Yaru Jin’s research while affiliated with Peking University and other places

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Publications (38)


Effects of loneliness and social isolation on sarcopenia among community-dwelling older adults: The mediating role of depressive symptoms and cognitive function
  • Article

March 2025

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3 Reads

Journal of Affective Disorders

Qinqin Liu

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Yuli Huang

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Yaru Jin

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[...]

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Cuili Wang

Schematic model of intervention components as the mediators between intervention and subjective support
Participant flow chart (ITT: Intention-to-treat)
Effectiveness of SS-CBT on intervention components and subjective support. Notes: Model for rumination was adjusted for age, gender, years of schooling, and monthly income; Models for perceived support availability, perceived support adequacy, self-esteem, gratitude, cognitive distortions, and interpersonal competence were adjusted for age, gender, years of schooling, monthly income and baseline rumination; Group: SS-CBT group vs. wail-list control group; Time: post-intervention vs. pre-intervention; ITT: intention-to-treat (n = 50 for the intervention group, n = 50 for the wail-list control group); PP: per-protocol (n = 37 for the intervention group, n = 50 for the wail-list control group); CI: confidence interval
Uncovering mechanisms of subjective support focused cognitive behavioral therapy in improving subjective support among (pre)frail community-dwelling older adults: a randomized controlled trial
  • Article
  • Publisher preview available

January 2025

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23 Reads

Current Psychology

Subjective support-focused cognitive behavioral therapy (SS-CBT) could increase subjective support among (pre)frail community-dwelling older adults, however, the underlying mechanisms remain unclear. We conducted a randomized controlled trial, in which the SS-CBT group (n = 50) received SS-CBT once a week for eight weeks and the wait-list control group (n = 50) received no intervention. The dependent variable was subjective support, and potential mediators included self-esteem, gratitude, cognitive distortions, interpersonal competence and rumination. Measurements took place before and after the intervention. We found that interpersonal competence mediated the effectiveness of SS-CBT on both perceived support availability (β = 2.030, 95%CI = 1.164, 3.081) and perceived support adequacy (β = 6.37, 95%CI = 3.52, 9.74), while self-esteem only mediated the effectiveness of SS-CBT on perceived support availability (β = 1.621, 95%CI = 0.502, 2.843). Gratitude, cognitive distortions, and rumination neither mediated the effectiveness of SS-CBT on perceived support availability nor on perceived support adequacy. These findings highlight self-esteem and interpersonal competence as the mechanisms through which SS-CBT increases subjective support, especially perceived support availability. This implicates that the SS-CBT should exclusively emphasize the apparent active ingredients (self-esteem and interpersonal competence) to promote its efficiency.

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Impacts of Depressive Symptoms on the Effectiveness of a Theory-Driven Exercise Intervention Among Community-Dwelling (Pre)frail Older Adults

December 2024

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6 Reads

Clinical Gerontologist

Objectives: To investigate whether baseline depressive symptoms impacted the effectiveness of an exercise intervention among (pre)frail older adults. Methods: This is a subanalysis of a stepped-wedge cluster randomized trial implementing an exercise intervention, with an application of the integration of the Health Belief Model, Theory of Planned Behavior, and Health Action Process Approach, among 149 community-dwelling (pre)frail older adults. The intervention effectiveness was examined by baseline depressive symptoms (depressive symptoms (n = 40) and non-depressive symptoms (n = 109). Results: Intervention effects were observed among (pre)frail older adults regardless of baseline depressive symptoms on frailty, social function, as well as physical and mental quality of life (QoL). (Pre)frail people with depressive symptoms, compared to those without depressive symptoms, were likely to benefit more in muscle mass, muscle strength, lower extremity function, activities of daily living (ADLs), cognitive function, depressive symptoms, and physical QoL, but less in dynamic balance, instrumental ADLs (IADLs), and mental QoL. Conclusions: These findings implicate that cognitive and psychological strategies should be integrated into exercise interventions among (pre)frail people with depressive symptoms to improve their functional independence and well-being. Clinical implications: Interventions that accommodate depressive symptoms may result in improved outcomes for (pre)frail people with depressive symptoms.







The conditional effects of IC on PCS and MCS across the range of social support. Note IC = intrinsic capacity; PCS = physical component summary; MCS = mental component summary; CI = confidence interval
The conditional effects of IC on domains of health-related quality of life across the range of social support. Note IC = intrinsic capacity; PF = physical functioning; BP = bodily pain; RP = role physical; RE = role emotional; MH = mental health; VT = vitality; SF = social functioning; CI = confidence interval
Relationship between intrinsic capacity and health-related quality of life among community-dwelling older adults: the moderating role of social support

October 2023

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75 Reads

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6 Citations

Quality of Life Research

To examine how social support might moderate the relationship between intrinsic capacity and health-related quality of life (HRQoL) based on the buffering model of social support. This was a cross-sectional study with a sample of 1181 Chinese community-dwelling older adults aged ≥ 60 years in 2016. Social support was assessed using the Social Support Rating Scale. Intrinsic capacity was assessed using the revised integrated care for older people screening tool. HRQoL was measured by the 12-item Short Form Health Survey. Hierarchical linear regression analysis was implemented to test the moderating effect of social support. Support utilization attenuated the relationship between lower intrinsic capacity and poor physical HRQoL while subjective support attenuated the relationship between lower intrinsic capacity and poor mental HRQoL. However, objective support had no significant moderating effect on the relationship between intrinsic capacity and specific domains of HRQoL. The moderating effects of social support on the association between intrinsic capacity and HRQoL vary by support types. Effective interventions should target the perception and utilization of available support among older adults with lower intrinsic capacity to maintain their physical and mental HRQoL.


Citations (27)


... Correlation and path analyses consistently revealed that IHMT was associated with lower levels of loneliness among older adults with disabilities. IHMT may be associated with enhanced functional and intrinsic capacities among older adults with disabilities, which, in turn is associated with lower levels of loneliness (Stara et al., 2023;Yu et al., 2024). This study builds on earlier work by examining how improvements in functional ability may be linked to loneliness among older adults with disabilities in the digital age. ...

Reference:

Intelligent health management technology use and loneliness among older adults with disabilities: the mediating role of social networks
Relationship between intrinsic capacity and health-related quality of life among community-dwelling older adults: the moderating role of social support

Quality of Life Research

... US and European HIV care guidelines suggest assessment for frailty using a validated metric among PWH starting at age 50 years, although differing assessments are often used. 52 Despite increased characterization of frailty in PWH, knowledge gaps persist. While geriatric-HIV programs have begun to emerge to meet the unique clinical needs of older PWH, including frailty assessments, such clinics are limited, and many HIV clinicians do not assess frailty in routine care. ...

Clinical practice guidelines for frailty vary in quality but guide primary health care: a systematic review
  • Citing Article
  • July 2023

Journal of Clinical Epidemiology

... Five machine learning methods, namely Logistic Regression, ExtraTrees classifier, Bagging classifier, XGBoost, and RF, were applied to develop the risk models based on the training set. Further, a Grid Search with 5-fold cross validation was employed to find all possible combinations of hyperparameters for each ML model [24]. Then, each model's performance was conducted by confusion matrix, AUC, accuracy, precision, specificity, Recall and F1 scores. ...

Development and validation of a preliminary clinical support system for measuring the probability of incident 2-year (pre)frailty among community-dwelling older adults: A prospective cohort study
  • Citing Article
  • June 2023

International Journal of Medical Informatics

... environmental factors influencing IC of reasonably robust individuals prior to significant losses may facilitate the identification of interventions early in the life course. Instead of exploring a comparatively single source of socioenvironmental support like earlier research (most support was from family and friends, or society) 20,21 , chronic disease resource utilization is based on a social-ecological model of resources, viewing the environment as a multi-level overall structure. This concept seems to fit in better with the way that the environment is interpreted in the WHO's framework for healthy ageing. ...

How does social support interact with intrinsic capacity to affect the trajectory of functional ability among older adults? Findings of a population-based longitudinal study
  • Citing Article
  • March 2023

Maturitas

... Loneliness was evaluated based on individuals' subjective perception of feeling alone in the past 3 months. Depression was assessed using the Geriatric Depression Scales-5, with a score of 2 or less indicating a normal range [31]. Cognitive function was assessed using the Chinese version of the Mini-Mental State Examination (MMSE) [32], which provides insights into cognitive abilities and impairments. ...

Validation and Comparison of Three Short Depression Screening Tools Among Chinese Community-Dwelling Older Adults
  • Citing Article
  • October 2022

Research in Gerontological Nursing

... However, there's been a lack of attention to intervention effects on senior fitness, sleep quality, and mental health (Yoon et al., 2018;Kwan et al., 2020). Researchers are encouraged to explore the effectiveness of exercise interventions from a broad perspective for comprehensive effectiveness evaluation, considering exercise interventions have been proven to offer a wide range of health benefits (Qiao et al., 2022). ...

A theory‐driven exercise intervention among community‐dwelling (pre)frail older adults: Protocol for a stepped‐wedge cluster‐randomized trial

Journal of Advanced Nursing

... Their results identified four classes sharing similar longitudinal IC trajectories: "high-stable" (20.13%), "normal-stable" (40.58%), "sensory dysfunction" (29.53%), and "all dysfunction" (9.76%). However, three IC patterns ("sharp declines in sensory domain", "sharp declines in locomotion, psychological, cognition, and vitality domains", and "relatively healthy") were identified in Yu et al.'s study [31]. Regarding the size of the trajectory groups in our study, the stable high IC group was the largest (71.8%), which was followed by the mediumlevel increasing IC, medium-level decreasing IC, and low-level IC. ...

Patterns of intrinsic capacity among community-dwelling older adults: Identification by latent class analysis and association with one-year adverse outcomes
  • Citing Article
  • May 2022

Geriatric Nursing

... Study populations were drawn from a wide range of clinical environments. Eight studies assessed the prevalence of frailty across all inpatient wards [31,37,38,41,43,45,54,55]. The remaining studies focussed on one or more specific environments, with internal medical wards being the most commonly surveyed (n = 13) [28,30,32,33,36,39,42,44,47,48,50,51,53], followed by geriatrics (n = 8) Systematic review and meta-analysis of the prevalence of frailty and pre-frailty [29,30,34,35,46,49,52,56], cardiology (n = 2) [30,42], general surgery (n = 4) [33,42,44,50] and intensive care (n = 1) [40]. ...

Executive function and attentional bias as serial mediators in the relationship between frailty and depressive symptoms among older inpatients: A cross‐sectional study
  • Citing Article
  • April 2022

Journal of Clinical Nursing

... The psychological burden of frailty, combined with reduced social interactions and support, exacerbates the challenges faced by these patients. Psychological support can alleviate the symptoms of FS and should therefore be strongly recommended in this group of patients [42]. It is worth emphasizing here that good control of blood pressure and lipid profile can reduce the risk of dementia, which can significantly worsen social aspects of QoL [43]. ...

Effects of social support on frailty trajectory classes among community-dwelling older adults: The mediating role of depressive symptoms and physical activity
  • Citing Article
  • May 2022

Geriatric Nursing

... Our study indicated that self-efficacy can positively affect self-management among elderly stroke survivors. This result is consistent with previous research results [12,38,39]. The reasons for this may be that elderly stroke survivors with higher self-efficacy have intrinsic motivation, thus having more confidence to engage in self-management behaviors [12]. ...

Association between self‐efficacy and self‐management behaviours among individuals at high risk for stroke: Social support acting as a mediator

Journal of Clinical Nursing