Association of chronic diseases with depression, anxiety and stress in Chinese general population: The CHCN-BTH cohort study

Liu, Xiaohui; Cao, Han; Zhu, Huiping; Zhang, Han; Niu, Kaijun; Tang, Naijun; Cui, Ze; Pan, Li; Yao, Changqiang; Gao, Qi; Wang, Zhengfang; Sun, Jixin; He, Huijing; Guo, Mengye; Guo, Chunyue; Li, Kuo; Peng, Hai; Peng, Wei; Sun, Yanyan; Xie, Yunyi; Li, Bingxiao; Shan, Guangliang; Zhang, Ling

doi:10.1016/j.jad.2021.01.040

Cited by 48 publications

(37 citation statements)

References 45 publications

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“…The Chinese version of the Depression, Anxiety and Stress Scale (DASS-21) was used to measure psychological distress in this sample [ 39 ]. Each item is scored on a 4-point Likert scale (0 = did not apply to me at all and 3 = applied to me very much), with a higher total score indicating more severe levels of distress [ 40 ].…”

Section: Methodsmentioning

confidence: 99%

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The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model

et al. 2022

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Background Previous research has found a link between sleep quality and psychological distress. However, the underlying mechanisms of this connection have still not been well explored. The aim of this study was to examine the roles of activities of daily living (ADL), physical activity, and perceived social support in the link between sleep quality and psychological distress among older adults. Methods Three thousand two hundred fifty valid individuals (aged 60 years or above) participated in face-to-face questionnaire-based surveys. Older individuals were assessed using the Pittsburgh Sleep Quality Index, Barthel Index, International Physical Activity Questionnaire, Perceived Social Support Scale, and Depression Anxiety Stress Scale-21. The PROCESS macro developed by Hayes was used to conduct moderated mediation analysis. Results In older adults, sleep quality had a substantial direct influence on psychological distress. ADL mediated the association between sleep quality and psychological distress. Physical activity significantly reduced ADL’s mediating influence on the relationship between sleep quality and psychological distress. Furthermore, perceived social support moderated the direct relationship between sleep quality and psychological distress, as well as the second half of the mediating effect of the ADL. Moreover, physical activity and perceived social support were preventive factors that might successfully mitigate the detrimental effects of poor sleep quality on ADL and psychological distress. Conclusions The findings contribute to existing understanding by clarifying the fundamental mechanisms that link sleep quality and psychological distress. These results may provide a valuable reference to the Chinese government for improving mental health in older individuals.

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Section: Methodsmentioning

confidence: 99%

“…Scores on the DASS-21 range from 0 to 126. As with the previous measures, the Chinese version of this scale has been used in many studies with high validity and reliability [ 39 , 41 ]. The Cronbach’s α for DASS-21 was 0.950 in the studied sample, showing excellent internal consistency in the Chinese older population.…”

Section: Methodsmentioning

confidence: 99%

The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model

et al. 2022

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“…This finding supported the findings of a previous study [ 15 ] in which analysis of the patterns of chronic disease and medical service use in adults showed that depression with chronic disease increased the number of outpatient visits and admission rate. In addition, depression and chronic disease have been suggested to be closely related [ 21 ]. As physical and psychological symptoms interact and affect the functional state of patients, patients with both chronic diseases and depression are more likely to use medical services.…”

Section: Discussionmentioning

confidence: 99%

Depression with Chronic Disease Is Associated with Increased Use of Medical Services and Medical Expenses in Hardcore Smokers

et al. 2022

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We aimed to investigate the association of chronic disease and depression with medical service use and expenses in hardcore smokers and provide basic data for health management system of hardcore smokers. This was a secondary data study involving 1735 smokers. Propensity score matching (PSM) was conducted to match hardcore smokers with regular smokers, and a two part model (TPM) was used based on the matched groups. In the case of general smokers, subjects with both depression and chronic disease had a significant relation to medical service use. In the case of hardcore smokers, subjects without depression and with chronic disease or with both depression and chronic disease had increased the use of medical services. The depression and chronic disease of general smokers did not affect the use of medical services. In the case of hardcore smokers, subjects who do not have depression and have only chronic disease (β = 0.20, p = 0.002) or with depression and chronic disease (β = 0.20, p = 0.014) significantly related the use of medical services. Conclusion: It is necessary to establish a health management system that considers both emotional states and chronic disease for hardcore smokers.

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“…The 21-item self-reported depression–anxiety–stress scale (DASS-21) was used to evaluate the participants’ depression, anxiety, and stress symptoms (dependent variable). The scale was developed using Australian data and has been validated in both clinical [ 22 ] and nonclinical samples [ 23 ], in the community [ 24 ], and with adults [ 25 ]. The DASS-21 possessed good convergent and discriminant validity and high internal consistency in our population also.…”

Section: Methodsmentioning

confidence: 99%

Psychiatric Symptoms and Frequency of Eating out among Commuters in Beijing: A Bidirectional Association?

Zhang

Xie

et al. 2022

Nutrients

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Background: Mental illness places as a distant first in global burdens, exceeding both cardiovascular and circulatory diseases, in terms of the years lived with the disability. The emergence of the new and burgeoning area of “Nutrition Psychiatry” offers promise in improving mental health with diet. Mental health and well-being are critical to commuters but rarely recieve the attention they need. This study aimed to examine the bidirectional relationship between the frequency of eating out and depression, anxiety, and stress symptoms in a sample of Beijing commuters. Methods: A total of 3337 commuters (mean (SD) age, 38.78 (10.41); 74.74% males) from the cohort study CHCN-BTH were included. The psychiatric symptoms were evaluated using a 21-item self-reported depression–anxiety–stress scale (DASS-21). A Cochran–Armitage trend chi-square test, restricted cubic spline, multiple logistic regression, multinomial logit models, and E-values were performed to estimate the associations between eating out and psychiatric symptoms in both directions. Results: A daily rate of eating out more than 50% had a higher risk for depression (OR, 95% CI: 1.68, 1.184–2.393), anxiety (1.73, 1.259–2.369), and stress (1.99, 1.191–3.329) than the individuals eating at home. A higher frequency of eating out for lunch was significantly associated with an increased risk of depression (1.78, 1.28–2.46), anxiety (1.67, 1.26–2.23), and stress (2.05, 1.31–3.22). Similar results were found when eating out for dinner with increased risks for depression 2.20 (1.59, 3.06), anxiety 1.91 (1.42, 2.59), and stress 2.61 (1.68, 4.05). There is limited evidence supporting the effects of psychiatric symptoms on the frequency of eating out in the reverse analyses. Conclusions: The frequency of eating out is positively associated with an increased risk of psychiatric symptoms, especially when eating out for lunch and dinner. People eating at home have the lowest risk of suffering psychiatric symptoms, followed by those eating in the workplace canteen. Eating at home should be considered for future recommendations for the prevention of psychiatric symptoms.

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Association of chronic diseases with depression, anxiety and stress in Chinese general population: The CHCN-BTH cohort study

Cited by 48 publications

References 45 publications

The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model

The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model

Depression with Chronic Disease Is Associated with Increased Use of Medical Services and Medical Expenses in Hardcore Smokers

Psychiatric Symptoms and Frequency of Eating out among Commuters in Beijing: A Bidirectional Association?

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