerName: Directory of Open Access Journals |
| Title | Effects of social support on cognitive frailty among the older adults in China: mediation of psychological resilience and moderated mediation of education |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/40454206 https://www.proquest.com/docview/3214731199 https://doaj.org/article/e550a90b5ee2491cb9dccae06306e78a |
| Volume | 17 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwdV3da9swED_6AaUvY99Lt4Ub7G24i2zLsgdjrKNdGaSMsUDejKyPEQh2FifQ_iv7a3cn26GD5cUPsizbupPuTtL9fgBvDSlGYqUn5a1slDphI0Zdi6wRxjOCnU04UXh6k13P0m9zOT-Age6o78D2v6Ed80nN1svz2993n2jAf-SIk-zte8-EPhTqxfJcSMVwJ4dwTJZJMaPBtHf3w8ycMDh7yI4jQxulSSa7PJo9zZzCScoQdTHzId0zWwHdf79LGkzT1UN40PuU-LlTgkdw4OrHcDLtd82fwJ8OorjFxmO3Ro7tdsX_jE2NuwNE6Nd6sdzcYSAgQvIMsWEObwwYHS0uagxs2x8wpJuwRLnF1f0pFCl6XyzDdIG6tshEOwxGYf99xg3HSp7C7Ory55frqOdkiEySZZvIxPmkUlpKL3ycSalzBiQrKIoSucuk8Ik0hnxMKrEqoZqkAjHjqEnjHWO5PYOjuqndC0At9MRW1ntVSd5_zYVTqfOkKjalLncjeDd0ebnqoDdKCllYVmWQVcmyKntZjeCCpbKrybDZoaBZ_yr7UVg6isd0MamkcxR2ClMVljTYMe5Y5lSuR_BmkGlJw4z3TnTtmm1bBj6nRIiiGMHzTti7Vw06crb3zks45W_tlm5ewdFmvXWvyZnZVGM4VHM1huOLy5vvP8ZhSYCuX-diHHT3L88l9G8 |
| linkProvider | Scholars Portal |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Effects+of+social+support+on+cognitive+frailty+among+the+older+adults+in+China%3A+mediation+of+psychological+resilience+and+moderated+mediation+of+education&rft.jtitle=Frontiers+in+aging+neuroscience&rft.au=Li%2C+Wenjuan&rft.au=Ma%2C+Yiwen&rft.au=Wei%2C+Jinli&rft.au=Wu%2C+Shanzheng&rft.date=2025&rft.issn=1663-4365&rft.eissn=1663-4365&rft.volume=17&rft.spage=1579485&rft_id=info:doi/10.3389%2Ffnagi.2025.1579485&rft_id=info%3Apmid%2F40454206&rft.externalDocID=40454206 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1663-4365&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1663-4365&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1663-4365&client=summon |