Leng Shuyan, Yao Lihua, Deng Jiajia
College Of Public Health, Chongqing Medical University, Chongqing, China.
PLoS One. 2025 Apr 29;20(4):e0321272. doi: 10.1371/journal.pone.0321272. eCollection 2025.
As the aging of the population accelerates, mental health is important to the quality of life of middle-aged and older people, as well as to the healthcare system and the economy. This study focuses on the relationship between depressive symptoms and self-rated health in middle-aged and older people, as well as whether this relationship differs between urban and rural China.
Data from the China Health and Retirement Longitudinal Study (CHARLS). The final analysis included 10503 participants aged 45 years or above. The longitudinal cross-lagged panel analysis was used to assess the relationship between self-rated health and depressive symptoms.
The model revealed a bidirectional relationship between self-rated health and depressive symptoms. Self-rated health at each time point had a significant effect on subsequent depressive symptoms, and vice versa. However, no urban-rural disparities in these relationships.
Self-rated health and depressive symptoms were interrelated over time among middle-aged and older adults. To ensure the mental health and quality of life in later life of middle-aged and older adults, it is essential to assess and manage both self-rated health and depressive symptoms.
随着人口老龄化加速，心理健康对中老年人群的生活质量、医疗保健系统及经济都很重要。本研究聚焦于中老年人群抑郁症状与自评健康之间的关系，以及这种关系在中国城乡之间是否存在差异。
数据来自中国健康与养老追踪调查（CHARLS）。最终分析纳入了10503名年龄在45岁及以上的参与者。采用纵向交叉滞后面板分析来评估自评健康与抑郁症状之间的关系。
模型揭示了自评健康与抑郁症状之间的双向关系。每个时间点的自评健康对后续抑郁症状有显著影响，反之亦然。然而，这些关系不存在城乡差异。
在中老年成年人中，自评健康与抑郁症状随时间相互关联。为确保中老年成年人晚年的心理健康和生活质量，评估和管理自评健康及抑郁症状至关重要。
