Network analysis of depression and anxiety symptoms and their associations with life satisfaction among Chinese hypertensive older adults: a cross-sectional study

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Март 18, 2024

Background Hypertension is one of the most prevalent chronic diseases among older adult population in China and adults with hypertension are more susceptible to mental health problems. This study aimed explore network structure depression anxiety, their association life satisfaction (LS) hypertension. Methods A total 4,993 hypertensive individuals aged 60 above were selected from Chinese Longitudinal Healthy Longevity Survey (CLHLS 2017–2018). The design CLHLS was approved by Campus Institutional Review Board Duke University (Pro00062871) Biomedical Ethics Committee Peking (IRB00001052-13,074). Center for Epidemiologic Studies Depression Scale-10 (CESD-10) Generalized Anxiety Disorder Scale-7 (GAD-7) used assess depressive anxiety symptoms. Central bridge symptoms identified via “Expected Influence” “Bridge Expected Influence”, respectively. Network stability assessed using case-dropping bootstrap technique. Results analysis CESD3 (Feeling blue/depressed), GAD4 (Trouble relaxing), GAD2 (Uncontrollable worry) as influential central anxiety. Concurrently, GAD1 (Nervousness or anxiety), CESD10 (Sleep disturbances), CESD1 bothered) stand critical between disorders. Moreover, CESD7 (Lack happiness) exhibited strongest negative correlation LS adults. Conclusion exploratory represents first investigation examine mutual relationship Interventions addressing targeting have potential alleviate Furthermore, improving happiness, hope, sleep quality this may mitigate adverse effects on LS.

Язык: Английский

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Bidirectional Associations of Depressive Symptoms and Cognitive Function Over Time

JAMA Network Open, Год журнала: 2024, Номер 7(6), С. e2416305 - e2416305

Опубликована: Июнь 11, 2024

Importance Cognitive decline and depressive symptoms often co-occur among older adults, they share several mechanisms. Despite the fact that cognitive dysfunction has been linked to increased symptoms, directionality of this association remains unclear. Objective To examine whether there is a bidirectional between function in English adults aged 50 years or throughout 16-year follow-up period. Design, Setting, Participants This cohort study included nationally representative sample community-dwelling older. The current analysis 8268 eligible participants with relevant data. These were examined every other year from 2002 2003 until 2018 2019, resulting period up 16 years. Data analyzed July November 2023. Main Outcomes Measures bivariate dual change score models used estimate multivariable associations function, which interchangeably as exposures outcomes. measures include memory verbal fluency tests, while Center for Epidemiologic Studies Depression Scale evaluated symptoms. Results population had mean (SD) age 64 (10) at baseline, 4517 (55%) female. Higher cross-sectionally associated poorer (β intercept, −0.018; standard error [SE], 0.004; P < .001) −0.009; SE, = .02) baseline. A steeper linear was an accelerated −0.253; 0.079; .001), acceleration over time 0.016; 0.006; .005). not observed fluency. Conclusions Relevance In study, greater baseline time. gradual contributed loss vice versa, suggesting psychological mood performance are intrinsically associated.

Язык: Английский

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Network analysis of depressive and anxiety symptoms in older Chinese adults with diabetes mellitus

Frontiers in Psychiatry, Год журнала: 2024, Номер 15

Опубликована: Янв. 29, 2024

Background The move away from investigating mental disorders as whole using sum scores to the analysis of symptom-level interactions network has provided new insights into comorbidities. current study explored dynamic between depressive and anxiety symptoms in older Chinese adults with diabetes mellitus (DM) identified central bridge depression-anxiety provide potential targets for prevention intervention depression anxiety. Methods This used a cross-sectional design data 2017–2018 wave Longitudinal Healthy Longevity Survey (CLHLS). A regularized partial correlation was estimated based on self-reported scales completed by 1685 DM aged 65 years or older. Depressive were assessed 10-item Center Epidemiologic Studies Depression Scale (CESD-10) Seven-Item Generalized Anxiety Disorder (GAD-7), respectively. Expected influence (EI) expected (BEI) indices calculated each symptom. Results According cutoff indicating presence anxiety, prevalences our sample 52.9% 12.8%, comorbidity rate 11.5%. six edges strongest correlations same disorder. “Feeling blue/depressed”, “Nervousness anxiety”, “Uncontrollable worry”, “Trouble relaxing”, “Worry too much” had highest EI values. anxiety” “Everything an effort” exhibited BEI Conclusion Central highlighted this study. Targeting these may be effective preventing facilitate interventions who are at risk currently have symptoms.

Язык: Английский

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Association Between Resting Heart Rate and the Risk of Incident Hypertension Among Older Chinese Adults: A Prospective Cohort Study

Journal of Clinical Hypertension, Год журнала: 2025, Номер 27(1)

Опубликована: Янв. 1, 2025

Examining the role of resting heart rate (RHR) in hypertension risk could improve our understanding its pathogenesis. However, most relevant studies have been conducted developed countries such as United States and Brazil, with no evidence for older Chinese population. Therefore, this study aimed to investigate association between RHR developing an A total 3836 participants from Longitudinal Healthy Longevity Survey (CLHLS) were included prospective study. Using Cox proportional hazard models, incident was evaluated, results expressed ratios (HRs) 95% confidence intervals (CIs). Multiplicative interaction effects analyzed age, sex, regular exercise, subgroup analyses also based on these factors. Sensitivity evaluate robustness results. During a 4.86-year follow-up, 1449 cases occurred. Every 10 beats per min increase associated 6% higher (HR = 1.06, CI: 1.01-1.12). Subgroup demonstrated significant associations women, aged ≥80, those who did not exercise regularly. The sensitivity confirmed consistency These findings indicate that faster is population, suggesting potential use identifying individuals at greater hypertension.

Язык: Английский

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Interactive changes in depression and loneliness symptoms prior to and during the COVID-19 pandemic: A longitudinal network analysis

Psychiatry Research, Год журнала: 2024, Номер 333, С. 115744 - 115744

Опубликована: Янв. 21, 2024

Язык: Английский

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Living arrangements and depression of the older adults– evidence from the Chinese longitudinal healthy longevity survey

BMC Public Health, Год журнала: 2023, Номер 23(1)

Опубликована: Сен. 27, 2023

The mental health and living arrangements of older adults are worthy attention. Previous studies have pointed out that the may be related to adults' depression. However, it has not been found concern relationship between actual arrangements, arrangement preferences, fit preferences reality depression in adults, so we carried this study.The data from Chinese longitudinal healthy longevity survey were used study. With as dependent variable variables independent variable, constructed three binary-logistic regression analysis models explore potential adults.We significantly correlated with adults. Specifically, alone or only spouse at greater risk Older who prefer relatively low whose do match a higher depression.The In addition whether also

Язык: Английский

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Intrarelationships between suboptimal health status and anxiety symptoms: A network analysis

Journal of Affective Disorders, Год журнала: 2024, Номер 354, С. 679 - 687

Опубликована: Март 23, 2024

Suboptimal health status is a global public concern of worldwide academic interest, which an intermediate between and illness. The purpose the survey to investigate relationship anxiety statuses suboptimal identify central symptoms bridge symptoms.

Язык: Английский

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Associations of Tai Chi With Depression and Anxiety Among Older Adults: Nationwide Study Findings From a Network Perspective

Journal of Geriatric Psychiatry and Neurology, Год журнала: 2025, Номер unknown

Опубликована: Янв. 7, 2025

Within the global population, depression and anxiety are common among older adults. Tai Chi is believed to have a positive impact on these disturbances. This study examined network structures of practitioners vs non-practitioners. Propensity score matching (PSM) was used construct non-practitioner group based Chinese Longitudinal Healthy Longevity Survey (CLHLS) data. 346 1019 non-practitioners were included. The prevalence severity rates significantly lower compared though there no difference for anxiety. Network analysis showed that, practitioners, “Felt sadness”, “Uncontrollable worrying” “Trouble relaxing” most central symptoms. In contrast, non-practitioners, symptoms worrying”, “Nervousness”. Key bridge linking depressive “Worry too much”, “Bothered by things” in “Nervousness”, nervous/fearful” “Sleep quality” underscored how practising associated with reduced overall different interactions Central differed between

Язык: Английский

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Closing the gap in dementia research by community-based cohort studies in the Chinese population

The Lancet Regional Health - Western Pacific, Год журнала: 2025, Номер 55, С. 101465 - 101465

Опубликована: Янв. 21, 2025

Язык: Английский

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Coping with cognitive decline in older adults with mild cognitive impairment or mild dementia: a scoping review

Aging & Mental Health, Год журнала: 2025, Номер unknown, С. 1 - 10

Опубликована: Янв. 21, 2025

This scoping review aims to map out the coping strategies among Persons with Mild Cognitive Impairment (PwMCI) and Dementia (PwMD), identifying facilitators barriers use of strategies. We conducted a systematic search peer-reviewed studies in PubMed, CINAHL, EMBASE, PsycINFO. Under guidance Coping Circumflex Model, we identified then thematic synthesis. Our 17 revealed 13 themes for PwMCI PwMD, categorized into problem-solving, positive emotional, problem avoidance, negative emotional The included utilization reminders, active engagement daily tasks, acceptance, concealing memory problems. encompassed social interactions, assistance from informal care partners, support professionals, influence emotion. practical types context on their development, highlighting need personalized These insights are crucial developing tailored interventions improve quality life PwMD. Future research should focus how PwMD develop effective strategies, considering trajectory cognitive decline.

Язык: Английский

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