Mediating effect of life satisfaction and depression on the relationship between cognition and activities of daily living in Korean male older adults

Abstract

This study investigated the mediating effects of life satisfaction and depression on the relationship between cognition and activities of daily living (ADL) among male older adults. A secondary analysis was conducted utilizing data from the 2020 Elderly Survey. The participant pool consisted of 4035 Korean male older adults aged 65 years and above, selected from the total survey population of 10,097. The study focused on four variables: cognition, Korean Activities of Daily Living (K-ADL), life satisfaction and depression. The main analysis employed Hayes’s PROCESS Macro for SPSS v.4.0, and Model 6 was applied to determine the mediating effect of life satisfaction and depression on the relationship between cognition and ADL. The analysis revealed a negative correlation between ADL and cognition scores. ADL scores exhibited positive correlations with both life satisfaction and depression scores. A positive correlation emerged between life satisfaction and depression scores. The examination unveiled an indirect mediating effect between life satisfaction and depression scores. It is necessary to establish an intervention strategy that considers life satisfaction and the degree of depression when establishing a strategy to predict and prevent the decline in daily living ability in older adults with cognitive decline.