Prevalence and factors associated with depression and anxiety among older adults: A large-scale cross-sectional study in China

He, Zhen-fan; Tan, Wen-yan; Ma, Huilin; Shuai, Yuxing; Shan, Zejun; Zhai, Jiaxiang; Qiu, Yifeng; Zeng, Honghao; Chen, Xin-lin; Wang, Shi-bin; Liu, Yu

doi:10.1016/j.jad.2023.11.022

Cited by 12 publications

(2 citation statements)

References 43 publications

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“…Sleep quality of SCH patients was significantly worse than IW patients. As the most prominent symptom in depressive patients, sleep disturbance plays an important role in the development of depression, and patients with sleep disorders are more prone to depression ( 52 – 54 ). To improve the psychological status of patients, sleep quality improvement also needs to be considered, which includes improving airtightness, controlling light and noise, enhancing sound insulation, reducing vibration, strengthening privacy protection, adjusting patients’ circadian rhythm, providing eye masks, earplugs, shading curtains, and playing light music for patients before bedtime ( 55 – 57 ).…”

Section: Discussionmentioning

confidence: 99%

Depression, anxiety, lower sleep quality and social support in square cabin hospitals during Shanghai’s COVID-19 lockdown, China

Quan,

Xu,

et al. 2024

Front. Psychiatry

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ObjectivesTo investigate and compare the associated factors of depression, anxiety, and other psychological differences between patients with Corona Virus Disease 2019 quarantined in square cabin hospitals (SCH) and isolation wards (IW) in China.MethodsCluster sampling method was performed during Shanghai’s Two-Month Lockdown in 2022. Hospital Anxiety and Depression Scale Depression subscale (HADS-D), 7-tiem Generalized Anxiety Disorder Scale (GAD-7), Pittsburgh sleep quality index (PSQI), and Perceived Social Support Scale (PSSS) were used to investigate psychological differences.ResultsThe HADS-D and GAD-7 scores of SCH patients were significantly higher than those in IW (p < 0.001; p = 0.0295). Sleep latency (SCH-IW = -3.76, p < 0.001), sleep duration (SCH-IW = -2.22, p < 0.05), habitual sleep efficiency (SCH-IW = -4.11, p < 0.001), sleep disturbance (SCH-IW = -3.59, p < 0.001) and use of sleep medication (SCH-IW = -5.18, p < 0.001) of SCH patients were significantly worse. Depression was the main emotional problem of quarantined patients. Patients in SCH had lower social support. Sleep disorders and the lowest oxygen saturation ≤ 93% were risk factors for depression, while social support and child status were protective factors. Myalgia and constipation were risk factors for anxiety, while marital status was the protective factor.ConclusionPatients quarantined in SCH had higher risks of depression and anxiety, lower sleep quality and social support. Somatic discomfort and sleep disorders exacerbated depression and anxiety, which could be ameliorated by social support and taken into consideration in future SCH construction.

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Section: Discussionmentioning

confidence: 99%

Depression, anxiety, lower sleep quality and social support in square cabin hospitals during Shanghai’s COVID-19 lockdown, China

Quan,

Xu,

et al. 2024

Front. Psychiatry

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“…Based on the factors related to depressive symptoms found in previous studies [ 30 , 31 ], we selected age, sex (male vs. female), residence (urban vs. rural), marital status (married vs. unmarried), educational level (illiteracy, primary school vs. middle school and above), family income (≤ the median is low, and > the median is high), smoking (no vs. yes), drinking (no vs. yes), exercise (no vs. yes), health insurance (no vs. yes), pension (no vs. yes), and chronic disease (no vs. yes) as covariates. Among them, the original categories for marital status included never married, married, divorced, and widowed.…”

Section: Methodsmentioning

confidence: 99%

Associations between eating alone, its transition and depressive symptoms among Chinese middle-aged and older adults: evidence from two national cohorts

Qiu,

Zhu,

Huang

et al. 2024

BMC Psychiatry

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Background Few studies have explored the longitudinal association between eating alone and depressive symptoms, and have focused on the effect of eating alone transition. This study aims to explore the longitudinal association between eating alone, its transition and depressive symptoms among two national surveys using a cohort study design. Methods The participants aged ≥ 45 years were recruited for the 2016 to 2018 waves China Family Panel Data (CFPS) and 2015 to 2018 waves China Health and Retirement Longitudinal Study (CHARLS). Eating alone was assessed by self-reported. Depressive symptoms were evaluated by Center for Epidemiologic Studies Depression Scale. Cox hazard regression was used to explore the associations between eating alone, its transition and depressive symptoms after adjusting for covariates. Results A total of 21,476 participants were included in this study. The Cox model showed that compared with commensality, eating alone was associated with a higher risk of depressive symptoms, both in the CFPS, CHARLS and pooled analysis. In addition, compared with commensality consistently, the transition from commensality to alone and eating alone consistently were associated with a higher risk of depressive symptoms. The sensitivity analyses showed that the association remained robust. Conclusions Eating alone and a change from commensality to eating alone were associated with higher risks of depressive symptoms among Chinese middle-aged and older adults in two cohorts. This study suggested that providing eating partners may be an effective intervention method to prevent depressive symptoms in middle-aged and older adults.

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Association of residential environment with depression and anxiety symptoms among older adults in China: A cross-sectional population-based study

Qiao,

Wu,

Xiang

et al. 2024

Building and Environment

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Prevalence and factors associated with depression and anxiety among older adults: A large-scale cross-sectional study in China

Cited by 12 publications

References 43 publications

Depression, anxiety, lower sleep quality and social support in square cabin hospitals during Shanghai’s COVID-19 lockdown, China

Depression, anxiety, lower sleep quality and social support in square cabin hospitals during Shanghai’s COVID-19 lockdown, China

Associations between eating alone, its transition and depressive symptoms among Chinese middle-aged and older adults: evidence from two national cohorts

Association of residential environment with depression and anxiety symptoms among older adults in China: A cross-sectional population-based study

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