Screening for elders at risk for depression is crucial for promoting mental health in later life. The present study investigates the cutoff score of a short form of the CES-D for screening of depressive symptoms in th...Screening for elders at risk for depression is crucial for promoting mental health in later life. The present study investigates the cutoff score of a short form of the CES-D for screening of depressive symptoms in the elderly population of Taiwan. This particular short form of CES-D is repeatedly used in the Taiwan Longitudinal Study on Aging (TLSA), a national survey of representative older adults in Taiwan, and is therefore referred to as the TLSA form. Data collected from five waves of TLSA were analyzed in this study. Participant responses repeatedly measured in 1989 and 1993 were used to identify a cutoff for the TLSA form of the CES-D with sensitivity and specificity using the cutoff of 4 on the Boston form of the CES-D as the criterion. Longitudinal data from the years 1996, 1999, and 2003 were used to validate the proposed cutoff by comparing the prevalence rates for depressive symptoms among older Taiwan Residents estimated from the identified cutoff and reported in previous studies. The score of 10 on the TLSA form of the CES-D was suggested, yielding a specificity of 0.93 and a sensitivity of approximately 0.96. The estimated prevalence rates for depressive symptoms among Taiwan Residents elders based on the suggested cutoff were between 18.9% and 23.7%, which are similar to previously reported rates. The cutoff score of 10 on the TLSA form of the CES-D is therefore recommended for screening depressive symptoms among older adults in Taiwan.展开更多
Objective This study aims to explore the complex relationship between social engagement and depressive symptoms among older adults in China,focusing particularly on the moderating role of marital status.Methods This s...Objective This study aims to explore the complex relationship between social engagement and depressive symptoms among older adults in China,focusing particularly on the moderating role of marital status.Methods This study used data from the latest Chinese Longitudinal Healthy Longevity Survey(CLHLS).The analysis used the latent class analysis to delineate personality clusters and hierarchical linear regression,supplemented by the PROCESS macro,to investigate the effects of social engagement and marital status on depressive symptoms.Results The analysis encompassed 7,789 respondents(mean age:82.53[s=11.20]years),with 54%female.The personality analysis categorized participants into four clusters,with the majority(77.60%)classified as Confident Idealists,who exhibited the lowest levels of depressive symptoms.Hierarchical linear regression analysis yielded several significant findings:Higher levels of social engagement were significantly associated with fewer depressive symptoms(t=-7.932,P<0.001,B=-0.463).Marital status was a significant factor;married individuals reported fewer depressive symptoms compared to their unmarried counterparts(t=-6.368,P<0.001,B=-0.750).There was a significant moderating effect of marital status on the relationship between social engagement and depressive symptoms(t=-2.092,P=0.037,B=-0.217).Conclusion This study demonstrates that,among Chinese older adults,both social engagement and marital status significantly influence depressive symptoms.Higher social engagement,particularly in other activities like doing household chores,gardening,reading newspapers or books,and playing cards or Mahjong,is associated with fewer depressive symptoms,especially among married individuals.展开更多
The Republic of Korea has the highest suicide rate of older population among OECD countries,and depression is the prevailing factor.While it is well-known that the urban physical environment affects mental health,rese...The Republic of Korea has the highest suicide rate of older population among OECD countries,and depression is the prevailing factor.While it is well-known that the urban physical environment affects mental health,research on the physical characteristics of spaces remains limited.This study aims to explore relationship-oriented space characteristics that can form social networks and reduce depressive symptoms in older adults.After analyzing the differences in social interaction spaces between high-density and low-density areas for older adults in Seoul,we identified social interaction spaces(parks and traditional markets)that are frequently used based on on-site interview results.Two areas were selected for the questionnaire surveys.The main findings revealed that older adults living in areas with diverse spatial planning and close physical relationships between parks and traditional markets,convenient pedestrian environments,and lower population density of older adults had better social networks and lower depressive symptoms.More significantly,the physical characteristics of parks and traditional markets(convenient accessibility,maximized visibility,connectivity,and territoriality)significantly facilitate social interactions.Those engaging in social interactions within these spaces exhibited significantly better social networks and lower depressive symptoms.These findings underscore the importance of considering relationship-oriented space characteristics in spatial and urban planning.展开更多
Objective:Network analysis was used to explore the complex inter-relationships between social participation activities and depressive symptoms among the Chinese older population,and the differences in network structur...Objective:Network analysis was used to explore the complex inter-relationships between social participation activities and depressive symptoms among the Chinese older population,and the differences in network structures among different genders,age groups,and urban-rural residency would be compared.Methods:Based on the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey(CLHLS),12,043 people aged 65 to 105 were included.The 10-item Center for Epidemiologic Studies Depression(CESD)Scale was used to assess depressive symptoms and 10 types of social participation activities were collected,including housework,tai-chi,square dancing,visiting and interacting with friends,garden work,reading newspapers or books,raising domestic animals,playing cards or mahjong,watching TV or listening to radio,and organized social activities.R 4.2.1 software was used to estimate the network model and calculate strength and bridge strength.Results:21.60%(2,601/12,043)of the participants had depressive symptoms.The total social participation score was negatively associated with depressive symptoms after adjusting for sociodemographic factors.The network of social participation and depressive symptoms showed that“D9(Inability to get going)”and“S9(Watching TV and/or listening to the radio)”had the highest strength within depressive symptoms and social participation communities,respectively,and“S1(Housework)”,“S9(Watching TV and/or listening to the radio)”,and“D5(Hopelessness)”were the most prominent bridging nodes between the two communities.Most edges linking the two communities were negative.“S5(Graden work)-D5(Hopelessness)”and“S6(Reading newspapers/books)-D4(Everything was an effort)”were the top 2 strongest negative edges.Older females had significantly denser network structures than older males.Compared to older people aged 65e80,the age group 81e105 showed higher network global strength.Conclusions:This study provides novel insights into the complex relationships between social participation and depressive symptoms.Except for doing housework,other social participation activities were found to be protective for depression levels.Different nursing strategies should be taken to prevent and alleviate depressive symptoms for different genders and older people of different ages.展开更多
Objectives:To describe the quality of life(QOL)of adults≥60 years of age in communities in Beijing and explore demographic,clinical,and psychological factors associated with QOL.Methods:This was a cross-sectional stu...Objectives:To describe the quality of life(QOL)of adults≥60 years of age in communities in Beijing and explore demographic,clinical,and psychological factors associated with QOL.Methods:This was a cross-sectional study.A total of 363 older adults were recruited,in which 313 completed the questionnaires.Depressive symptoms were measured with the Self-Rating Depression Scale(SDS)and QOL was analyzed with the 36-item short form(SF-36).The t-test and Mann-Whitney U tests were used to compare QOL by gender and age group.Factors associated with QOL were determined using multiple linear regression.Results:Among 313 older adults,depressive symptoms were observed to be prevalent to the extent of 16.6%.Overall,participants had higher QOL in the domains of social role functioning and emotional role functioning,with lower QOL in the domains of physical functioning and general health perceptions.There were no significant differences in QOL between women and men.However,there were significant differences between different age groups,with older adults having better mental QOL than younger adults.Better physical QOL was associated with less depressive symptoms,having a partner,and younger age(R2=28.7%).Better mental QOL was associated with less depressive symptoms,less chronic disease,and older age(R^(2)=34.7%).Conclusions:With aging,physical QOL was lower and mental QOL was better.Less depressive symptoms,having a spouse or partner,and young-old age assert positive influence on physical QOL of the older adults;and less depressive symptoms,no chronic disease,and older age assert positive influence on mental QOL.展开更多
An increasing interest has been focused on the association of internal migration with depressive symptoms in China.However,very few of those studies investigated the possible mechanisms underlying that association.Thi...An increasing interest has been focused on the association of internal migration with depressive symptoms in China.However,very few of those studies investigated the possible mechanisms underlying that association.This study aims to examine the relationship between internal migration and depressive symptoms and various mechanisms behind this relationship among Chinese middle-aged and older adults.The data was drawn from the national China Health and Retirement Longitudinal Study(CHARLS)2011.The depressive symptoms were defined by the 10-item Center for Epidemiologic Studies Depression Scale(CES-D-10).Within the broader definition of internal migration,we divided migration status into multiple types based on individuals’hukou information.Structural equation models(SEMs)were adopted to examine the association between different types of migration and depressive symptoms and disaggregate the relationship between internal migration and depressive symptoms into direct and mediation pathways.After considering selection features related to migration processes,we found strong relationships between multiple types of internal migration and depressive symptoms.Compared with rural non-migrants,rural-to-urban migrants with urban hukou,urban-to-urban migrants,and urban non-migrants had fewer depressive symptoms(β=-0.75,95%CI:-1.02,-0.49;β=-1.21,95%CI:-1.68,-0.73;andβ=-0.39,95%CI:-0.49,-0.29,respectively).Post-migration experiences,such as living conditions,household income per capita and social participation,mediated the relationship between internal migration and depressive symptoms.These findings of the mechanisms underlying the link between internal migration and depressive symptoms offer evidence for developing mental health interventions for migrants during the rapid progress of urbanization in China.展开更多
目的全面回顾自助心理干预对减轻老年人抑郁症状的文献并进行Meta分析,以探讨这些干预措施的有效性。方法检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Web of Science和Cochrane Central Register of Controlled Trial...目的全面回顾自助心理干预对减轻老年人抑郁症状的文献并进行Meta分析,以探讨这些干预措施的有效性。方法检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Web of Science和Cochrane Central Register of Controlled Trials数据库。根据纳入标准和排除标准选择文献,比较自助心理干预组和对照组间抑郁症状严重程度,并考察干预效果随时间的变化。结果共有10项研究,1213例患者符合纳入标准。自助心理干预组的抑郁症状从基线到干预后下降明显,合并效应量为-1.35(95%CI:-1.60~-1.11)。与对照组相比,自助心理干预组的抑郁症状明显减轻,合并效应量为0.53(95%CI:0.21~0.85)。非积极对照组的组间效应值(g=0.60,n=9,95%CI:0.42~0.79)显著大于积极对照组的组间效应(g=-0.06,n=4,95%CI:-0.25~0.13)。结论自助心理干预能有效减轻老年人抑郁症状,且优于对照组,有可能成为治疗老年抑郁症的有效方法。展开更多
文摘Screening for elders at risk for depression is crucial for promoting mental health in later life. The present study investigates the cutoff score of a short form of the CES-D for screening of depressive symptoms in the elderly population of Taiwan. This particular short form of CES-D is repeatedly used in the Taiwan Longitudinal Study on Aging (TLSA), a national survey of representative older adults in Taiwan, and is therefore referred to as the TLSA form. Data collected from five waves of TLSA were analyzed in this study. Participant responses repeatedly measured in 1989 and 1993 were used to identify a cutoff for the TLSA form of the CES-D with sensitivity and specificity using the cutoff of 4 on the Boston form of the CES-D as the criterion. Longitudinal data from the years 1996, 1999, and 2003 were used to validate the proposed cutoff by comparing the prevalence rates for depressive symptoms among older Taiwan Residents estimated from the identified cutoff and reported in previous studies. The score of 10 on the TLSA form of the CES-D was suggested, yielding a specificity of 0.93 and a sensitivity of approximately 0.96. The estimated prevalence rates for depressive symptoms among Taiwan Residents elders based on the suggested cutoff were between 18.9% and 23.7%, which are similar to previously reported rates. The cutoff score of 10 on the TLSA form of the CES-D is therefore recommended for screening depressive symptoms among older adults in Taiwan.
基金supported by National Natural Science Foundation of China[72174183].
文摘Objective This study aims to explore the complex relationship between social engagement and depressive symptoms among older adults in China,focusing particularly on the moderating role of marital status.Methods This study used data from the latest Chinese Longitudinal Healthy Longevity Survey(CLHLS).The analysis used the latent class analysis to delineate personality clusters and hierarchical linear regression,supplemented by the PROCESS macro,to investigate the effects of social engagement and marital status on depressive symptoms.Results The analysis encompassed 7,789 respondents(mean age:82.53[s=11.20]years),with 54%female.The personality analysis categorized participants into four clusters,with the majority(77.60%)classified as Confident Idealists,who exhibited the lowest levels of depressive symptoms.Hierarchical linear regression analysis yielded several significant findings:Higher levels of social engagement were significantly associated with fewer depressive symptoms(t=-7.932,P<0.001,B=-0.463).Marital status was a significant factor;married individuals reported fewer depressive symptoms compared to their unmarried counterparts(t=-6.368,P<0.001,B=-0.750).There was a significant moderating effect of marital status on the relationship between social engagement and depressive symptoms(t=-2.092,P=0.037,B=-0.217).Conclusion This study demonstrates that,among Chinese older adults,both social engagement and marital status significantly influence depressive symptoms.Higher social engagement,particularly in other activities like doing household chores,gardening,reading newspapers or books,and playing cards or Mahjong,is associated with fewer depressive symptoms,especially among married individuals.
文摘The Republic of Korea has the highest suicide rate of older population among OECD countries,and depression is the prevailing factor.While it is well-known that the urban physical environment affects mental health,research on the physical characteristics of spaces remains limited.This study aims to explore relationship-oriented space characteristics that can form social networks and reduce depressive symptoms in older adults.After analyzing the differences in social interaction spaces between high-density and low-density areas for older adults in Seoul,we identified social interaction spaces(parks and traditional markets)that are frequently used based on on-site interview results.Two areas were selected for the questionnaire surveys.The main findings revealed that older adults living in areas with diverse spatial planning and close physical relationships between parks and traditional markets,convenient pedestrian environments,and lower population density of older adults had better social networks and lower depressive symptoms.More significantly,the physical characteristics of parks and traditional markets(convenient accessibility,maximized visibility,connectivity,and territoriality)significantly facilitate social interactions.Those engaging in social interactions within these spaces exhibited significantly better social networks and lower depressive symptoms.These findings underscore the importance of considering relationship-oriented space characteristics in spatial and urban planning.
基金supported by the National Key Research and Development Plan Project(grant number:2022YFC3600904)The funding organization had no role in the survey’s design,implementation,and analysis.
文摘Objective:Network analysis was used to explore the complex inter-relationships between social participation activities and depressive symptoms among the Chinese older population,and the differences in network structures among different genders,age groups,and urban-rural residency would be compared.Methods:Based on the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey(CLHLS),12,043 people aged 65 to 105 were included.The 10-item Center for Epidemiologic Studies Depression(CESD)Scale was used to assess depressive symptoms and 10 types of social participation activities were collected,including housework,tai-chi,square dancing,visiting and interacting with friends,garden work,reading newspapers or books,raising domestic animals,playing cards or mahjong,watching TV or listening to radio,and organized social activities.R 4.2.1 software was used to estimate the network model and calculate strength and bridge strength.Results:21.60%(2,601/12,043)of the participants had depressive symptoms.The total social participation score was negatively associated with depressive symptoms after adjusting for sociodemographic factors.The network of social participation and depressive symptoms showed that“D9(Inability to get going)”and“S9(Watching TV and/or listening to the radio)”had the highest strength within depressive symptoms and social participation communities,respectively,and“S1(Housework)”,“S9(Watching TV and/or listening to the radio)”,and“D5(Hopelessness)”were the most prominent bridging nodes between the two communities.Most edges linking the two communities were negative.“S5(Graden work)-D5(Hopelessness)”and“S6(Reading newspapers/books)-D4(Everything was an effort)”were the top 2 strongest negative edges.Older females had significantly denser network structures than older males.Compared to older people aged 65e80,the age group 81e105 showed higher network global strength.Conclusions:This study provides novel insights into the complex relationships between social participation and depressive symptoms.Except for doing housework,other social participation activities were found to be protective for depression levels.Different nursing strategies should be taken to prevent and alleviate depressive symptoms for different genders and older people of different ages.
基金This project was supported by the Research project of Beijing University of Chinese Medicine,Beijing,China(No.2013-JYBZZ-JS-142).
文摘Objectives:To describe the quality of life(QOL)of adults≥60 years of age in communities in Beijing and explore demographic,clinical,and psychological factors associated with QOL.Methods:This was a cross-sectional study.A total of 363 older adults were recruited,in which 313 completed the questionnaires.Depressive symptoms were measured with the Self-Rating Depression Scale(SDS)and QOL was analyzed with the 36-item short form(SF-36).The t-test and Mann-Whitney U tests were used to compare QOL by gender and age group.Factors associated with QOL were determined using multiple linear regression.Results:Among 313 older adults,depressive symptoms were observed to be prevalent to the extent of 16.6%.Overall,participants had higher QOL in the domains of social role functioning and emotional role functioning,with lower QOL in the domains of physical functioning and general health perceptions.There were no significant differences in QOL between women and men.However,there were significant differences between different age groups,with older adults having better mental QOL than younger adults.Better physical QOL was associated with less depressive symptoms,having a partner,and younger age(R2=28.7%).Better mental QOL was associated with less depressive symptoms,less chronic disease,and older age(R^(2)=34.7%).Conclusions:With aging,physical QOL was lower and mental QOL was better.Less depressive symptoms,having a spouse or partner,and young-old age assert positive influence on physical QOL of the older adults;and less depressive symptoms,no chronic disease,and older age assert positive influence on mental QOL.
文摘An increasing interest has been focused on the association of internal migration with depressive symptoms in China.However,very few of those studies investigated the possible mechanisms underlying that association.This study aims to examine the relationship between internal migration and depressive symptoms and various mechanisms behind this relationship among Chinese middle-aged and older adults.The data was drawn from the national China Health and Retirement Longitudinal Study(CHARLS)2011.The depressive symptoms were defined by the 10-item Center for Epidemiologic Studies Depression Scale(CES-D-10).Within the broader definition of internal migration,we divided migration status into multiple types based on individuals’hukou information.Structural equation models(SEMs)were adopted to examine the association between different types of migration and depressive symptoms and disaggregate the relationship between internal migration and depressive symptoms into direct and mediation pathways.After considering selection features related to migration processes,we found strong relationships between multiple types of internal migration and depressive symptoms.Compared with rural non-migrants,rural-to-urban migrants with urban hukou,urban-to-urban migrants,and urban non-migrants had fewer depressive symptoms(β=-0.75,95%CI:-1.02,-0.49;β=-1.21,95%CI:-1.68,-0.73;andβ=-0.39,95%CI:-0.49,-0.29,respectively).Post-migration experiences,such as living conditions,household income per capita and social participation,mediated the relationship between internal migration and depressive symptoms.These findings of the mechanisms underlying the link between internal migration and depressive symptoms offer evidence for developing mental health interventions for migrants during the rapid progress of urbanization in China.
文摘目的全面回顾自助心理干预对减轻老年人抑郁症状的文献并进行Meta分析,以探讨这些干预措施的有效性。方法检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Web of Science和Cochrane Central Register of Controlled Trials数据库。根据纳入标准和排除标准选择文献,比较自助心理干预组和对照组间抑郁症状严重程度,并考察干预效果随时间的变化。结果共有10项研究,1213例患者符合纳入标准。自助心理干预组的抑郁症状从基线到干预后下降明显,合并效应量为-1.35(95%CI:-1.60~-1.11)。与对照组相比,自助心理干预组的抑郁症状明显减轻,合并效应量为0.53(95%CI:0.21~0.85)。非积极对照组的组间效应值(g=0.60,n=9,95%CI:0.42~0.79)显著大于积极对照组的组间效应(g=-0.06,n=4,95%CI:-0.25~0.13)。结论自助心理干预能有效减轻老年人抑郁症状,且优于对照组,有可能成为治疗老年抑郁症的有效方法。
