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The Effect of Social Isolation, Loneliness, and Physical Activity on Depressive Symptoms of Older Adults during COVID-19: A Moderated Mediation Analysis

Author

Listed:
  • Min Jin Jin

    (Division of Liberal Arts, Kongju National University, Gongju 32588, Republic of Korea)

  • Sung Man Bae

    (Department of Psychology and Psychotherapy, Dankook University, Cheonan 31116, Republic of Korea)

Abstract

Depressive symptoms have been commonly reported in older adults during the coronavirus disease (COVID-19) pandemic. Social isolation as a result of social distancing to prevent COVID-19 was reported to increase the level of depressive symptoms both directly and indirectly through the mediating effect of loneliness. Depressive symptoms in older adults can be regulated through health behaviors such as physical activity. Therefore, this study used a moderated mediation model to explain depressive symptoms. The English Longitudinal Study of Ageing COVID-19 wave 2 data were used. A total of 296 individuals were excluded due to missing values, leaving a final sample of 6499. Depressive symptoms, social isolation, loneliness, and physical activity were used in the moderated mediation analysis with various demographic and general health variables as covariates. Loneliness was found to significantly mediate the relationship between social isolation and depression. While moderate physical activity significantly moderated the effects of social isolation and loneliness on depressive symptoms, mild physical activity alone significantly moderated the effects of loneliness on depressive symptoms. This study revealed the impact of social isolation on depressive symptoms directly and indirectly mediated by loneliness, with a moderating effect of moderate and mild physical activity in the elderly during COVID-19 in a moderated mediation model.

Suggested Citation

  • Min Jin Jin & Sung Man Bae, 2023. "The Effect of Social Isolation, Loneliness, and Physical Activity on Depressive Symptoms of Older Adults during COVID-19: A Moderated Mediation Analysis," IJERPH, MDPI, vol. 21(1), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:21:y:2023:i:1:p:26-:d:1306476
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    References listed on IDEAS

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    1. Kunho Lee & Goo-Churl Jeong & JongEun Yim, 2020. "Consideration of the Psychological and Mental Health of the Elderly during COVID-19: A Theoretical Review," IJERPH, MDPI, vol. 17(21), pages 1-11, November.
    2. Sung Man Bae, 2023. "The Association between Adverse Childhood and Adulthood Experiences, Social Isolation, Loneliness, and Depression among Young Adults in South Korea," IJERPH, MDPI, vol. 20(19), pages 1-11, October.
    3. Gerst-Emerson, K. & Jayawardhana, J., 2015. "Loneliness as a public health issue: The impact of loneliness on health care utilization among older adults," American Journal of Public Health, American Public Health Association, vol. 105(5), pages 1013-1019.
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