Socioeconomic status and depression in later life: longitudinal mediation effects of activities of daily living

BMC Psychiatry, Journal Year: 2024, Volume and Issue: 24(1)

Published: Sept. 27, 2024

Language: Английский

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Depression among individuals with disabilities: a community-based cross-sectional study in Nepal

BMJ Open, Journal Year: 2025, Volume and Issue: 15(2), P. e082955 - e082955

Published: Feb. 1, 2025

Objective To assess the prevalence of depression and its associated factors among individuals with disabilities. Design Cross-sectional study. Setting Community-based study conducted in Ilam municipality, Nepal, from October to November 2019. Participants The was 164 people physical, hearing vision-related were selected through a simple random sampling method using frame obtained municipality. Main outcome measure Depression assessed via validated Nepali version Hospital Anxiety Scale. Data collection based on pretested structured questionnaire. Results 39% disabilities, 29.9% respondents borderline depression. In an unadjusted analysis, significantly (p<0.05) comorbidities, absence medical intervention, severe disabilities acquired at birth. After adjusting for individual-level (age, sex, education, employment physical activities), level disability treatment accessibility family community-level (economic status, experience violence social participation), remained having intervention presence very When both factors, continued show significant association (OR 6.36 (moderate vs mild), 2.11 (severe mild) 13.3 (very overall p-value 0.045). Across all three adjusted models, (p<0.05). Conclusion is one major global public health concerns, being particularly vulnerable. Ensuring well-being requires focused attention strategic planning, emphasising disease prevention, promotion improved access care.

Language: Английский

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Development and Validation of a Risk Prediction Model for Depression in Patients with Stroke

Archives of Clinical Neuropsychology, Journal Year: 2025, Volume and Issue: unknown

Published: March 7, 2025

Stroke is the third leading cause of death and disability worldwide in 2019. In stroke patients, about one-third or more are affected by depression, which makes it a serious social public health problem. This study aims to create validate nomogram for early prediction identification depression patients. Cross-sectional data from 605 survivors aged 60 over CHARLS 2011, 2015 was used. Participants were split into training testing groups. Predictive factors identified using Least Absolute Shrinkage Selection Operator (LASSO) multivariable logistic regression, creation model. The model's performance assessed with Receiver Operating Characteristic (ROC) curves, Concordance Index (C-index), calibration plots, Decision Curve Analysis (DCA). It Activities Daily Living (ADL), Instrumental (IADL), sleep hours, uric acid, Triglyceride-Glucose-Body Mass (TyG-BMI) as risk post-stroke, integrated final nomogram's predictive deemed acceptable, ROC curve values 0.7512 (95% CI: 0.705-0.798) set 0.723 0.65-0.797) set. confirmed accuracy, DCA showed had clinical utility. Five key chosen predicting demonstrates evaluation serves tool forecasting this population.

Language: Английский

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Interaction effects of sleep duration and activities of daily living on depressive symptoms among Chinese middle-aged and older adult individuals: evidence from the CHARLS

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: March 12, 2025

Objectives Evidence on the combined effect of sleep duration and activities daily living (ADL) depressive symptoms is scarce. This study aimed to explore interaction effects between ADL limitations among Chinese individuals aged ≥45 years. Methods Data were extracted from China Health Retirement Longitudinal Study (CHARLS) wave 2020. Sleep was self-reported. The Center for Epidemiological Studies Depression Scale a 12-item scale employed estimate limitations, respectively. Logistic regression analysis conducted examine symptoms. Results found that short (OR = 1.69, 95% CI: 1.57–1.83), long 0.87, 0.79–0.95), [basic (BADL), OR 1.82, 1.66–2.01; instrumental (IADL), 1.88, 1.71–2.07] associated with Furthermore, synergistic risk identified IADL (RERI 1.08, 0.57–1.59) or BADL 1.13, 0.60–1.65). Conversely, antagonistic observed 0.88, 0.39–1.38) 0.76, 0.25–1.27) Conclusion revealed significant interactions symptoms, suggesting enhancing ADL’s function ensuring adequate could effectively prevent

Language: Английский

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The mediating roles of activities of daily living and depression in the relationship between pain and sleep duration among rural older adults in China: a cross-sectional study

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: March 28, 2025

As the population ages, health of rural older adults is increasing concern to society. Pain, decreased activity daily living, depression, and sleep are important factors affecting quality life adults. This study aimed explore complex relationship between pain, in adults, with goal providing new perspectives intervention strategies improve quality. was based on data from 2020 China Health Retirement Longitudinal Study, aged 60 years above were selected as subjects, a final sample size 5,352. Stata 18.0 SPSS 27.0 software used for statistical analysis, t-tests, analysis variance (ANOVA), Pearson correlation analyses one-way analyses, PROCESS 4.2 mediation effect testing. Pain negatively correlated duration (r = -0.212) positively (p < 0.001) impairment living 0.339) depression 0.355). The test reported that pain had direct (95% CI: -0.076 -0.043), -0.014 -0.004) -0.026 -0.017) acting chained mediators two. reveals interrelationships It recommended medical resources be strengthened, awareness increased, community care services improved, recreational activities provided, family emotional support encouraged

Language: Английский

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Effect of Balance Capacity on Fear of Falling in Older Adults: The Mediating Role of Activities of Daily Living and Depressive Symptoms

Research in Gerontological Nursing, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 9

Published: April 4, 2025

Purpose To explore the relationship between postural balance and fear of falling (FoF) in older adults, examining chain mediating roles activities daily living (ADLs) depressive symptoms. Method The role ADLs symptoms FoF was tested using PROCESS macro for SPSS 26.0. Results play a FoF. Impaired is associated with poorer adults an increased risk Conclusion Targeted interventions can be developed to reduce by improving balance, increasing ADLs, alleviating [ Research Gerontological Nursing, xx (x), xx–xx.]

Language: Английский

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Uncovering unseen ties: a network analysis explores activities of daily living limitations and depression among Chinese older adults

Frontiers in Aging Neuroscience, Journal Year: 2025, Volume and Issue: 17

Published: April 11, 2025

Background Chinese older adults frequently encounter limitations in activities of daily living (ADL) and experience depression. Prior research has not deeply explored the interconnectedness these factors through network analysis. Methods The study utilized data from 2,137 aged 65 older, sourced 2018 China Health Retirement Longitudinal Study (CHARLS). ADL scale CESD-10 were employed to assess ability perform depression, respectively. We conducted modeling bridge expected influence (BEI) evaluations investigate relationships between Results Our analysis revealed robust connections depressive symptoms. Specifically, somatic symptoms emerged as significant predictors depression risk with highest BEI 0.21, whereas positive exhibited a protective effect 0.13. Notably, toileting 0.04 among was identified pivotal node linking Conclusion This illuminated complex interplay adults, serving crucial connecting point. findings offer valuable insights that can inform efforts enhance mental health improve quality life for this population.

Language: Английский

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Association between central obesity and ADL impairment among the middle-aged and elderly population in China based on CHARLS

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: April 18, 2025

To explore the associations of central obesity indicators including waist circumference (WC), waist-to-height ratio (WHtR), and weight-adjusted index (WWI) with impairment basic activities daily living (BADL) instrumental (IADL) among middle-aged elderly population in China. This prospective study used baseline data from 2011 follow-up data, involving 6440 9646 participants, respectively. Binary logistic regression analysis was to assess relationships. Restricted cubic spline (RCS) curve also analyze correlation trends. Stratified analyses were performed identify potential differences. Receiver operating characteristic curves plotted evaluate predictive value each indicator. WC (OR = 1.01, 95% CI:1.01-1.02), WHtR 1.21, CI 1.09-1.33), WWI 1.10, CI:1.02-1.19) significantly associated BADL impairment. Only 1.16, 95%CI:1.09-1.23) IADL WC, linearly while The risk association between stronger drinking individuals males. In participants a BMI less than 24 kg/m² who had received high school education or above, increase accompanied by more significant ability is higher that WHtR, AUC values 0.597 0.615. WWI, as comprehensive indicator obesity, may be useful comprehensively identifying early activity population.

Language: Английский

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Associations between depressive symptoms, activity of daily living, and falls/severe falls: evidence from two prospective longitudinal studies

Social Psychiatry and Psychiatric Epidemiology, Journal Year: 2025, Volume and Issue: unknown

Published: May 19, 2025

Language: Английский

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Longitudinal association between ADL disability and depression in middle-aged and elderly: national cohort study

The journal of nutrition health & aging, Journal Year: 2024, Volume and Issue: 29(2), P. 100450 - 100450

Published: Dec. 13, 2024

Language: Английский

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