ArticlePsychological medicine2019
Psychosocial and health-related risk factors for depressive symptom trajectories among midlife women over 15 years: Study of Women's Health Across the Nation (SWAN).
Article in Psychological medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors Associated With Menopause Symptoms: A Systematic Review and Meta-Analysis.BJOG : an international journal of obstetrics and gynaecology · 2026Pooled it
- Longitudinal patterns and group heterogeneity of depressive symptoms during menopausal transition in middle-aged Korean women.Epidemiology and psychiatric sciences · 2025Article
- Social Support and Its Influencing Factors Among Perimenopausal Women in Tianjin, China: A Community-Based Study.Healthcare (Basel, Switzerland) · 2025Article
- Latent profile analysis of symptoms of depression and anxiety among perimenopausal women and their predictors.Frontiers in psychiatry · 2025Article
- Depressive symptoms over the final menstrual period: Study of Women's Health Across the Nation (SWAN).Journal of affective disorders · 2024Article
- Latine Reproductive Health and Data Inequities Across the Life Course: A Call to Action.American journal of public health · 2024Article
- The association of race, ethnicity, and socioeconomic status on the severity of menopause symptoms: a study of 68,864 women.Menopause (New York, N.Y.) · 2024Article
- Key Findings from Mental Health Research During the Menopause Transition for Racially and Ethnically Minoritized Women Living in the United States: A Scoping Review.Journal of women's health (2002) · 2024Article
- Dietary Factors Associated with Depressive Symptoms in Midlife Women 40-50 Years of Age Living in the United States.Women's health reports (New Rochelle, N.Y.) · 2024Article
- Detrimental Changes in Health during Menopause: The Role of Physical Activity.International journal of sports medicine · 2023Review
- Sleep timing, sleep regularity, and psychological health in early late life women: Findings from the Study of Women's Health Across the Nation (SWAN).Sleep health · 2023Article
- How preclinical models of menopause can inform clinical care: A focus on midlife and reciprocal communication between clinical and preclinical science.Current opinion in endocrine and metabolic research · 2023Article
- Risk Assessment of Depression amongst Women during Menopause before and during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Variation in Public Trust, Perceived Societal Fairness, and Well-Being before and after COVID-19 Onset-Evidence from the China Family Panel Studies.International journal of environmental research and public health · 2022Article
- Women's Lives Matter-The Critical Need for Women to Prioritize Optimal Physical Activity to Reduce COVID-19 Illness Risk and Severity.International journal of environmental research and public health · 2021Review
- Physiologic and psychosocial changes of the menopause transition in US Latinas: a narrative review.Climacteric : the journal of the International Menopause Society · 2021Review
- The Mediating Effect of Community Identity between Socioeconomic Status and Sense of Gain in Chinese Adults.International journal of environmental research and public health · 2020Article
- The menopause transition and women's health at midlife: a progress report from the Study of Women's Health Across the Nation (SWAN).Menopause (New York, N.Y.) · 2019 · on this mapReview
- Longitudinal investigation of the reciprocal relationship between depressive symptoms and glycemic control: The moderation effects of sex and perceived support.Journal of diabetes investigation · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundPsychosocial and health-related risk factors for depressive symptoms are known. It is unclear if these are associated with depressive symptom patterns over time. We identified trajectories of depressive symptoms and their risk factors among midlife women followed over 15 years.
methodsParticipants were 3300 multiracial/ethnic women enrolled in a multisite longitudinal menopause and aging study, Study of Women's Health Across the Nation. Biological, psychosocial, and depressive symptom data were collected approximately annually. Group-based trajectory modeling identified women with similar longitudinal patterns of depressive symptoms. Trajectory groups were compared on time-invariant and varying characteristics using multivariable multinomial analyses and pairwise comparisons.
resultsFive symptom trajectories were compared (50% very low; 29% low; 5% increasing; 11% decreasing; 5% high). Relative to whites, blacks were less likely to be in the increasing trajectory and more likely to be in the decreasing symptom trajectory and Hispanics were more likely to have a high symptom trajectory than an increasing trajectory. Psychosocial/health factors varied between groups. A rise in sleep problems was associated with higher odds of having an increasing trajectory and a rise in social support was associated with lower odds. Women with low role functioning for 50% or more visits had three times the odds of being in the increasing symptom group.
conclusionsChanges in psychosocial and health characteristics were related to changing depressive symptom trajectories. Health care providers need to evaluate women's sleep quality, social support, life events, and role functioning repeatedly during midlife to monitor changes in these and depressive symptoms.
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