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October 23, 2019BMC PsychiatryOpen Access

Hypertension (OR 1.29, 95% CI 1.16-1.42), diabetes (OR 1.41, 95% CI 1.19-1.67), arthritis (OR 1.72, 95% CI 1.52-1.96), and cerebrovascular disease (OR 1.69, 95% CI 1.41-2.02) were significantly associated with depressive symptoms.

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Why the study?

To evaluate the cross-sectional association between chronic non-communicable diseases and depressive symptoms among older adults in China.

Population

7505 older adults in China

Comparison

Chronic non-communicable diseases vs no chronic disease

Design

Cross-sectional survey analysis

Authors

ZWZhenjie WangZGZhanyuan GuoBLBei Liu

Discussion

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Member takes

Overview

Associations with NCDs support depressive symptom screening in older Chinese adults with hypertension or diabetes; leaves open causality and practice change.

Structured PICO

P
Population
7,505 adults aged 60 or above from the China Longitudinal Ageing Social Survey (CLASS) conducted in 2014 across 28 provincial areas in China.
O
Outcome
Depressive symptoms assessed by the abbreviated 9-item Center for Epidemiological Studies Depression Scale (CES-D)patient reported

Chronic non-communicable diseases, including hypertension, diabetes, and cerebrovascular disease, are significantly associated with a higher risk of depressive symptoms among older adults in China.

Limitations

  • As a cross-sectional study, cannot deduce causative pathways between depressive symptoms and chronic diseases
  • CLASS does not provide sufficient information on lifestyle factors (i.e., weight, height, smoking, alcohol drinking) as risk factors

Cite This Study

Wang et al. (2019) studied this question.

synapsesocial.com/papers/6a7caa2d4ec837fd6928a5e3https://doi.org/10.1186/s12888-019-2305-2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1DEPRESSIVE SYMPTOMS AND MULTIPLE CHRONIC CONDITIONS:FINDINGS FROM THE CHINA HEALTH AND RETIREMENT LONGITUDINAL STUDY ON AGING AMONG MIDDLE-AGED AND OLDER ADULTS2024 · 1 citations
  2. 2Associations of depressive symptoms and chronic diseases with activities of daily living among middle-aged and older population in China: A population-based cohort study2022 · 23 citations
  3. 3Age-related differences in the number of chronic diseases in association with trajectories of depressive symptoms: a population-based cohort study2024 · 35 citations
  4. 4Depression severity and chronic disease risk: interactive effects on cognitive function and life satisfaction in Chinese middle-aged and older adults2025 · 6 citations
  5. 5Depressive symptoms and all-cause mortality among middle-aged and older people in China and associations with chronic diseases2024 · 15 citations