Evidence map›Paper›PMID 39272102›Full record

ArticleBMC public health2024

Age-related differences in the number of chronic diseases in association with trajectories of depressive symptoms: a population-based cohort study.

Jinghong Huang, Tianwei Xu, Yue Dai, Yueping Li, Raoping Tu

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Article in BMC public health, 2024. 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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26citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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26 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jinghong HuangSchool of Health Management, Fujian Medical University, Fuzhou, China.
Tianwei XuDepartment of Psychology, Stockholm University, Stockholm, Sweden.
Yue DaiSchool of Health Management, Fujian Medical University, Fuzhou, China.
Yueping LiFujian Medical University Library, Fuzhou, Fujian, China.
Raoping TuSchool of Health Management, Fujian Medical University, Fuzhou, China. tototrp@126.com.

Funding

Natural Science Foundation of Fujian Province 2023J05043Research Foundation for Talented Scholars, Fujian Medical University XRCZX2022006Social Science Fund of Fujian Province FJ2023BF078Young and Middle-aged Teacher Education Research Foundation of Fujian Province JAT220103
6 · The paper itself

Abstract

backgroundThe number of chronic diseases has been associated with changes in depressive symptoms over time among middle-aged and older adults. This study aimed to explore the association between the number of chronic diseases and trajectories of depressive symptoms and the role of age in this association.

methodsA total of 12,974 middle-aged and older Chinese adults (≥ 45 years) participated in the China Health and Retirement Longitudinal Study (CHARLS) in waves 2011, 2013, 2015, 2018, and 2020. The number of chronic diseases was determined by self-reported hospital diagnosis of hypertension, dyslipidemia, diabetes, cancer, chronic lung diseases, liver disease, heart diseases, stroke, kidney diseases, digestive diseases, emotional, nervous, or psychiatric problems, memory-related disease, arthritis or rheumatism, asthma, and then obtaining the total number of chronic diseases. Depressive symptoms were measured by the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10). Group-based trajectory modeling (GBTM) was adopted to capture the trajectories of depressive symptoms over time. Multinomial logistic regressions were conducted to examine the association between the number of chronic diseases and trajectories of depressive symptoms and the role of age in this association.

resultsFour distinct trajectories of depressive symptoms were observed in 34.68% individuals in mild, 40.76% in moderate, 19.41% in increasing, and 5.15% in severe group. Compared to participants without chronic diseases, those with one, two, three or more chronic diseases had a 1.81, 3, and 7.49-fold higher risk of developing severe depressive symptom trajectory, respectively. Moreover, the association between the number of chronic diseases and severe depressive symptoms trajectory differed by age (45-59 and ≥ 60 years) (P for interaction < 0.05).

conclusionParticipants with middle age may play a promoting role in the association between the number of chronic disease and severe depressive symptoms. The severe depressive symptoms intervention may be more beneficial for middle-aged adults.

Indexed as

DepressionAgedAge FactorsChinaChronic DiseaseCohort StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedAgeCHARLSDepressive symptomsGroup-based trajectory modelingNumber of chronic diseases

Identifiers

PMID39272102
PMCPMC11396400

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.