Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Facultad de Enfermería, Universidad Andrés Bello, Campus Viña del Mar, Chile. Millenium Institute for Care Research (MICARE), Santiago, Chile.
Braz J Psychiatry. 2024;46:e20233331. doi: 10.47626/1516-4446-2023-3331. Epub 2023 Nov 23.
To investigate whether having a higher number of depressive symptoms is associated with negative self-rated health (SRH) even in the absence of illness.
This is a secondary analysis of baseline data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), conducted in 2015-2016, using a national sample of 9,412 people aged 50 or over. SRH was dichotomized into poor or very poor and very good or excellent, good, or average. Depressive symptoms were assessed through the eight-item Center for Epidemiologic Studies Depression Scale (CES-D8). Sociodemographic variables, information about unhealthy behaviors, and the number of chronic conditions were also analyzed.
Having depressive symptoms was strongly associated with poor or very poor SRH both in the unadjusted and adjusted analyses. The magnitude of the association was reduced when the number of chronic illnesses was included in the multivariate analysis, along with the other sociodemographic variables and unhealthy behaviors (OR 1.35, 95%CI 1.31-1.39).
Having depressive symptoms may contribute towards having a poorer perception of health, even in the absence of health conditions. SRH is a multidimensional construct that can accurately reflect a person's state of general mental health.
即使在没有疾病的情况下，探究是否存在更多的抑郁症状与负面的自我报告健康状况（SRH）相关。
这是对巴西老龄化纵向研究（ELSI-Brazil）基线数据的二次分析，该研究于 2015-2016 年进行，使用了一个年龄在 50 岁及以上的全国样本，共 9412 人。SRH 被分为差或很差以及很好或优秀、好或一般。抑郁症状通过 8 项流行病学研究中心抑郁量表（CES-D8）评估。社会人口统计学变量、不良行为信息和慢性疾病数量也进行了分析。
在未调整和调整分析中，存在抑郁症状与差或很差的 SRH 密切相关。当多变量分析中包括慢性疾病数量以及其他社会人口统计学变量和不良行为时，关联的程度降低（OR 1.35，95%CI 1.31-1.39）。
即使没有健康状况，存在抑郁症状也可能导致对健康的感知更差。SRH 是一个多维结构，可以准确反映一个人的一般心理健康状况。
