{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T05:46:36Z","timestamp":1782279996845,"version":"3.54.5"},"reference-count":77,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Participation in social activities contributes to enhanced well-being, reduced rates of comorbidities, and diminished feelings of depression among older adults. However, the COVID-19 pandemic has altered social interaction in many ways, and its impacts on the well-being and mental health of older adults, particularly those living in more isolated regions, are still poorly understood. This cross-sectional study intends to investigate the relationship between social participation, social support, subjective well-being, and depression among older adults residing in a region with low population density, as well as to explore the role of social support mediating the relation between social participation and subjective well-being and depression, in the context of restrictions imposed during COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 324 older adults (M = 75.11; SD = 6.89), living in the Alentejo region (Portugal), randomly selected, answered a questionnaire which included measures about the perception of social participation and social support during the most critical periods of COVID-19 pandemic, subjective well-being, depression, and sociodemographic and general health data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Correlation analysis showed that older adults\u2019 social participation during the COVID-19 pandemic was associated with higher social support, higher subjective well-being, and lower levels of depressive symptoms. The mediation analysis showed that social support fully mediates the relationship between social participation and subjective well-being, and between social participation and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The COVID-19 context may have constrained the expected direct benefits of social participation (e.g., due to social distancing or digital barriers) on well-being and mental health, making social support the primary pathway. The study highlights the importance of making older adults\u2019 social participation relevant and meaningful, reinforcing the role it can play in identifying people who are more vulnerable to depression and strengthening social support networks, with the aim of supporting older people who are more isolated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1771874","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:49:39Z","timestamp":1782276579000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Depression and subjective well-being in older adults living in low-density areas during the COVID-19 pandemic: the role of social participation and social support"],"prefix":"10.3389","volume":"14","author":[{"given":"Rita","family":"Francisco","sequence":"first","affiliation":[{"name":"School of Human Sciences, Universidade Cat\u00f3lica Portuguesa","place":["Lisboa, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Domingos","sequence":"additional","affiliation":[{"name":"HEI-Lab: Digital Human-Environment Interaction Labs, Universidade Lus\u00f3fona","place":["Lisboa, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00e1dia","family":"Cruz","sequence":"additional","affiliation":[{"name":"School of Human Sciences, Universidade Cat\u00f3lica Portuguesa","place":["Lisboa, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Gaspar","sequence":"additional","affiliation":[{"name":"HEI-Lab: Digital Human-Environment Interaction Labs, Universidade Lus\u00f3fona","place":["Lisboa, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Pedro","sequence":"additional","affiliation":[{"name":"School of Human Sciences, Universidade Cat\u00f3lica Portuguesa","place":["Lisboa, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Godinho","sequence":"additional","affiliation":[{"name":"NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University Lisbon","place":["Lisboa, Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"ref1","volume-title":"WHO Director-General's Opening Remarks at the media Briefing on COVID-19 - 11 March 2020","year":"2020"},{"key":"ref2","volume-title":"Coronavirus Disease 2019 (COVID-19) Situation Report \u2013 94","year":"2020"},{"key":"ref3","volume-title":"Declara\u00e7\u00e3o do estado de emerg\u00eancia [Declaration of a state of emergency]. 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Res"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"17","DOI":"10.2307\/4134367","article-title":"Social capital: prospects for a new concept","volume":"27","author":"Adler","year":"2002","journal-title":"Acad Manag Rev"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1186\/s12939-023-01875-w","article-title":"The buffering effect of social capital for daily mental stress in an unequal society: a lesson from Seoul","volume":"22","author":"Kang","year":"2023","journal-title":"Int J Equity Health"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1425","DOI":"10.1038\/s44220-025-00518-z","article-title":"Longitudinal association between neighborhood-level social capital and incidence of major psychiatric disorders in a cohort of 1.4\u202fmillion people in Sweden","volume":"3","author":"Song-Chase","year":"2025","journal-title":"Nature Mental 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Med"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1016\/j.socscimed.2009.10.012","article-title":"Social capital and health in Australia: an overview from the household, income and labour dynamics in Australia survey","volume":"70","author":"Berry","year":"2009","journal-title":"Soc Sci Med"},{"key":"ref55","volume-title":"Participa\u00e7\u00e3o comunit\u00e1ria e Sentimento de Comunidade em Reformados da cidade de Serpa [Community Participation and sense of Community among Retirees in the city of Serpa] (Master\u2019s thesis)","author":"Mendes","year":"2014"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"331","DOI":"10.14195\/1647-8606_54_13","article-title":"Caracter\u00edsticas psicom\u00e9tricas da vers\u00e3o Portuguesa da Escala multidimensional de Suporte social Percebido [psychometric characteristics of the Portuguese version of the multidimensional scale of perceived social support \u2013 MSPSS]","volume":"54","author":"Carvalho","year":"2011","journal-title":"Psychologica"},{"key":"ref57","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1207\/s15327752jpa5201_2","article-title":"The multidimensional scale of perceived social support","volume":"52","author":"Zimet","year":"1988","journal-title":"J Pers Assess"},{"key":"ref58","volume-title":"\u00cdndice de bem-estar OMS (cinco) (WHO-5), Vers\u00e3o de 1998","year":"1998"},{"key":"ref59","volume-title":"Wellbeing measures in primary health care\/the DepCare Project: report on a WHO meeting","year":"1998"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1007\/bf03035123","article-title":"Validity of the five-item WHO well-being index (WHO-5) in an older adults population","volume":"251","author":"Heun","year":"2001","journal-title":"Eur Arch Psychiatry Clin Neurosci"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1159\/000376585","article-title":"The WHO-5 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Methods"},{"key":"ref65","volume-title":"An\u00e1lise estat\u00edstica com o SPSS Statistics","author":"Mar\u00f4co","year":"2014"},{"key":"ref66","volume-title":"Structural Equation Analysis: Theoretical Foundations, Software & Applications","author":"Mar\u00f4co","year":"2021"},{"key":"ref67","volume-title":"Using Multivariate Statistics","author":"Tabachnick","year":"2007"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"728541","DOI":"10.3389\/fsoc.2022.728541","article-title":"Social capital as protection against the mental health impact of the COVID-19 pandemic","volume":"7","author":"Snel","year":"2022","journal-title":"Front Sociol"},{"key":"ref69","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/j.jpsychires.2020.10.043","article-title":"Social participation and depressive symptoms in community-dwelling older adults: emotional social support as a mediator","volume":"137","author":"Choi","year":"2020","journal-title":"J Psychiatr Res"},{"key":"ref70","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1186\/s12877-024-04915-4","article-title":"The effects of social support and self-efficacy on hopefulness in low-income older adults during COVID-19 pandemic","volume":"24","author":"Kwon","year":"2024","journal-title":"BMC Geriatr"},{"key":"ref71","doi-asserted-by":"publisher","first-page":"1362268","DOI":"10.3389\/fpubh.2024.1362268","article-title":"The impact of social participation on subjective wellbeing in the older adult: the mediating role of anxiety and the moderating role of education","volume":"12","author":"Qing","year":"2024","journal-title":"Front Public Health"},{"key":"ref72","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1186\/s12877-023-04168-7","article-title":"Social participation, psychological resilience and depression among widowed older adults in China","volume":"23","author":"Li","year":"2023","journal-title":"BMC 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