Prevalence of depressive symptoms among older adults in mainland China: A systematic review and meta-analysis

Tang, Tan; Jiang, Jianling; Tang, Xinfeng

doi:10.1016/j.jad.2021.06.050

Cited by 97 publications

(53 citation statements)

References 38 publications

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“…Second, our sample consisted primarily of healthy Chinese Singaporean older adults who were mostly female. Considering that female older adults constitute a greater proportion of active SNS users (see Newman et al, 2021) and have shown elevated risk for loneliness (Dong & Chen, 2017;Fokkema et al, 2012) and depressive symptoms (Li et al, 2014;Tang et al, 2021;Zunzunegui et al, 2007) compared with their male counterparts, further research with gender-balanced samples is needed to ascertain our findings. Furthermore, our results may not be generalizable to elderly populations of other ethnicities or with cognitive impairments.…”

Section: Discussionmentioning

confidence: 97%

“…Specifically, life satisfaction is viewed as a key measure of subjective well-being in old age (Celik et al, 2017; Gaia et al, 2021; Papi & Cheraghi, 2021). Furthermore, in light of age-related risk factors such as physical frailty, social isolation, and bereavement (Arslantaş et al, 2015; Ge et al, 2018; Losada et al, 2012; Szabó et al, 2019; Taylor et al, 2016), loneliness and depressive symptoms have been identified as crucial indices of well-being in older adults that warrant further empirical attention (see Li et al, 2014; Tang et al, 2021; Victor & Yang, 2012). Accordingly, an increasing number of studies have investigated older adults’ SNS use in relation to at least one of these key well-being outcomes: life satisfaction (e.g., Chen & Feeley, 2014; Chiarelli & Batistoni, 2021; Kim & Shen, 2020; Zhou, 2018), feelings of loneliness (e.g., Yu et al, 2016; Zhang et al, 2021), and depressive symptoms (e.g., Aarts et al, 2015; Chopik, 2016; Kim et al, 2020; Wiwatkunupakarn et al, 2021)—two of these well-being indices in tandem (e.g., Aarts et al, 2015; Chen & Feeley, 2014; Wiwatkunupakarn et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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Socializing Targets of Older Adults’ SNS Use: Social Strain Mediates the Relations Between Older Adults’ SNS Use With Friends and Well-Being Outcomes

Tng

Yang

2022

Social Media + Society

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Studies have yielded mixed findings regarding the relation between older adults’ social networking site (SNS) use and well-being. Drawing on socioemotional selectivity theory, we sought to examine whether older adults’ SNS use with different socializing targets (i.e., family vs friends) would differentially predict global, social, and mental well-being outcomes indexed by life satisfaction, loneliness, and depressive symptoms, respectively. Furthermore, we examined whether social support and social strain would mediate, in parallel, the relations between SNS use and well-being outcomes. We recruited healthy, community-dwelling older adults (ages 60–93 years, N = 69). Using the PROCESS macro, we found that SNS use with friends, but not family, predicted poorer life satisfaction and greater loneliness via increased social strain. However, SNS use with neither friends nor family was linked to depressive symptoms. Furthermore, social support failed to account for the relations between SNS use and well-being indices. These results held when we controlled for a host of covariates—age, gender, education level, income, marital status, and overall physical health. Our findings reconcile disparate findings in the literature by elucidating that older adults’ SNS use with different socializing targets asymmetrically predicts life satisfaction and loneliness via varying degrees of perceived social strain.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Socializing Targets of Older Adults’ SNS Use: Social Strain Mediates the Relations Between Older Adults’ SNS Use With Friends and Well-Being Outcomes

Tng

Yang

2022

Social Media + Society

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“…This study was approved by the ethics committee of the Affiliated Brain Hospital of Guangzhou Medical University. The inclusion criteria for the participants with LLD were as follows: (1)…”

Section: Subjectsmentioning

confidence: 99%

“…The neuropsychological assessments included the following: (1) Because the TMT-A and TMT-B are tested under a time limit, less time shows better capability, and assessing this capability uses the inverse of the scores. NPSs were evaluated using the neuropsychiatric inventory questionnaire (NPI).…”

Section: Neuropsychological Assessmentsmentioning

confidence: 99%

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Interactive Effects of Agitation and Cognitive Impairment on Odor Identification in Patients With Late-Life Depression

et al. 2022

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BackgroundLate-life depression (LLD) is a risk factor for cognitive decline in older adults, and odor identification (OI) deficits are an early indicator of cognitive decline with LLD. However, neuropsychiatric symptoms (NPSs) are common in LLD and are associated with OI deficits. In subjects with LLD, when OI deficits forecast cognitive decline, whether and how NPS affects the relationship between OI and cognition still must be further explored.ObjectiveTo comprehensively explore the potential effects of various NPSs on the relationship between OI and cognition in participants with LLD.MethodsThere were 167 patients with LLD and 105 normal elderly (NE) participants. The odor identification test (Sniffin' Sticks), cognitive function assessments (global cognition, memory, executive function, attention, language, visual space), and an NPS assessment (the neuropsychiatric inventory questionnaire) were performed on the subjects. In patients with LLD, the relationship among OI, cognition and NPSs was examined using correlation analysis and moderation analysis.ResultsIn patients with LLD, OI was positively correlated with cognition (global cognition, memory, executive function, attention, language) and negatively associated with NPSs (agitation and aberrant motor behavior). In NE group, OI was correlated with executive function. Moderation analysis showed that there was an interactive effect of agitation and cognitive impairment (language deficit or attention deficit) on OI in patients with LLD.ConclusionThe coexistence of agitation and language or attention deficit was associated with worse OI in subjects with LLD. Agitation should be considered since OI predicts cognitive decline in patients with LLD.

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Psychological risk and protective factors associated with depression among older adults in mainland China: A systematic review and meta‐analysis

Tang

Jiang

Tang

2021

Int J Geriat Psychiatry

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Background: Although geriatric depression is a public health concern in mainland China, findings about its psychological risk and protective factors have been inconsistent, and its prevention programmes have been deficient. To improve interventions for geriatric depression, we designed a study to systematically estimate the effect size of those factors. Methods:To identify psychological risk and protective factors of geriatric depression, we conducted two independent literature searches in English-and Chineselanguage databases, and we used a random effects model to analyse effect sizes. Results:We identified 15 psychological risk and protective factors in 66 studies. The pooled effect sizes between the factors and geriatric depression ranged from 0.129 to 0.567. Self-esteem displayed a large effect size with depression (r = −0.567), whereas medium-to-large effect sizes emerged between geriatric depression and negative perceptions of age (r = 0.452), resilience (r = −0.426), rumination (r = 0.432), neuroticism (r = 0.381), extraversion (r = −0.363), self-efficacy (r = −0.357), sense of control (r = −0.343), and negative coping strategies (r = 0.315). The sample's mean age, the percentage of women sampled, and the research quality of the studies significantly moderated certain associations.Limitations: Large heterogeneity, the inexplicability of causal relationships between the factors and geriatric depression, and the lack of generalisability to special groups limit our findings. Conclusions: Self-esteem and perceptions of age are potential targets for improving interventions for geriatric depression in mainland China, which should continue to be developed and assessed for their effectiveness.

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Prevalence of depressive symptoms among older adults in mainland China: A systematic review and meta-analysis

Cited by 97 publications

References 38 publications

Socializing Targets of Older Adults’ SNS Use: Social Strain Mediates the Relations Between Older Adults’ SNS Use With Friends and Well-Being Outcomes

Socializing Targets of Older Adults’ SNS Use: Social Strain Mediates the Relations Between Older Adults’ SNS Use With Friends and Well-Being Outcomes

Interactive Effects of Agitation and Cognitive Impairment on Odor Identification in Patients With Late-Life Depression

Psychological risk and protective factors associated with depression among older adults in mainland China: A systematic review and meta‐analysis

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