ArticleBMJ open2019
Incidence and risk factors of depressive symptoms in 4 years of follow-up among mid-aged and elderly community-dwelling Chinese adults: findings from the China Health and Retirement Longitudinal Study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 41 citations in OpenAlex.
- Latent profile analysis of self-perceptions of ageing among Chinese community-dwelling older adults.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2022Trial
- A network analysis of depression and anxiety symptoms among Chinese elderly with multiple chronic conditions: based on the 2017-2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS).BMC psychology · 2026Article
- Adverse childhood friendship and depression in later life: findings from a national survey in China.BMC psychology · 2025Article
- New perspectives on microbiome-dependent gut-brain pathways for the treatment of depression with gastrointestinal symptoms: from bench to bedside.Journal of Zhejiang University. Science. B · 2025Review
- Relationship Between Socioeconomic Status and Depression in Older Adults: The Roles of Cognitive Function and Sleep Quality.Psychology research and behavior management · 2025Article
- Bidirectional association between depression and cognition in Chinese middle-aged and older women: a 10-year longitudinal study.Frontiers in psychiatry · 2025Article
- Prevalence and Associated Factors of Depressive Symptoms among Older Adults in the Philippines.Actas espanolas de psiquiatria · 2024Article
- Chronic conditions and incident and persistent depressive symptoms among ageing adults in rural South Africa.Psychology, health & medicine · 2024Article
- Integrated bioinformatics and network pharmacology identifying the mechanisms and molecular targets of Guipi Decoction for treatment of comorbidity with depression and gastrointestinal disorders.Metabolic brain disease · 2024Review
- Depression and the Aberrant Intestinal Microbiome.Gastroenterology & hepatology · 2024Article
- Identifying the most crucial factors associated with depression based on interpretable machine learning: a case study from CHARLS.Frontiers in psychology · 2024Article
- Impact of Somatic Conditions and Lifestyle Behaviours on Depressive Symptoms and Low Life Satisfaction among Middle-Aged and Older Adult Men in South Africa.Journal of men's health · 2023Article
- Article
- Prevalence and determinants of incident and persistent depressive symptoms among middle-aged and older adults in Thailand: prospective cohort study.BJPsych open · 2023Article
- Cognitive Function and Depressive Symptoms among Chinese Adults Aged 40 Years and Above: The Mediating Roles of IADL Disability and Life Satisfaction.International journal of environmental research and public health · 2023Article
- Long-Term Apparent Temperature, Extreme Temperature Exposure, and Depressive Symptoms: A Longitudinal Study in China.International journal of environmental research and public health · 2023Article
- From Sarcopenia to Depressive Symptoms in Elderly: A Path Analysis.International journal of environmental research and public health · 2023Article
- Bidirectional Association Between Probable Depression and Multimorbidity Among Middle-Aged and Older Adults in Thailand.Journal of multidisciplinary healthcare · 2023Article
- Social activities and long-term depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study.Frontiers in psychiatry · 2023Article
- Association between dietary theobromine with depression: a population-based study.BMC psychiatry · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe purpose of this study was to examine the incidence of depressive symptoms, and determine if baseline risk factors conferred a risk for incident depressive symptoms in nationally representative sample of mid-aged and elderly Chinese adults.
designThis study was a secondary analysis of a prospective cohort from a nationally representative sample.
settingCommunity samples were recruited from the baseline survey of the China Health and Retirement Longitudinal Study. A four-stage, stratified, cluster probability sampling strategy was used, which included 10 257 households with members aged 45 years or older and their spouse.
participantsA total of 11 533 participants free of depressive symptoms at baseline were identified, and 10 288 were re-examined in either the first and/or the second follow-up surveys. The current analysis was conducted among the 10 288 participants. PRIMARY AND SECONDARY OUTCOME MEASURES: Depressive symptoms were measured by the Center for Epidemiological Studies Depression Scale short form.
resultsThe findings showed that the incidence of depressive symptoms in a 4-year follow-up was as high as 22.3%. The incidence was much higher in rural areas (25.7%) and in women (27.9%). Furthermore, participants with 1 hour longer of night-time sleep had a 10% lower risk of developing depressive symptoms. Compared with individuals who perceived their health status as poor, those who perceived their health status as excellent had a 62% lower risk of developing depressive symptoms. In addition, having diabetes (OR=1.19), chronic kidney disease (OR=1.32), chronic digestive disorders (OR=1.15) and arthritis (OR=1.43) at baseline increased the risk of depressive symptoms. However, baseline body mass index was not associated with the subsequent depressive symptoms in this population.
conclusionsThis study highlights the importance of developing an appropriate screening test to identify depressive symptoms for those who are vulnerable and ensure these individuals can receive early interventions for depressive symptoms.
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