120017
论文已发表
注册即可获取德孚的最新动态
IF 收录期刊
- 3.6 Breast Cancer (Dove Med Press)
- 4.3 Clin Epidemiol
- 2.6 Cancer Manag Res
- 3.2 Infect Drug Resist
- 4.1 Clin Interv Aging
- 6.1 Drug Des Dev Ther
- 4.1 Int J Chronic Obstr
- 8.7 Int J Nanomed
- 2.5 Int J Women's Health
- 3.2 Neuropsych Dis Treat
- 2.4 OncoTargets Ther
- 2.6 Patient Prefer Adher
- 2.6 Ther Clin Risk Manag
- 3.1 J Pain Res
- 3.5 Diabet Metab Synd Ob
- 4.5 Psychol Res Behav Ma
- 3.4 Nat Sci Sleep
- 2.4 Pharmgenomics Pers Med
- 2.6 Risk Manag Healthc Policy
- 4.6 J Inflamm Res
- 2.3 Int J Gen Med
- 3.9 J Hepatocell Carcinoma
- 3.3 J Asthma Allergy
- 2.5 Clin Cosmet Investig Dermatol
- 3.0 J Multidiscip Healthc
已发表论文
中国慢性病老年人互联网和智能设备使用与心理健康：社会孤立的中介作用
Received 12 September 2025
Accepted for publication 22 January 2026
Published 28 January 2026 Volume 2026:19 567161
DOI https://doi.org/10.2147/PRBM.S567161
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Gabriela Topa
Huijie Zhu,1,2 Guodong Zhou3
1College of Humanities and Social Development, Nanjing Agricultural University, Nanjing, Jiangsu, 210095, People’s Republic of China; 2Center for Social Research, Nanjing Agricultural University, Nanjing, Jiangsu, 210095, People’s Republic of China; 3The Academy of Science, Nanjing Agricultural University, Nanjing, Jiangsu, 210095, People’s Republic of China
Correspondence: Guodong Zhou, The Academy of Science, Nanjing Agricultural University, Nanjing, Jiangsu, 210095, People’s Republic of China, Email zgd@njau.edu.cn
Background: The internet and digital devices are becoming increasingly involved in the lives of older adults with chronic diseases in China. Our research aims to explore the association between the use of the Internet and smart devices and the mental health of older adults with chronic diseases, and to investigate possible mediating mechanisms.
Methods: Data were obtained from 7150 older adults with chronic diseases in mainland China. The obtained data were analyzed using path analysis, and structural equation models were adopted to explore the impact of the use of the Internet and smart devices on their mental health, and to examine whether social isolation plays a mediating role.
Results: There is an association between usage of internet and smart devices and mental health in older adults with chronic diseases. Internet access and healthcare are positively correlated with mental health, and are also associated with lower levels of social alienation and social exclusion. Social isolation plays an important mediating role in the use of the internet and smart devices as well as in mental health of older adults with chronic diseases.
Conclusion: The research on the relationship between the internet and digital devices and mental health, as well as the mediating effect of social isolation, expands the application of Disengagement Theory in the digital age. Although the use of the internet and digital devices can help reduce social isolation and improve mental health, not all smart devices contribute to reducing social isolation.The use of certain intelligent devices, such as sleep monitoring devices, may be associated with risk factors for social participation and mental health. It is important to distinguish the roles of the different types of functional devices. Therefore, more attention should be given to the positive role of digital technology in healthcare for older adults.
Keywords: internet use, smart devices, mental health, older adults with chronic diseases, social isolation
1College of Humanities and Social Development, Nanjing Agricultural University, Nanjing, Jiangsu, 210095, People’s Republic of China; 2Center for Social Research, Nanjing Agricultural University, Nanjing, Jiangsu, 210095, People’s Republic of China; 3The Academy of Science, Nanjing Agricultural University, Nanjing, Jiangsu, 210095, People’s Republic of China
Correspondence: Guodong Zhou, The Academy of Science, Nanjing Agricultural University, Nanjing, Jiangsu, 210095, People’s Republic of China, Email zgd@njau.edu.cn
Background: The internet and digital devices are becoming increasingly involved in the lives of older adults with chronic diseases in China. Our research aims to explore the association between the use of the Internet and smart devices and the mental health of older adults with chronic diseases, and to investigate possible mediating mechanisms.
Methods: Data were obtained from 7150 older adults with chronic diseases in mainland China. The obtained data were analyzed using path analysis, and structural equation models were adopted to explore the impact of the use of the Internet and smart devices on their mental health, and to examine whether social isolation plays a mediating role.
Results: There is an association between usage of internet and smart devices and mental health in older adults with chronic diseases. Internet access and healthcare are positively correlated with mental health, and are also associated with lower levels of social alienation and social exclusion. Social isolation plays an important mediating role in the use of the internet and smart devices as well as in mental health of older adults with chronic diseases.
Conclusion: The research on the relationship between the internet and digital devices and mental health, as well as the mediating effect of social isolation, expands the application of Disengagement Theory in the digital age. Although the use of the internet and digital devices can help reduce social isolation and improve mental health, not all smart devices contribute to reducing social isolation.The use of certain intelligent devices, such as sleep monitoring devices, may be associated with risk factors for social participation and mental health. It is important to distinguish the roles of the different types of functional devices. Therefore, more attention should be given to the positive role of digital technology in healthcare for older adults.
Keywords: internet use, smart devices, mental health, older adults with chronic diseases, social isolation