ArticleBMC public health2023
Exploring the reciprocal relationship between activities of daily living disability and depressive symptoms among middle-aged and older Chinese people: a four-wave, cross-lagged model.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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26 citing papers in PubMed, 34 citations in OpenAlex.
- Associations of cognitive impairment and physical disability with the risk and reversibility of depressive symptoms in Chinese older adults.BMC geriatrics · 2026Observational
- Depressive symptoms in people with late effects of polio and the association with sociodemographic and disability-related factors.PM & R : the journal of injury, function, and rehabilitation · 2026Article
- Association of depressive symptoms with longitudinal changes in activities of daily living among middle-aged and older Chinese adults with hip fracture: an Andersen Behavioral Model perspective.Journal of health, population, and nutrition · 2026Article
- Functional disability and urban-rural differences in depressive symptoms among older adults in China.BMC geriatrics · 2026Article
- Independent and joint associations of depressive symptoms and social isolation on trajectories of functional disability among middle-aged and older adults.Archives of public health = Archives belges de sante publique · 2026Article
- High-Frequency Functional Trajectories Predict Depressive Worsening in Singapore's Community-Dwelling Older Adults.Healthcare (Basel, Switzerland) · 2026Article
- Associations of combined hearing loss and depression with cognitive impairment among older adults: a sex difference analysis based on evidence from CHARLS.BMC public health · 2026Article
- Correlation of Waist Circumference-Mediated Glycosylated Hemoglobin Levels With New-Onset BADL Disability.Journal of diabetes research · 2026Article
- The association between caregiving for disabled spouses and depressive symptoms among middle-aged and older adults in China.BMC psychology · 2025Article
- Network analysis of the relationships among activities of daily living disability, cognitive impairment, and depression in Chinese older adults.BMC public health · 2025Article
- Influencing factors of depressive symptoms in middle-aged and elderly people and its regional differences in china: a study based on Bayesian network model.Journal of health, population, and nutrition · 2025Article
- Article
- Latent profiles of psychological resilience in patients with chronic disease and their association with social support and activities of daily living : Title page.BMC psychology · 2025Article
- Construction of disability risk prediction model for the elderly based on machine learning.Scientific reports · 2025Article
- Epidemiological Assessment of Depression, Activities of Daily Living and Associated Factors in Elderly Individuals Aged 65 Years and Older: Evidence from a Population-Based Study.Journal of clinical medicine · 2025Article
- Longitudinal association between ADL disability and depression in middle-aged and elderly: national cohort study.The journal of nutrition, health & aging · 2025Article
- Predicting the risk of depression in older adults with disability using machine learning: an analysis based on CHARLS data.Frontiers in artificial intelligence · 2025Article
- Interaction effects of sleep duration and activities of daily living on depressive symptoms among Chinese middle-aged and older adult individuals: evidence from the CHARLS.Frontiers in public health · 2025Article
- Uncovering unseen ties: a network analysis explores activities of daily living limitations and depression among Chinese older adults.Frontiers in aging neuroscience · 2025Article
- Article
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Authors and funding
8 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly studies have shown a relationship between activities of daily living (ADL) disability and depressive symptoms in older people. However, discussions on the direction of this relationship are insufficient. The study's objective was to assess the reciprocal relationship between ADL disability and depressive symptoms among middle-aged and older Chinese people.
methodData was collected in four waves of a nationwide survey, the China Health and Retirement Longitudinal Study (CHARLS), which was carried out in 2011, 2013, 2015, and 2018. In total, this study included 4,124 participants aged ≥ 45 years at baseline. A summing score of the eleven items for basic activities of daily living (BADL) and instrumental activities of daily living (IADL) was calculated to indicate the degree of ADL disability. The 10-item Centre for Epidemiological Studies Depression Scale (CESD-10) was adopted to measure depressive symptoms. The reciprocal relationship between ADL disability and depressive symptoms was tested by cross-lagged models.
resultAt baseline, 911 (22.1%) participants were classified as having difficulties with ADL, and the prevalence of depressive symptoms was 34.4% (1,418). Among middle-aged and older people in China, there was a significant reciprocal and longitudinal relationship between ADL disability and depressive symptoms. People who had difficulty with ADL faced a higher risk of depressive symptoms, and those who suffered from depressive symptoms were accompanied by an increase in ADL disability in the following years. The subgroup analysis on age also showed that ADL disability was reciprocally and longitudinally related to depressive symptoms. However, only women showed similar results in the subgroup analysis on gender.
conclusionThis study shows that ADL disability is bi-directionally related to depressive symptoms in middle-aged and older Chinese people over time. The results suggest we should identify ADL disability and bad psychological conditions in time to prevent subsequent mutual damage among middle-aged and older Chinese people, a vulnerable group rising in the future.
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