School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China.
Nursing College, Anhui University of Chinese Medicine, Hefei, Anhui Province, China.
PLoS One. 2022 Apr 11;17(4):e0266950. doi: 10.1371/journal.pone.0266950. eCollection 2022.
In the context of an increased focus on geriatric depression in recent years, this study examined the associations between different types of self-care disability, the number of self-care disabilities, and depressive symptoms among middle-aged and elderly Chinese people.
The data for this study were extracted from the follow-up survey (conducted in 2018) of the China Health and Retirement Longitudinal Study (CHARLS). The sample comprised 10808 participants aged 45 years and older. The Activities of Daily Living (ADL) scale and the Center for Epidemiological Studies Depression (CESD-10) Scale were used to assess self-care disability and depressive symptoms, respectively.
The prevalence of depressive symptoms and self-care disability among the surveyed residents was 45.1% and 23.4%, respectively. Overall, there was a significant positive association between self-care disability and depressive symptoms. Participants who reported having a self-care disability in relation dressing, bathing, transferring in and out of bed, using the toilet, and controlling urination and defecation were found to have a significantly higher risk of depressive symptoms. In addition, participants with a greater cumulative quantity of self-care disabilities had a higher risk of depressive symptoms, and higher CESD-10 scores.
Self-care disability is a risk factor for depressive symptoms among middle-aged and elderly Chinese people. A positive correlation between the number of self-care disabilities and the risk of depressive symptoms was found.
近年来，人们越来越关注老年抑郁症，本研究考察了中老年中国人不同类型的自我护理障碍、自我护理障碍数量与抑郁症状之间的关系。
本研究的数据来自中国健康与退休纵向研究（CHARLS）的后续调查（2018 年进行）。样本包括 10808 名 45 岁及以上的参与者。日常生活活动（ADL）量表和流行病学研究中心抑郁量表（CESD-10）量表分别用于评估自我护理障碍和抑郁症状。
被调查居民的抑郁症状和自我护理障碍的患病率分别为 45.1%和 23.4%。总体而言，自我护理障碍与抑郁症状之间存在显著正相关。在穿衣、洗澡、床上床下转移、使用厕所和控制排尿和排便方面存在自我护理障碍的参与者，其抑郁症状的风险显著更高。此外，自我护理障碍数量较多的参与者患抑郁症状的风险更高，且 CESD-10 评分也更高。
自我护理障碍是中国中老年人群抑郁症状的一个危险因素。自我护理障碍数量与抑郁症状风险之间存在正相关关系。
