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Peer-reviewedCC BY 4.0Frontiers in Psychiatry

Elderly abuse and anxiety symptoms among older adults in China: the mechanism of physical frailty and social frailty

5 affiliations
  1. 1Xiamen Xian-yue Hospital, Xian-yue Hospital Affiliated with Xiamen Medical College, Fujian Psychiatric Center, Fujian Clinical Research Center for Mental Disorders, Xiamen, China.
  2. 2Department of Sports and Health Sciences, Faculty of Arts and Social Sciences, Hong Kong Baptist University, Hong Kong, Hong Kong SAR, China.
  3. 3School of Nursing, Suzhou Medical College of Soochow University, Suzhou, China.
  4. 4Key Laboratory of Digital-Intelligent Disease Surveillance and Health Governance, North Sichuan Medical College, Nanchong, China.
  5. 5The Primary Health Development Research Center of Sichuan Province, Nanchong, China.

Abstract

Purpose: This study aims to examine the association between elderly abuse and anxiety symptoms among older adults and explore the mechanisms of physical frailty and social frailty between them.

Methods: A total of 1361 older adults were included in this study. Multiple linear regression and propensity score matching was conducted to confirm the association between elderly abuse and anxiety symptoms. Mediation and moderation analyses were performed to explore the mechanisms of physical frailty and social frailty between elderly abuse and anxiety symptoms.

Results: Elderly abuse was significantly associated with higher levels of anxiety symptoms. Psychological abuse and neglect showed the strongest associations with anxiety symptoms. Social frailty played moderating roles between both psychological abuse, neglect and anxiety symptoms, while physical frailty played moderating roles between only psychological abuse and anxiety symptoms. Physical frailty and social frailty both partly mediated the relationship between psychological abuse, neglect and anxiety symptoms.

Conclusions: This study provides insight into the systematic relationship between elderly abuse and anxiety symptoms among older adults in Sichuan province. Preventive strategies should address abuse, physical health, and social support simultaneously of older adults.

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BibTeX
@article{zhang2026elderly,
  title = {{Elderly abuse and anxiety symptoms among older adults in China: the mechanism of physical frailty and social frailty}},
  author = {Wenle Zhang and Wen Hou and Zhu Guo and Jiaxin Feng and Baoyi Liao and Jiahong Xie and Dongli Wang and Rui Gao and Maomin Jiang and Yisong Yao},
  journal = {Frontiers in Psychiatry},
  year = {2026},
  month = oct,
  doi = {10.3389/fpsyt.2026.1813570},
  url = {https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1813570/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Elderly abuse and anxiety symptoms among older adults in China: the mechanism of physical frailty and social frailty
AU  - Wenle Zhang
AU  - Wen Hou
AU  - Zhu Guo
AU  - Jiaxin Feng
AU  - Baoyi Liao
AU  - Jiahong Xie
AU  - Dongli Wang
AU  - Rui Gao
AU  - Maomin Jiang
AU  - Yisong Yao
PY  - 2026
DA  - 2026/10/08
JO  - Frontiers in Psychiatry
DO  - 10.3389/fpsyt.2026.1813570
UR  - https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1813570/full
AB  - Purpose: This study aims to examine the association between elderly abuse and anxiety symptoms among older adults and explore the mechanisms of physical frailty and social frailty between them.  Methods: A total of 1361 older adults were included in this study. Multiple linear regression and propensity score matching was conducted to confirm the association between elderly abuse and anxiety symptoms. Mediation and moderation analyses were performed to explore the mechanisms of physical frailty and social frailty between elderly abuse and anxiety symptoms.  Results: Elderly abuse was significantly associated with higher levels of anxiety symptoms. Psychological abuse and neglect showed the strongest associations with anxiety symptoms. Social frailty played moderating roles between both psychological abuse, neglect and anxiety symptoms, while physical frailty played moderating roles between only psychological abuse and anxiety symptoms. Physical frailty and social frailty both partly mediated the relationship between psychological abuse, neglect and anxiety symptoms.  Conclusions: This study provides insight into the systematic relationship between elderly abuse and anxiety symptoms among older adults in Sichuan province. Preventive strategies should address abuse, physical health, and social support simultaneously of older adults.
SN  - 1664-0640
ER  -