Are Big Five personality traits associated with trajectories of depressive symptom among middle-aged and older adults in China?

IF 3.6 2区 医学 Q1 PSYCHIATRY
Weichao Chen, Wanren Wang, Xiaoyan Wang
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引用次数: 0

Abstract

Background: Personality traits have been confirmed to be associated with mental health, but their influence on the trajectories of depressive symptoms among middle-aged and older adults in China is not well understood. This study seeks to identify distinct trajectories of depressive symptoms and explore their relationship with the Big Five personality traits in China.

Methods: Data was collected from the China Family Panel Studies (CFPS) for 2016, 2018, 2020, and 2012 were used in this study. 5376 individuals aged 45 and older were included in this study. Latent growth mixture modeling was applied to identify distinct trajectories of depressive symptoms, and multinomial logistic regression was used to examine the association between personality traits and these trajectories.

Results: Three depressive symptom trajectories were identified: stable increasing with low starting point (53.18%), descending type with high starting point (8.03%), and stable at middle level (38.78%). Higher extraversion scores was associated with lower depressive symptom trajectories, while higher levels of openness and neuroticism were associated with an increased risk of severe depressive symptom trajectories. Heterogeneity analyses revealed that, among individuals aged 45-60, conscientiousness was negatively associated with depressive symptoms, while openness was positively related to depression. Among older adults (≥ 60 years), extraversion showed the strongest protective effect against depressive symptoms, while higher openness demonstrated a notably stronger association with depression. Additionally, females showed stronger associations between personality traits and depressive symptom than males.

Conclusion: Different trajectories of depressive symptoms are observed among middle-aged and older adults in China. The findings underscore the importance of tailored mental health monitoring, with distinct approaches needed for different genders and age groups.

大五人格特征是否与中国中老年人抑郁症状的发展轨迹有关?
背景:人格特质已被证实与心理健康相关,但其对中国中老年人抑郁症状轨迹的影响尚不清楚。本研究旨在识别中国抑郁症状的不同轨迹,并探讨其与大五人格特质的关系。方法:采用2016年、2018年、2020年和2012年的中国家庭面板研究(CFPS)数据。5376名年龄在45岁及以上的人参与了这项研究。潜在生长混合模型用于识别抑郁症状的不同轨迹,并使用多项逻辑回归来检查人格特质与这些轨迹之间的关联。结果:抑郁症状分为低起点稳定上升型(53.18%)、高起点下降型(8.03%)和中等水平稳定型(38.78%)3种症状轨迹。较高的外向性得分与较低的抑郁症状轨迹相关,而较高的开放性和神经质水平与较高的严重抑郁症状轨迹风险相关。异质性分析显示,在45-60岁的个体中,责任心与抑郁症状呈负相关,而开放性与抑郁呈正相关。在老年人(≥60岁)中,外向性表现出对抑郁症状的最强保护作用,而较高的开放性表现出与抑郁的明显更强的关联。此外,女性人格特征与抑郁症状之间的关联比男性更强。结论:中国中老年人群抑郁症状发展轨迹不同。研究结果强调了量身定制心理健康监测的重要性,不同性别和年龄组需要不同的方法。
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来源期刊
CiteScore
8.50
自引率
2.30%
发文量
184
审稿时长
3-6 weeks
期刊介绍: Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.
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