Association Between Arthritis and the Risk of Depressive Symptoms in Middle-Aged and Older Adults: A Nationwide Population-Based Study.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Da-Long Hou, Yang Yang
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引用次数: 0

Abstract

Background: Arthritis patients often endure the development of depressive symptoms, significantly impacting their quality of life. However, current research on the correlation between arthritis and depressive symptoms remains limited, suggesting inconsistent findings.

Objective: This study investigated this correlation using data from the 2018 China Health and Retirement Longitudinal Study (CHARLS) to explore the connection between arthritis and depressive symptoms among middle-aged and elderly individuals.

Methods: This retrospective study encompassed a matched cohort of 13,318 Chinese adults aged ≥ 45 years, consisting of 6,925 individuals with depressive symptoms and 6,393 without, drawn from CHARLS. A logistic regression model was employed to examine the intricate relationship between arthritis and depressive symptoms within this diverse population. Through careful consideration of covariates such as age, residence, marital status, educational level, current drinking habits, and current smoking status, our objective was to promote a nuanced understanding of the complex relationship between arthritis and the prevalence of depressive symptoms.

Results: Among the 13,318 respondents, the average age (Mean ± SD) was 60 ± 10 years. The prevalence rates of arthritis, depressive symptoms, and the combination of arthritis with depressive symptoms were 32%, 52%, and 40%, respectively. After adjusting for all covariates, including age, residence, marital status, educational level, current drinkers, and current smokers, the risk of developing depressive symptoms in patients with arthritis remained significantly higher (OR=1.31, 95% CI 1.11-1.48, P = .021) compared to those without arthritis.

Conclusions: This study establishes a significant association between arthritis and the development of depressive symptoms in middle-aged and older adults. Arthritis emerges as a potential risk factor, emphasizing the need for targeted interventions to enhance mental well-being in this population.

中老年人关节炎与抑郁症状风险之间的关系:一项基于全国人口的研究。
背景:关节炎患者经常会出现抑郁症状,严重影响他们的生活质量。然而,目前关于关节炎与抑郁症状之间相关性的研究仍然有限,研究结果不一致:本研究利用 2018 年中国健康与退休纵向研究(CHARLS)的数据对这种相关性进行了调查,以探讨中老年人关节炎与抑郁症状之间的联系:这项回顾性研究涵盖了13318名年龄≥45岁的中国成年人,其中6925人有抑郁症状,6393人无抑郁症状。我们采用逻辑回归模型来研究这一不同人群中关节炎与抑郁症状之间错综复杂的关系。通过仔细考虑年龄、居住地、婚姻状况、教育程度、当前饮酒习惯和当前吸烟状况等协变量,我们的目标是促进对关节炎与抑郁症状发生率之间复杂关系的深入理解:在 13,318 名受访者中,平均年龄(平均值±标准差)为 60±10 岁。关节炎、抑郁症状以及关节炎合并抑郁症状的患病率分别为 32%、52% 和 40%。在对年龄、居住地、婚姻状况、教育程度、酗酒者和吸烟者等所有协变量进行调整后,与无关节炎患者相比,关节炎患者出现抑郁症状的风险仍然显著较高(OR=1.31,95% CI 1.11-1.48,P = .021):结论:这项研究证实,关节炎与中老年人抑郁症状的产生有重要关联。关节炎是一个潜在的风险因素,因此需要采取有针对性的干预措施来提高这一人群的心理健康水平。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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