Depressive symptoms and cognitive impairment: A 10-year follow-up study from the Survey of Health, Ageing and Retirement in Europe

Han, Feifei; Wang, Huixin; Wu, Jiajia; Yao, Wu; Hao, Changfu

doi:10.1192/j.eurpsy.2021.2230

Cited by 23 publications

(14 citation statements)

References 73 publications

(79 reference statements)

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“…Consistent with our findings, longitudinal associations between increased depressive symptoms and cognitive decline as well as higher MCI risks have been revealed in many studies ( 20 , 45 , 46 ). However, baseline depression status was not associated with cognitive decline or MCI incidence in this study, which contradicts some studies ( 21 , 47 ).…”

Section: Discussionsupporting

confidence: 93%

“…The current study was the first to investigate the longitudinal associations between depressive symptoms and cognition among Chinese rural elderly individuals. Consistent with our findings, longitudinal associations between increased depressive symptoms and cognitive decline as well as higher MCI risks have been revealed in many studies (20,45,46). However, baseline depression status was not associated with cognitive decline or MCI incidence in this study, which contradicts some studies (21,47).…”

Section: Discussionsupporting

confidence: 61%

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Depressive Symptoms and Cognitive Decline Among Chinese Rural Elderly Individuals: A Longitudinal Study With 2-Year Follow-Up

Shuai

Qiong

Jingya

et al. 2022

Front. Public Health

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BackgroundDepressive symptoms and mild cognitive impairment (MCI) are highly prevalent in rural China. The study aimed to investigate the longitudinal associations between changes in depressive symptoms and cognitive decline and MCI incidence among Chinese rural elderly individuals.MethodsA 2-year follow-up study was conducted among 1,477 participants from the Anhui Healthy Longevity Survey (AHLS). Depressive symptoms were assessed by the 9-item Patient Health Questionnaire (PHQ-9), and cognitive status was evaluated by the Mini Mental State Examination (MMSE). Multivariable linear regression and logistic regression were employed.ResultsEvery 1-unit PHQ-9 score increase was significantly associated with more cognitive decline (β = 0.157, 95% CI: 0.092, 0.221, p < 0.001) and a higher risk of MCI incidence (OR = 1.063, 95% CI: 1.025, 1.103, p = 0.001). The participants who experienced worsening of depression symptoms had a larger decline in the 2-year MMSE score (β = 0.650, 95% CI: 0.039, 1.261, p = 0.037) and elevated risks of incident MCI (OR = 1.573, 95% CI: 1.113, 2.223, p = 0.010).LimitationsScreening tools rather than standard diagnostic procedures were used in the study. Moreover, the long-term associations still need further exploration since the follow-up time was short.ConclusionsIncreased depressive symptoms were associated with more cognitive decline and higher risks of incident MCI among Chinese rural residents.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 61%

Depressive Symptoms and Cognitive Decline Among Chinese Rural Elderly Individuals: A Longitudinal Study With 2-Year Follow-Up

Shuai

Qiong

Jingya

et al. 2022

Front. Public Health

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“…Since depressive symptoms have a great impact on health in old age, we would like to propose relevant interventions measures to reduce depressive symptoms of the older adults ( 65 , 66 ). Firstly, for older people themselves, it was important to share their interests and enrich their entertainment life to improve their sense of life and well-being ( 67 ), which can improve their gastrointestinal, cardiovascular and cerebrovascular discomforts and alleviate somatic discomfort ( 68 ).…”

Section: Discussionmentioning

confidence: 99%

Internet Use and Depressive Symptoms Among Older Adults in China

Yang

Zhang

et al. 2021

Front. Psychiatry

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This study investigated the effect of using the Internet on depression symptoms of older Chinese, based on 7,801 adults aged over 60 years from the 2018 China Family Panel Studies. Results showed that the elderly who used the Internet reported lower depression scores, and the more frequent they use Internet, the lower their depression scores. Moreover, using the Internet for social contact and entertainment decreased the depression scores of the older adults, but when using Internet for learn, work, and commercial activity, the relief of depressive symptoms disappeared. Therelief of depression symptoms through Internet use were heterogeneous among different groups: the elderly aged 60–70, women, rural residents, and those with lower education attainment. Moreover, Internet use decreased the depression scores by increasing the frequency of contact with their children and increasing the importance of their enjoyment of life. According to the relief of depression by using Internet reasonably, policies should be designed to ensure that all ages could have easy access to the Internet.

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“…In the SHARE, depressive symptoms were assessed using the Europe-depression (EURO-D) scale 40,41 . This scale covers 12 sentiments of the respondent in the previous month, including depressed mood, pessimism, suicidal tendencies, etc.…”

Section: Depressive Symptoms Assessmentmentioning

confidence: 99%

Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and Europe

Ren

Sun

Zhu

et al. 2022

Preprint

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Importance: Adverse childhood experiences are associated with higher depressive risks in adulthood. Whether respondents' adverse childhood experiences are associated with their adulthood depressive symptoms and further contribute to spousal depressive symptoms was unexplored. Objective: To assess the spousal concordance of adverse childhood experiences, the association of respondents' adverse childhood experiences with spousal depressive symptoms and the mediating role of respondents' depressive symptoms in this association. Design: This cohort study was conducted based on data from China Health and Retirement Longitudinal Study (CHARLS), the Health and Retirement Study (HRS), and the Survey of Health, Ageing and Retirement in Europe (SHARE). Data were analyzed from June through July 2022. Setting: The study was based on three cohorts in China, the US, and Europe. Participants: Couples aged 50 years or older with complete data on ACEs and covariates. Exposures: Adverse childhood experiences. Main Outcomes and Measures: The 10-item Center for Epidemiological Studies Depression Scale, the eight-item Center for Epidemiologic Studies Depression Scale, and the Europe-depression scale were respectively applied in CHARLS, HRS, and SHARE to define depressive symptoms. Results: Couples' adverse childhood experiences were noticeably correlated in the three cohorts. Significant associations between husbands' adverse childhood experiences and wives' depressive symptoms in the three cohorts, with ORs and 95% CIs of 2.09 (1.36-3.22) for 4 or more adverse childhood experiences in CHARLS, and 1.25 (1.06-1.48) and 1.38 (1.06-1.79) for 2 or more adverse childhood experiences in HRS and SHARE. However, wives' adverse childhood experiences were associated with husbands' depressive symptoms in only CHARLS and SHARE. Findings in intra-familial and extra-familial adverse childhood experiences were consistent with our main results. Additionally, respondents' depressive symptoms mediated more than 20% of the effect of respondents' adverse childhood experiences on spousal depressive symptoms. Conclusion and Relevance: In the CHARLS, HRS, and SHARE databases, we found that adverse childhood experiences were significantly correlated between couples. Respondents' adverse childhood experiences were associated with spousal depressive symptoms, with respondents' depressive symptoms mediating the association. The two-way implications of adverse childhood experiences on depressive symptoms should be considered at couple level and effective interventions are warranted.

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Depressive symptoms and cognitive impairment: A 10-year follow-up study from the Survey of Health, Ageing and Retirement in Europe

Cited by 23 publications

References 73 publications

Depressive Symptoms and Cognitive Decline Among Chinese Rural Elderly Individuals: A Longitudinal Study With 2-Year Follow-Up

Depressive Symptoms and Cognitive Decline Among Chinese Rural Elderly Individuals: A Longitudinal Study With 2-Year Follow-Up

Internet Use and Depressive Symptoms Among Older Adults in China

Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and Europe

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