Lin Xuhui, Liu Siyue, Hu Zhao, Xu Huilan
Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Front Psychiatry. 2023 Aug 16;14:1131084. doi: 10.3389/fpsyt.2023.1131084. eCollection 2023.
BACKGROUND: The association between social activities and depressive symptoms remains unclear. This study aimed to explore the relationship between social activities at baseline and the long-term depressive-symptoms trajectories among a cohort of middle-aged and older adults in China. METHODS: This study included 13,258 participants aged 45 years and older from the China Health and Retirement Longitudinal Study (CHARLS). Depressive symptoms across four waves from 2011 to 2018 were evaluated using the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10). Four types of social activities were assessed at baseline by self-report: (1) interacting with friends; (2) playing Mahjong, chess, and cards or attending a community club; (3) providing help to family, friends, or neighbors; and (4) attending a sporting or social event or club. Group-based trajectory modeling (GBTM) was used to map depressive-symptoms trajectories during the follow-up period. RESULTS: Not interacting with friends at baseline was associated with an increased risk of increasing (adjusted odds ratio [aOR]: 1.21, 95% confidence interval [CI]: 1.03, 1.41) and severe-stable (aOR: 1.35, 95% CI: 1.10, 1.65) depressive-symptoms trajectories. Participants who did not play Mahjong, cards, or chess and did not attend a sporting or social event or club at baseline were more likely to have mild-stable, decreasing, increasing, and severe-stable depressive-symptoms trajectories. CONCLUSION: Social activities play an important role in long-term depressive-symptoms trajectories in middle-aged and older Chinese adults. Interacting with friends, attending sports, or social clubs may prevent depressive symptoms.
背景:社交活动与抑郁症状之间的关联尚不清楚。本研究旨在探讨中国中老年人群队列中基线时的社交活动与长期抑郁症状轨迹之间的关系。 方法:本研究纳入了来自中国健康与养老追踪调查(CHARLS)的13258名45岁及以上的参与者。使用10项流行病学研究中心抑郁量表(CESD-10)评估了2011年至2018年四个时间段的抑郁症状。在基线时通过自我报告评估了四种类型的社交活动:(1)与朋友互动;(2)打麻将、下棋、打牌或参加社区俱乐部;(3)帮助家人、朋友或邻居;(4)参加体育或社交活动或俱乐部。使用基于群体的轨迹模型(GBTM)来描绘随访期间的抑郁症状轨迹。 结果:基线时不与朋友互动与抑郁症状轨迹增加(调整优势比[aOR]:1.21,95%置信区间[CI]:1.03,1.41)和重度稳定(aOR:1.35,95%CI:1.10,1.65)的风险增加相关。基线时不打麻将、打牌或下棋且不参加体育或社交活动或俱乐部的参与者更有可能出现轻度稳定、下降、增加和重度稳定的抑郁症状轨迹。 结论:社交活动在中国中老年成年人的长期抑郁症状轨迹中起重要作用。与朋友互动、参加体育或社交俱乐部可能预防抑郁症状。
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