Evidence map›Paper›PMID 40595871›Full record

ArticleScientific reports2025

Association between community-based services, psychological resilience, and cognitive impairment among older adults in China.

Suyan Wang, Xiyu Chen, Haoyu Wang, Qiwei Tang, Cheng Cheng, Yao Wu, Jinrui Hu, Yishan Duan, Xiaobing Xian, Bojiang Chen

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Suyan Wang *Frontiers Science Center for Disease-related Molecular Network, West China Hospital, and Key Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Chengdu, 610041, Sichuan, China.
Xiyu Chen *The First Clinical College, Chongqing Medical University, Chongqing, 400016, China.
Haoyu Wang *Precision Medicine Center, Precision Medicine Key Laboratory of Sichuan Province, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Qiwei TangThe First Clinical College, Chongqing Medical University, Chongqing, 400016, China.
Cheng ChengFrontiers Science Center for Disease-related Molecular Network, West China Hospital, and Key Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Chengdu, 610041, Sichuan, China.
Yao WuInternational Medical College, Chongqing Medical University, Chongqing, 400016, China.
Jinrui HuFrontiers Science Center for Disease-related Molecular Network, West China Hospital, and Key Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Chengdu, 610041, Sichuan, China.
Yishan DuanFrontiers Science Center for Disease-related Molecular Network, West China Hospital, and Key Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Chengdu, 610041, Sichuan, China.
Xiaobing XianThe Thirteenth People's Hospital of Chongqing, Chongqing, 400053, China.
Bojiang ChenFrontiers Science Center for Disease-related Molecular Network, West China Hospital, and Key Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Chengdu, 610041, Sichuan, China. chenbojiang001@163.com.

Funding

Science and Technology Department of Sichuan Province 2021YFS0072West China Hospital, Sichuan University 2017-046, ZYJC21028
6 · The paper itself

Abstract

Cognitive impairment (CI) has emerged as a critical global public health concern, particularly among older adults. Community-based services (CBSs) and psychological resilience (PR) are potential protective factors, yet their interrelationships remain underexplored. This study examines how CBSs influence CI among older adults and whether PR mediates this association. Based on data from 7,565 individuals aged ≥ 65 in the China Longitudinal Health Longevity Survey (CLHLS), the structural equation modeling was used to test direct and indirect pathways between CBSs, PR, and CI, adjusting for eighteen basic demographic covariates. Mediation effects were validated via the Bootstrap 2000 method. The findings highlight that CBSs are positively associated with both lower CI (β = 0.049, P < 0.001) and higher PR (β = 0.071, P < 0.001), while PR associates with CI risk positively (β = 0.260, P < 0.001). PR mediated 26.87% of the total CBSs-CI association (indirect effect = 0.018, 95%CI: 0.012-0.026). Specific CBSs, including doctors or sending medicine to home (χ

Indexed as

Cognitive DysfunctionCommunity Health ServicesResilience, PsychologicalAgedAged, 80 and overChinaFemaleHumansLongitudinal StudiesMaleCognitive impairmentCommunity-based servicesOlder adultsPsychological resilienceStructural equation model

Identifiers

PMID40595871
PMCPMC12215793

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.