Body Pain and Depressive Symptoms: Patterns and Associations in Middle-Aged and Older Chinese Adults

IF 3.3 2区医学 Q1 PSYCHIATRY

Depression and Anxiety Pub Date : 2025-06-17 DOI:10.1155/da/4027080

Xiaohui Wu, Ruyan Huang, Yue Fei, Rongrong Zhong, Shuo Wang, Xiaojia Huang, Zuowei Wang, Yuncheng Zhu, Yiru Fang

{"title":"Body Pain and Depressive Symptoms: Patterns and Associations in Middle-Aged and Older Chinese Adults","authors":"Xiaohui Wu, Ruyan Huang, Yue Fei, Rongrong Zhong, Shuo Wang, Xiaojia Huang, Zuowei Wang, Yuncheng Zhu, Yiru Fang","doi":"10.1155/da/4027080","DOIUrl":null,"url":null,"abstract":"<div>\n Background: Depressive symptoms (DS) and body pain are prevalent conditions that significantly impact the quality of life of older adults, often co-occurring with chronic diseases. This study aimed to explore the patterns of body pain characteristics and their association with DS among middle-aged and older Chinese adults.\n Methods: This cross-sectional study analysed data from 16,039 participants aged ≥45 years in the 2020 wave of the China Health and Retirement Longitudinal Study (CHARLS). DS were assessed using the 10-item Centre for Epidemiologic Studies Depression Scale (CESD-10). Body pain characteristics included pain severity and location. Multiple linear regression and mediation analyses were conducted to examine the relationships between chronic diseases, body pain, and DS.\n Results: Among participants, 5442 (33.9%) reported DS (CESD-10 score ≥12). The DS group showed significantly higher body pain severity (2.66 ± 1.42 vs. 1.84 ± 1.11, p < 0.001) and more painful body parts (5.06 ± 3.87 vs. 3.68 ± 3.03, p < 0.001) compared to the non-depressive group. Both pain severity and number of pain sites were independently associated with higher CESD-10 scores. Mediation analysis revealed that body pain severity mediated 29.0% of the total effect between chronic diseases and DS.\n Conclusion: Body pain plays a significant mediating role in the relationship between chronic diseases and DS among middle-aged and older Chinese adults. These findings emphasize the importance of implementing comprehensive healthcare approaches that integrate pain management with mental health support in primary care settings.\n </div>","PeriodicalId":55179,"journal":{"name":"Depression and Anxiety","volume":"2025 1","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/da/4027080","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Depression and Anxiety","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/da/4027080","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Depressive symptoms (DS) and body pain are prevalent conditions that significantly impact the quality of life of older adults, often co-occurring with chronic diseases. This study aimed to explore the patterns of body pain characteristics and their association with DS among middle-aged and older Chinese adults.

Methods: This cross-sectional study analysed data from 16,039 participants aged ≥45 years in the 2020 wave of the China Health and Retirement Longitudinal Study (CHARLS). DS were assessed using the 10-item Centre for Epidemiologic Studies Depression Scale (CESD-10). Body pain characteristics included pain severity and location. Multiple linear regression and mediation analyses were conducted to examine the relationships between chronic diseases, body pain, and DS.

Results: Among participants, 5442 (33.9%) reported DS (CESD-10 score ≥12). The DS group showed significantly higher body pain severity (2.66 ± 1.42 vs. 1.84 ± 1.11, p < 0.001) and more painful body parts (5.06 ± 3.87 vs. 3.68 ± 3.03, p < 0.001) compared to the non-depressive group. Both pain severity and number of pain sites were independently associated with higher CESD-10 scores. Mediation analysis revealed that body pain severity mediated 29.0% of the total effect between chronic diseases and DS.

Conclusion: Body pain plays a significant mediating role in the relationship between chronic diseases and DS among middle-aged and older Chinese adults. These findings emphasize the importance of implementing comprehensive healthcare approaches that integrate pain management with mental health support in primary care settings.

Abstract Image

查看原文本刊更多论文

身体疼痛和抑郁症状：中国中老年成人的模式和关联

背景：抑郁症状（DS）和身体疼痛是显著影响老年人生活质量的常见疾病，通常与慢性疾病共存。本研究旨在探讨中国中老年人身体疼痛特征的模式及其与退行性椎体滑移的关系。方法：本横断面研究分析了2020年中国健康与退休纵向研究（CHARLS）浪潮中年龄≥45岁的16,039名参与者的数据。采用10项流行病学研究中心抑郁量表（csd -10）评估抑郁症状。身体疼痛特征包括疼痛的严重程度和部位。采用多元线性回归和中介分析来检验慢性疾病、身体疼痛和DS之间的关系。结果：参与者中，5442人（33.9%）报告DS （CESD-10评分≥12）。DS组疼痛程度明显高于对照组(2.66±1.42比1.84±1.11,p <；0.001)和更疼痛的身体部位(5.06±3.87比3.68±3.03,p <；0.001)，与非抑郁组相比。疼痛严重程度和疼痛部位数量与较高的ced -10评分独立相关。中介分析显示，身体疼痛严重程度在慢性疾病与退行性痴呆之间的总效应中起29.0%的中介作用。结论：身体疼痛在中国中老年人慢性疾病与退行性痴呆的关系中起着显著的中介作用。这些发现强调了在初级保健机构中实施综合疼痛管理和心理健康支持的综合医疗保健方法的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Depression and Anxiety 医学-精神病学

CiteScore

15.00

自引率

1.40%

发文量

审稿时长

4-8 weeks

期刊介绍： Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.