ArticleFrontiers in public health2025
Incidence rate and related factors of depression in older adult patients with somatization symptoms.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Patterns of depressive symptoms among older adults living in long-term care homes in China: a latent class analysis.Frontiers in public health · 2026Article
- Left ventricular hypertrophy and myocardial work in amateur marathon runners.Frontiers in cardiovascular medicine · 2025Article
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Authors and funding
12 authors.
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Abstract
Background: This study aimed to determine the incidence and predictors of depressive symptoms among older adults presenting with somatization symptoms. A prospective cohort design was used to follow participants over time and evaluate the emergence of depressive symptoms. Methods: Between July 2020 and November 2022, 162 community-dwelling adults aged ≥60 years were enrolled from three community health centers in Fujian Province. Participants screened positive for moderate-to-severe somatization (Somatic Self-Rating Scale, SSS ≥ 38) but negative for depression (Patient Health Questionnaire-2, PHQ-2 < 3) at baseline. Depressive symptoms were reassessed using PHQ-2 at 3, 6, and 12 months. Those scoring ≥3 underwent confirmatory screening with the PHQ-9 (cutoff ≥10). Predictors of incident depressive symptoms were identified using purposeful multivariable logistic regression, with Firth correction applied for small-cell bias. Confounding structure was guided by a directed acyclic graph (DAG), and internal consistency was assessed (SSS: Cronbach's Results: During the 12-month follow-up, 20.37% of participants ( Conclusion: Among older adults with somatization symptoms, depressive symptoms emerged in over 20% within 12 months. Individuals with resident health insurance or living with children may face increased psychosocial stressors contributing to depression risk. Early identification and targeted psychosocial interventions are warranted, especially in settings where somatic presentations may mask mental health needs.
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