ArticleFrontiers in psychiatry2022
What Is the Optimal Cut-Off Point of the 10-Item Center for Epidemiologic Studies Depression Scale for Screening Depression Among Chinese Individuals Aged 45 and Over? An Exploration Using Latent Profile Analysis.
Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.
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94 citing papers in PubMed, 147 citations in OpenAlex.
- Thyroid-Stimulating Hormone Levels and Depression in Older Adults: Cross-Sectional and Longitudinal Analyses in a Community-Dwelling Population.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026Trial
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- Social Ties and Depressive Symptoms Among Middle-Aged and Older Adults in China During Emergencies: The Moderating Role of Disaster Exposure.Healthcare (Basel, Switzerland) · 2026Article
- Household Energy Infrastructure, Cooking Fuel Use, and Mental Health Among Older Adults in Rural China.International journal of geriatric psychiatry · 2026Article
- A Study on the Depressive Symptoms and Life Satisfaction Among Middle-Aged and Older Adults in China Based on CHARLS 2020 Data.Behavioral sciences (Basel, Switzerland) · 2026Article
- Association of Long-Term Vascular Risk Factor Variability from Childhood and Midlife Cognitive Function: The Bogalusa Heart Study.Research square · 2026Article
- Income Differences in the Association Between Medical-Preventive Integration KAP and Depressive Symptoms: A Cross-Sectional Study Among Chinese Healthcare Workers.Healthcare (Basel, Switzerland) · 2026Article
- Long-term care insurance pilot exposure and severe-depression risk among older adults with baseline severe IADL impairment: a panel difference-in-difference-in-differences analysis.BMC geriatrics · 2026Article
- A machine-learning-derived online screening tool for depressive symptoms in chronic digestive system diseases patients: a cross-sectional study with temporal validation from CHARLS.Scientific reports · 2026Article
- Perceived stigma among lung cancer patients: a cross-sectional study with latent profile analysis.BMC cancer · 2026Article
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- Intrinsic capacity and the risk of adverse health outcomes in older adults: a population-based study.BMC geriatrics · 2026Article
- A body shape index trajectories and cognitive function among older hypertensive patients: a national cohort study.Archives of public health = Archives belges de sante publique · 2026Article
- An interpretable machine learning model predicts frailty risk in middle-aged and older adults with gastrointestinal disease: a longitudinal study.Scientific reports · 2026Article
- Comparative Performance of 3 Analytical Models in Identifying Associated Factors of Pulmonary Dysfunction-Depression Comorbidity: China Health and Retirement Longitudinal Study-Based Nationwide Cross-Sectional Study.JMIR medical informatics · 2026Article
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- Longitudinal associations between changes in employment status and depressive symptoms during the early COVID-19 pandemic: evidence from the Canadian Longitudinal Study on Aging (CLSA).Health promotion and chronic disease prevention in Canada : research, policy and practice · 2026Article
- Sarcopenia as a risk factor for incident pain in Chinese middle-aged and older adults: longitudinal evidence from the CHARLS cohort.The journal of nutrition, health & aging · 2026Article
- Article
34 more citing papers are in PubMed but not listed here.
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3 authors at 1 institution in 1 country.
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Abstract
Background: The main objective of the current study was to gain insight into the heterogeneity and profiles of depressive symptoms in Chinese individuals aged 45 and over and to determine the optimal cut-off point for the 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) to provide a reference for future practical application. Methods: The participants were 16,997 Chinese community-dwelling adults aged 45 years or older who completed survey interviews for the 2018 China Health and Retirement Longitudinal Study. The current study utilised latent profile analysis (LPA) to identify distinct profiles based on participants' responses to CES-D-10 items, and receiver operating characteristic (ROC) curve analyses were applied to determine the optimal cut-off point for the CES-D-10 scale. Results: A three-profile solution was suggested as the optimum and included a "minimal depression" group (63.1%), "mild depression" group (23.4%) and "moderate-severe depression" group (13.5%); 36.9% (95% CI: 36.2 ∼ 37.6%) were considered at risk for probable depression. The "minimal depression" group was viewed as "non-cases," and the remaining were viewed as "cases" that served as the reference standard for the ROC analysis, which obtained an AUC value of 97.8% (95% CI: 97.7-98.0%) and identified an optimal cut-off point of 10 (sensitivity:91.93%, specificity: 92.76%, and accuracy: 92.45). Conclusion: The identification of these distinct profiles underscores the heterogeneity in depressive symptoms among Chinese middle-aged and older adults. The CES-D-10 scale was demonstrated to have acceptable psychometric properties, with a cut-off point of 10 recommended for future research and practical application.
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