Prevalence and factors associated with anxiety and depression among community-dwelling older adults in Hunan, China: a cross-sectional study

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: Feb. 15, 2023

Older adults' psychological health is a public issue that cannot be ignored, especially when these problems and related factors change across different social backgrounds because of rapid changes in traditions family structures the epidemic responses after outbreak COVID-19 China. The aim our study to determine prevalence anxiety depression their associated among community-dwelling older adults China.A cross-sectional was conducted from March May 2021 with 1173 participants aged 65 years or above three communities Hunan Province, China who were selected using convenience sampling. A structured questionnaire including sociodemographic characteristics, clinical Social Support Rating Scale (SSRS), 7-Item Generalized Anxiety Disorder scale (GAD-7), Patient Health Questionnaire-9 Item (PHQ-9) used collect relevant demographic data measure support status, symptoms, depressive respectively. Bivariate analyses explore difference based on samples' characteristics. multivariable logistic regression analysis performed test for significant predictors depression.The 32.74% 37.34%, Multivariable revealed being female, unemployed before retirement age, lacking physical activity, having pain, more comorbidities anxiety. Subjective utilization protective factors. Regarding depression, religion, found predictors. factor.The group showed high depression. Gender, employment comorbidities, adults. These findings suggest governments should focus by raising community awareness issues health. They also screen high-risk groups encourage individuals seek supportive counseling.

Language: Английский

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Prevalence of prolonged grief disorder and its symptoms among bereaved individuals in China: a systematic review and meta-analysis

General Psychiatry, Journal Year: 2024, Volume and Issue: 37(2), P. e101216 - e101216

Published: March 5, 2024

The prevalence of prolonged grief disorder (PGD) and its symptoms among the bereaved population in China vary considerably. This meta-analysis aims to estimate PGD individuals China. We conducted a literature search major Chinese English databases from their inception 4 October 2023, for cross-sectional studies on or individuals. risk bias included certainty evidence were assessed using Joanna Briggs Institute Critical Appraisal Checklist Studies Reporting Prevalence Data ('JBI checklist') Grading Recommendations, Assessment, Development Evaluations (GRADE), respectively. 'metaprop' package R V.4.1.2 was used synthesise prevalence. A total 28 involving 10 994 analysis, with JBI checklist scores between 3 7. combined (95% confidence interval) 8.9% (4.2% 17.6%) 32.4% (18.2% 50.8%), most prevalent those who had lost only child (22.7%) by earthquakes (80.4%), GRADE system assigned very low level pooled symptoms. indicate potential high need counselling services is particularly pronounced have due earthquakes. Further methodologically rigorous are needed provide more accurate estimates. CRD42023432553.

Language: Английский

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Relationship between left-behind status and cognitive function in older Chinese adults: a prospective 3-year cohort study

General Psychiatry, Journal Year: 2023, Volume and Issue: 36(3), P. e101054 - e101054

Published: June 1, 2023

Due to the inaccuracy of traditional geographical distance-based definition left-behind status, data on negative effect status cognitive function among older adults are controversial.This study examined cross-sectional and longitudinal associations with in Chinese adults. The was based frequency face-to-face parent-child meetings.Data from a nationally representative sample 8 682 (60+ years) 2015 (5 658 left behind 3 024 non-left behind), which 6 933 completed follow-up 2018, were obtained China Health Retirement Longitudinal Study. Left-behind broadly defined as those aged 60+ years who had living adult children saw their less than once per month. assessed composite test higher total scores indicating better function.Left-behind significantly lower non-left-behind both (11.1 (6.0) vs 13.2 (5.9), t=15.863, p<0.001) 2018 (10.0 (6.6) 12.4 (6.7), t=14.177, p<0.001). After adjusting for demographic factors, lifestyle chronic medical conditions baseline score (in analysis only), average, 0.628 counterparts (t=5.689, This difference attenuated 0.322 but remained significant (t=2.733, p=0.006).Left-behind have risk poor decline counterparts. Specific efforts targeting adults, such encouraging visit parents more regularly, warranted maintain or delay progression decline.

Language: Английский

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The Psychological Network of Loneliness Symptoms Among Chinese Residents During the COVID-19 Outbreak

Psychology Research and Behavior Management, Journal Year: 2023, Volume and Issue: Volume 16, P. 3767 - 3776

Published: Sept. 1, 2023

Social distancing measures implemented during the COVID-19 pandemic have contributed to increased levels of loneliness, but specific interactions between loneliness symptoms in context remain unknown. This study characterized psychological network residents initial wave outbreak China.The recruited 8472 Chinese (61.5% women, aged 33.0±10.6 years) through online snowball sampling. The Six-item De Jong Gierveld Loneliness Scale (DJGLS) was used measure symptoms. Central and bridge emotional social subscales were identified based on centrality indices, respectively. Network stability examined using case-dropping procedures.The nodes separated into two groups, corresponding domains DJGLS. strongest direction association "no reliable people" trustworthy (edge weight=0.546). "No has highest node strength (1.047) network, followed by "emptiness sense" (0.767) (0.749). "Feeling rejection" (1.672) close (0.403) showed first second strengths, Both accuracy tests supported robustness whole network.Interventions targeting central symptom "feeling may be effective for alleviating overall level pandemic-affected residents.

Language: Английский

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Loneliness in older Chinese adults amid the COVID‐19 pandemic: Prevalence and associated factors

Asia-Pacific Psychiatry, Journal Year: 2023, Volume and Issue: 15(4)

Published: Aug. 10, 2023

Data on loneliness among older adults in China during the COVID-19 pandemic are still scarce. This study aimed to examine prevalence of and identify its associated factors Chinese pandemic.During pandemic, 1268 (aged 50+ years) were recruited through snowball sampling. The version validated six-item De Jong Gierveld Loneliness Scale was used assess participants' recent feelings loneliness, a cut-off score two or more indicate presence loneliness.Loneliness experienced by 37.9% participants days. Factors significantly with included male sex (vs. female, OR: 1.62, p < .001), an education level middle school below college above, 1.50, = .007), residing epicenter other provinces, 1.48, .004), concern about contracting (OR: 1.68, poor knowledge 2.39, .012), physical health problems 1.65, .001).Loneliness is common amid pandemic. Targeted intervention programs may be effective reducing who worried COVID-19, have knowledge, experience problems.

Language: Английский

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Healthy lifestyle behaviors and depressive symptoms: a national cross-sectional study of the older adults in China

Frontiers in Medicine, Journal Year: 2025, Volume and Issue: 12

Published: Feb. 25, 2025

This investigation assesses the impact of healthy lifestyle behaviors on depressive symptoms among older adults in China, utilizing data from 2020 China Health and Retirement Longitudinal Study (CHARLS). The analysis included 9,020 valid samples individuals aged 60 above. Sleep duration, social participation, physical exercise were examined as independent variables. Depressive measured using CESD-10 scale, with relationships analyzed through an ordered logistic regression model. study reveals significant correlations between - specifically adequate sleep, regular exercise, active participation reduced prevalence elderly (p < 0.05). These findings underscore potential interventions key strategies alleviating mental health burden China's aging population. Integration these results into public policies is recommended to enhance well-being adults.

Language: Английский

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Anxiety symptoms in older Chinese adults in primary care settings: Prevalence and correlates

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Oct. 4, 2022

Background Integrating mental health services into primary care is a potentially cost-effective way to decrease the treatment gap for anxiety in older adults but data on epidemiology of symptoms Chinese settings have been very limited. This study investigated prevalence and correlates patients. Methods A total 753 patients (≥65 years) were consecutively recruited from 13 clinics Wuhan, China, interviewed with validated version short form Geriatric Anxiety Inventory (GAI-SF). Results The (GAI-SF ≥ 3) was 21.1%. Statistically significant female sex (vs. male, OR = 1.85, P 0.002), poor economic status good, 2.31, 0.013), fair family relationship 0.006), hypertension (OR 2.01, &lt; 0.001), chronic gastric ulcer 6.82, Parkinson's disease 7.83, 0.031). Conclusions are prevalent among attending clinics. Efforts preventing or reducing may be more useful target those who women, financial status, don't good relationship, suffer hypertension, ulcer, disease.

Language: Английский

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Prevalence and correlates of suspected dementia in older adults receiving primary healthcare in Wuhan, China: A multicenter cross-sectional survey

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Oct. 4, 2022

Integrating the management of dementia into primary healthcare is a cost-effective way to reduce burden but clinical epidemiology in settings remains unclear. This study investigated prevalence and correlates suspected Chinese older adults receiving healthcare. In this multicenter cross-sectional survey, total 773 (≥65 years) were consecutively recruited from seven urban six rural care clinics Wuhan, China, interviewed with validated version Brief Community Screening Instrument for Dementia (BCSI-D). Participants those who screened positive on BCSI-D. The was 26.8%. Factors significantly associated female sex (OR = 1.95, P < 0.001), age-group 75+ 1.68, 0.004), poor financial status 4.79, residence 1.47, 0.032), no regular physical exercise 1.74, 0.002), stroke other cerebrovascular diseases 1.97, 0.015). are at high risk dementia. intervention efforts may be more useful target women, 75 years above, have economic status, residents, habit, suffer diseases.

Language: Английский

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Clinical insomnia among elderly primary care attenders in Wuhan, China: A multicenter cross-sectional epidemiological study

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Oct. 21, 2022

Background and objectives Integrating sleep health into primary care is a promising approach to narrow the treatment gap for insomnia in older adults but data regarding epidemiological characteristics of among elderly attenders (EPCAs) are very limited. This study examined prevalence correlates clinical Chinese EPCAs. Methods By using two-stage consecutive sampling method, total 757 EPCAs were recruited from seven urban six rural centers Wuhan, China. The Insomnia Severity Index (ISI) Geriatric Depression Scale (15 item version) administered assess severity depressive symptoms, respectively. Results two-week (ISI score ≥ 15) was 28.9%. Significant were: female sex (vs. male, OR = 2.13, P &lt; 0.001), fair poor family relationship good, 1.59, 0.028), hypertension (OR 1.67, 0.004), heart disease 1.73, 0.048), arthritis 2.72, symptoms 4.53, 0.001). Conclusion high suggests level need patients China's settings. Considering many negative outcomes associated with insomnia, it necessary integrate

Language: Английский

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Psychological Status of Men Who Have Sex with Men during COVID-19: An Online Cross-Sectional Study in Western China

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(2), P. 1333 - 1333

Published: Jan. 11, 2023

Background: The psychological status of men who have sex with (MSM) as a vulnerable population during COVID-19 is worthy attention. However, studies Chinese MSM are limited. aim this study was to investigate the and influencing factors provide scientific basis for group actively respond public health emergencies. Methods: From June September 2020, we conducted an online survey. MSMs were recruited through collaboration non-governmental organizations (NGOs) peer recommendations. variables collected included four aspects: demographic HIV-related characteristics; COVID-19-related knowledge, attitudes, behaviors; risk perception; epidemic exposure. assessed by Psychological Questionnaire Emergent Events Public Health (PQEEPH), which defined five primary disorders: depression, neurasthenia, fear, anxiety, hypochondria. Multivariate logistic regression used explore influences on status. Results: We surveyed 412 COVID-19. high-risk states accounted 16.99% (depression), 14.08% (neurasthenia), 16.75% (fear), 16.50% (anxiety), 18.20% (hypochondria), respectively. Not being well-informed about causes (p = 0.020) having experienced exposure 0.006) able promote occurrence depression. Lack knowledge curative effect has higher neurasthenia < 0.001). Being afraid novel coronavirus 0.001) promoted fear. perceived prevalence 0.003), more susceptible 0.001), not 0.005) had positive anxiety. Considering that effectively controlled 0.017), contributing factor Conclusions: incidence disorders in than other groups Factors associated may cause range mental problems population. Greater attention should be paid special populations epidemic, effective preventive education intervention measures taken.

Language: Английский

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