Social isolation and depressive symptoms among older adults with different functional status in China: A latent class analysis

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-02-01 DOI:10.1016/j.jad.2025.01.156

Xuan Liu , Jun-Han Chen , Bo Gao , Wan-Jia Zhang

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引用次数: 0

Abstract

Background

Social isolation is considered a risk factor for depression in older adults. Since there may be heterogeneity in the experience of social isolation, we aimed to investigate social isolation patterns and their association with depressive symptoms, for older adults with different functional status separately.

Methods

This study used data from the fifth wave of the China Health and Retirement Longitudinal Study (CHARLS). A total of 8262 participants, defined as older adults aged 60 years and above, were included in the analysis, comprising 49.9 % (n = 4124) men and 50.1 % (n = 4138) women. Latent class analysis was conducted to identify social isolation patterns. Binary logistic regression was used to estimate the association between latent classes and depressive symptoms.

Results

Two distinct classes were identified in participants with functional dependency and three classes were identified in participants without functional dependency. The severely isolated with minimal family and social contact group was associated with a higher risk of depressive symptoms in both subgroups (participants with functional dependency: OR = 1.319, 95%CI: 1.032–1.686; participants without functional dependency: OR = 1.537, 95%CI: 1.209–1.953). No difference was found in the risk of depressive symptoms between the moderately isolated with family contact group and the low isolated group among participants without functional dependency (OR = 1.020, 95%CI: 0.83–1.252).

Conclusion

Risk of depressive symptoms varies with different social isolation patterns among older people with different functional status.

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.