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中国中老年人的社交活动与长期抑郁症状轨迹:一项基于人群的队列研究

Social activities and long-term depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study.

作者信息

Lin Xuhui, Liu Siyue, Hu Zhao, Xu Huilan

机构信息

Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.

出版信息

Front Psychiatry. 2023 Aug 16;14:1131084. doi: 10.3389/fpsyt.2023.1131084. eCollection 2023.


DOI:10.3389/fpsyt.2023.1131084
PMID:37663611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10469621/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7721/10469621/a2239cef1f5e/fpsyt-14-1131084-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7721/10469621/2435ebb19611/fpsyt-14-1131084-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7721/10469621/0937827e95f8/fpsyt-14-1131084-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7721/10469621/a2239cef1f5e/fpsyt-14-1131084-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7721/10469621/2435ebb19611/fpsyt-14-1131084-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7721/10469621/0937827e95f8/fpsyt-14-1131084-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7721/10469621/a2239cef1f5e/fpsyt-14-1131084-g003.jpg

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引用本文的文献

[1]
Associations of Lifestyle Behaviors with Anxiety and Depression in Type 2 Diabetes Mellitus Patients with Hypertension: A Cross-Sectional Study.

Psychiatr Q. 2025-4-4

[2]
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Front Public Health. 2024-12-9

本文引用的文献

[1]
Global prevalence of depression in older adults: A systematic review and meta-analysis of epidemiological surveys.

Asian J Psychiatr. 2023-2

[2]
Nowcasting and forecasting the care needs of the older population in China: analysis of data from the China Health and Retirement Longitudinal Study (CHARLS).

Lancet Public Health. 2022-12

[3]
Longitudinal relationship between sensory impairments and depressive symptoms in older adults: The mediating role of functional limitation.

Depress Anxiety. 2022-8

[4]
Association between sarcopenia and cardiovascular disease among middle-aged and older adults: Findings from the China health and retirement longitudinal study.

EClinicalMedicine. 2022-1-10

[5]
Prevalence of depressive symptoms among older adults in mainland China: A systematic review and meta-analysis.

J Affect Disord. 2021-10-1

[6]
Health and social care service utilisation and associated expenditure among community-dwelling older adults with depressive symptoms.

Epidemiol Psychiatr Sci. 2021-2-2

[7]
Effect of Social Participation on the Physical Functioning and Depression of Empty-Nest Elderly in China: Evidence from the China Health and Retirement Longitudinal Survey (CHARLS).

Int J Environ Res Public Health. 2020-12-16

[8]
Risk factors for depressive symptoms among older Chinese adults: A meta-analysis.

J Affect Disord. 2020-12-1

[9]
Migration Status, Internet Use, and Social Participation among Middle-Aged and Older Adults in China: Consequences for Depression.

Int J Environ Res Public Health. 2020-8-18

[10]
Fertility, mortality, migration, and population scenarios for 195 countries and territories from 2017 to 2100: a forecasting analysis for the Global Burden of Disease Study.

Lancet. 2020-7-14

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