Prevalence and risk factors of depression in the empty nest elderly from the Sichuan Longmenshan fault earthquake

Xu, Jiuping; Sun, Yang; Wang, Ziqi

doi:10.1111/ggi.13050

Cited by 11 publications

(14 citation statements)

References 22 publications

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“…That means we should pay more attention to old people' mental health in Anhui, China. However, there were some ndings inconsistent with previous studies [13,22]; our study revealed that no signi cant differences existed in SWB and depression between the two groups. This was an unexpected and interesting result.…”

Section: Discussioncontrasting

confidence: 99%

Comprehensive Comparison between Empty-nesters and Non-empty-nesters in Anhui, China: Subjective Well-being and Depression

2020

Preprint

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BACKGROUND: China is one of the countries facing the most serious population aging. Empty-nesters accounted half of the total old adults in China, improving mental health status of old people is necessary. This cross-sectional study aimed to compare the subjective well-being and depression comprehensively between empty-nesters and non-empty-nesters in Anhui, China.METHODS: 1452 participants were surveyed by using the demographic characteristics questionnaire, the subjective well-being (SWB) single-choice facial expression questionnaire and the 30-item Geriatric Depression Scale (GDS-30).RESULTS: Education level and depression were risk factors for both groups ( P <0.05), but age, marital status, living mode, and religious belief were main risk factors for empty-nesters ( P <0.05). Monthly individual income and SWB were risk factors for both groups( P <0.05), but living mode, religious belief and physical exercise were main risk factors for elderly empty-nesters, whereas economy situation was the main risk factor for non-empty-nesters( P <0.05).CONCLUTION: The influencing factors of two groups had similarities and differences. With the aging population of China, improving mental health status of old people was necessary. We should implement targeted interventions addressing mental health influencing factors of older adults.

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Section: Discussioncontrasting

confidence: 99%

Comprehensive Comparison between Empty-nesters and Non-empty-nesters in Anhui, China: Subjective Well-being and Depression

2020

Preprint

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“…The area affected by the earthquake accounted for only 11.6% of the total area of Yushu Prefecture [65]. Although six years have passed since the earthquake, we cannot rule out the association between the high depression prevalence in this study and the influence of earthquakes in a small percentage of participants [66,67].…”

Section: Prevalence Of Depression In Tibetan Adultsmentioning

confidence: 87%

A Large Sample Survey of Tibetan People on the Qinghai–Tibet Plateau: Current Situation of Depression and Risk Factors

Wang

Zhou

Liang

et al. 2019

IJERPH

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Background: A depressive state is a negative emotional state characterized by abnormal dejection and unpleasant mood. Long-term depressive symptoms can result in psychological disorders such as depression. However, little is known about the depression status and risk factors of the Tibetan people on the Qinghai–Tibet Plateau. Objective: This study explores the depression status of the Tibetan people to better promote ethnic minorities’ physical and mental health. Participants and Setting: The Center for Epidemiologic Studies Depression Scale (CES-D) was administered to 24,141 Tibetan people from Yushu Prefecture; the average age was 34.33 years (SD = 9.18, range = 18–94 years). Materials and Methods: Participants completed questionnaires collecting demographic information and evaluating symptoms of depression. Results: The depression prevalence was higher at high altitudes, and there may be a significant positive correlation between depression rates and altitude. Significant differences were found for each demographic variable. Participants with depressive symptoms (scores ≥8) accounted for 52.3% of the total sample, and participants with depression (scores ≥14) accounted for 28.6%. The binary logistic regression results showed that alcohol drinkers, unmarried participants, participants with high self-assessed socioeconomic status, participants with a high income level, and those with a middle-school education were more likely to be depressed. Conclusions: The results provide the first evidence that the prevalence of depression in Tibetans of the Qinghai–Tibet Plateau is higher than that in the general Chinese population and that reported in Western studies, a finding that may be related to cultural differences and chronic hypoxia caused by the high altitude. This paper offers insight into the mental health status of people living in plateau areas and provides a basis for formulating pertinent mental health policy.

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“…The only other study to date on elderly earthquake victims was conducted by Xu and colleagues ( 13 ), who administered the GDS-30 to 1,783 elderly people living alone 7 years after the Wenchuan earthquake. They employed a cutoff score of 10, which is comparable with a cutoff score of 5 when using the GDS-15.…”

Section: Discussionmentioning

confidence: 99%

“…They found that reduced independence with respect to instrumental activities of daily living (IADL) was associated with a greater probability of depression. According to a recent study ( 13 ), 83.1% of 1783 older solitary people (aged 60–75 years) from the most severely affected disaster area (Dujiangyan, Pengzhou, Shifang, etc.) showed symptoms of depression seven years after the Wenchuan earthquake as measured by the GD Scale-30 (GDS-30).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of and Risk Factors for Depression Among Older Persons 6 Months After the Lushan Earthquake in China: A Cross-Sectional Survey

Reinhardt

Pennycott

et al. 2020

Front. Psychiatry

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Background Older persons are particularly vulnerable to the impact of earthquakes and are more likely to suffer from depression. Objectives We aimed to estimate the prevalence of depression, to compare the prevalence between disaster-affected and non-disaster affected areas, and to explore additional risk factors for depression 6 months after the Lushan earthquake. Design A cross-sectional study was conducted. Setting A magnitude 7.0 earthquake occurred in Lushan County, Ya’an Prefecture, Sichuan Province, on April 20, 2013. In total, 196 people were killed, and 11,470 were injured over 5 days. Participants A multistage cluster sampling strategy was used. A total of 1,509 older persons (aged 60 or older) participated. Methods The Geriatric Depression Scale-15, the University of California Los Angeles Loneliness scale, the Activities of Daily Living Scale, the Social Support Rating Scale, and the Family Apgar Index scale were used to evaluate symptoms of depression, loneliness, dependence with respect to activities of daily living, perceived social support, and family function, respectively. A generalized linear regression model and multiple logistic regression analysis were employed to identify risk factors for depression. Results Using a cutoff score of 8, the prevalence of depression was 29.16% in the hardest-hit disaster area, 29.06% in the hard-hit disaster area, 31.61% in the moderately-hit disaster area, 17.94% in the remote non-disaster area, and 12.28% in the neighboring non-disaster area. The prevalence was significantly higher in the disaster areas than in the non-disaster areas. Risk factors for depression included an educational level of elementary school or lower, a greater number of chronic illnesses, feelings of loneliness, limitations in activities of daily living, family dysfunction, and low levels of social support. Conclusion Depression was highly prevalent in elderly survivors and was significantly more prevalent in disaster areas than in non-disaster areas. Psychological interventions and care should focus on older survivors.

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Prevalence and risk factors of depression in the empty nest elderly from the Sichuan Longmenshan fault earthquake

Cited by 11 publications

References 22 publications

Comprehensive Comparison between Empty-nesters and Non-empty-nesters in Anhui, China: Subjective Well-being and Depression

Comprehensive Comparison between Empty-nesters and Non-empty-nesters in Anhui, China: Subjective Well-being and Depression

A Large Sample Survey of Tibetan People on the Qinghai–Tibet Plateau: Current Situation of Depression and Risk Factors

Prevalence of and Risk Factors for Depression Among Older Persons 6 Months After the Lushan Earthquake in China: A Cross-Sectional Survey

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