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BMC Psychiatry
Published in: BMC Psychiatry 1/2019

Open Access 01-12-2019 | Affective Disorder | Research article

Socio-demographic characteristics and co-occurrence of depressive symptoms with chronic diseases among older adults in China: the China longitudinal ageing social survey

Authors: Zhenjie Wang, Hanmo Yang, Zhanyuan Guo, Bei Liu, Shen Geng

Published in: BMC Psychiatry | Issue 1/2019

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Abstract

Background

The aim of the current study is to assess the cross-sectional association of chronic non-communicable diseases (hypertension, diabetes mellitus, arthritis, and cerebrovascular) with depressive symptoms among older adults in China.

Methods

Data was obtained from the China Longitudinal Ageing Social Survey (CLASS) conducted in 2014. A total of 7505 participants were included. Depressive symptoms status was assessed by 9-item Center for Epidemiological Studies Depression Scale (CES-D) Associations between depressive symptoms and chronic diseases, adjusting for so, demographics and chronic diseases risk factors were assessed by using logistic regression model.

Results

We found negative associations between depressive symptoms and several socioeconomic factors, including education attainment and economic level. Widowed/divorced/ unmarried individuals are more likely to suffer from depressive symptoms. Hypertension (Odds ratio:1.29 [95%CI:1.16, 1.42]), diabetes (1.41 [95%CI:1.19,1.67]), arthritis (1.72 [1.52, 1.96]), and cerebrovascular disease (1.69 [1.41, 2.02]) were found to be associated with depressive symptoms.

Conclusions

Most depressive symptoms cases were found to be significantly associated with chronic diseases. Our findings have provided evidence for understanding co-morbid depressive symptoms with chronic diseases, which could help clinicians to evaluate, diagnose and manage depression promptly.
Literature
1.
Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T. Global burden of mental, neurological, and substance use disorders: an analysis from the global burden of disease study 2010. PLoS One. 2015;10:e0116820.CrossRef
2.
Hyman S, Chisholm D, Kessler R, Patel V, Whiteford H. Mental disorders. Disease Control Priorities Related to Mental, Neurological, Developmental and Substance Abuse Disorders. Oxford: Oxford University Press; 2006.
3.
Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3:e442.CrossRef
4.
Cuijpers P, Vogelzangs N, Twisk J, Kleiboer A, Li J, Penninx BW. Comprehensive meta-analysis of excess mortality in depression in the general community versus patients with specific illnesses. Am J Psychiatry. 2014;171:453–62.CrossRef
5.
6.
Walker ER, McGee RE, Druss BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry. 2015;72:334–41.CrossRef
7.
Li D, Zhang DJ, Shao JJ, Qi XD, Tian L. A meta-analysis of the prevalence of depressive symptoms in Chinese older adults. Arch Gerontol Geriatr. 2014;58:1–9.CrossRef
8.
Zhang L, Xu Y, Nie H, Zhang Y, Wu Y. The prevalence of depressive symptoms among the older in China: a meta-analysis. Int J Geriatr Psychiatry. 2012;27:900–6.CrossRef
9.
Kessler RC, Birnbaum HG, Shahly V, Bromet E, Hwang I, McLaughlin KA, et al. Age differences in the prevalence and co-morbidity of DSM-IV major depressive episodes: results from the WHO world mental health survey initiative. Depress Anxiety. 2010;27:351–64.CrossRef
10.
Pan A, Franco OH, Wang YF, Yu ZJ, Ye XW, Lin X. Prevalence and geographic disparity of depressive symptoms among middle-aged and elderly in China. J Affect Disord. 2008;105:167–75.CrossRef
11.
Yunming L, Changsheng C, Haibo T, Wenjun C, Shanhong F, Yan M, et al. Prevalence and risk factors for depression in older people in Xi’an China: a community-based study. Int J Geriatr Psychiatry. 2012;27:31–9.CrossRef
12.
Gao S, Jin Y, Unverzagt FW, Liang C, Hall KS, Ma F, et al. Correlates of depressive symptoms in rural elderly Chinese. Int J Geriatr Psychiatry. 2009;24:1358–66.CrossRef
13.
Djernes JK. Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatr Scand. 2006;113(7):372–87.CrossRef
14.
Lorant V, Croux C, Weich S, Deliège D, Mackenbach J, Ansseau M. Depression and socio-economic risk factors: 7-year longitudinal population study. Br J Psychiatry. 2007;190:293–8.CrossRef
15.
Zhou X, Bi B, Zheng L, Li Z, Yang H, Song H, et al. The prevalence and risk factors for depression symptoms in a rural Chinese sample population. PLoS One. 2014;9:e99692.CrossRef
16.
Dalton SO, Laursen TM, Ross L, Mortensen PB, Johansen C. Risk for hospitalization with depression after a cancer diagnosis: a nationwide, population-based study of cancer patients in Denmark from 1973 to 2003. J Clin Oncol. 2009;27:1440–5.CrossRef
17.
Hsu YT, Liao CC, Chang SN, Yang YW, Tsai CH, Chen TL, et al. Increased risk of depression in patients with Parkinson disease: a Nationwide cohort study. Am J Geriatr Psychiatry. 2015;23:934–40.CrossRef
18.
Ayerbe L, Ayis S, Wolfe CD, Rudd AG. Natural history, predictors and outcomes of depression after stroke: systematic review and meta-analysis. Br J Psychiatry. 2013;202:14–21.CrossRef
19.
Clarke DM, Currie KC. Depression, anxiety and their relationship with chronic diseases: a review of the epidemiology, risk and treatment evidence. Med J Aust. 2009;190:54–60.CrossRef
20.
Dickens C, McGowan L, Clark-Carter D, Creed F. Depression in rheumatoid arthritis: a systematic review of the literature with meta-analysis. Psychosom Med. 2002;64:52–60.CrossRef
21.
Arokiasamy P, Kowal P, Capistrant BD, Gildner TE, Thiele E, Biritwum RB, Yawson AE, et al. Chronic noncommunicable diseases in 6 low-and middle-income countries: findings from wave 1 of the world health organization's study on global ageing and adult health (SAGE). Am J Epidemiol. 2017;185:414–28.CrossRef
22.
Lin H, Guo Y, Kowal P, Airhihenbuwa CO, Di Q, Zheng Y, et al. Exposure to air pollution and tobacco smoking and their combined effects on depression in six low-and middle-income countries. Br J Psychiatry. 2017;211:157–62.CrossRef
23.
Mendenhall E, Norris SA, Shidhaye R, Prabhakaran D. Depression and type 2 diabetes in low-and middle-income countries: a systematic review. Diabetes res. Clin. Pract. 2014;103:276–85.
24.
Guo Q, Bai X, Feng N. Social participation and depressive symptoms among Chinese older adults: a study on rural-urban differences. J Affect Disord. 2018;239:124–30.CrossRef
25.
Merril S, Zhen C, Shuzhuo L. Intergenerational transfers and living arrangements of older people in rural China: consequences for psychological wellbeing. J Gerontol. 2006;61:S256–66.CrossRef
26.
Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D depression symptoms index. J Aging Health. 1993;5(2):179–93.CrossRef
27.
Feng Q, Zhen Z, Gu D, Wu B, Duncan PW, Purser JL. Trends in ADL and IADL disability in community-dwelling older adults in Shanghai, China, 1998–2008. J Gerontol. 2013;68:476–85.CrossRef
28.
Mojtabai R, Olfson M. Major depression in community-dwelling middle-aged and older adults: prevalence and 2-and 4-year follow-up symptoms. Psychol Med. 2004;34:623–34.CrossRef
29.
Fiske A, Wetherell JL, Gatz M. Depression in older adults. Ann. Rev. Clin Psychol. 2009;5:363–89.CrossRef
30.
Knol M, Twisk JW, Beekman AT, Heine R, Snoek FJ, Pouwer F. Depression as a risk factor for the onset of type 2 diabetes mellitus. A meta-analysis. Diabetologia. 2006;49:837.CrossRef
31.
Blazer DG. Depression in late life: review and commentary. J Gerontol Ser A. 2003;58:M249–65.CrossRef
32.
Menuki K, Mori T, Sakai A, Sakuma M, Okimoto N, Shimizu Y, Kunugita N, et al. Climbing exercise enhances osteoblast differentiation and inhibits adipogenic differentiation with high expression of PTH/PTHrP receptor in bone marrow cells. Bone. 2008;43:613–20.CrossRef
Metadata
Title
Socio-demographic characteristics and co-occurrence of depressive symptoms with chronic diseases among older adults in China: the China longitudinal ageing social survey
Authors
Zhenjie Wang
Hanmo Yang
Zhanyuan Guo
Bei Liu
Shen Geng
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-019-2305-2

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