Journal of affective disorders最新文献

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The relationship between health literacy and problematic internet use in Chinese college students: The mediating effect of subject well-being and moderating effect of social support. 中国大学生健康素养与问题性网络使用之间的关系:主体幸福感的中介效应和社会支持的调节效应
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-10-01 Epub Date: 2024-07-14 DOI: 10.1016/j.jad.2024.07.038
Gongli Liu, Fei Qi, Qian Gao, Lingling Huo, Xiaorong Jia, Rui Wang, Yibo Wu, Shanpeng Li
{"title":"The relationship between health literacy and problematic internet use in Chinese college students: The mediating effect of subject well-being and moderating effect of social support.","authors":"Gongli Liu, Fei Qi, Qian Gao, Lingling Huo, Xiaorong Jia, Rui Wang, Yibo Wu, Shanpeng Li","doi":"10.1016/j.jad.2024.07.038","DOIUrl":"10.1016/j.jad.2024.07.038","url":null,"abstract":"<p><strong>Background: </strong>The issue of problematic Internet use (PIU) amongst college students is emerging as a major concern for mental health. Factors such as health literacy, subjective well-being and the extent of social support may be critical in preventing PIU. However, the complex relationship between these factors has not been extensively explored in research.</p><p><strong>Methods: </strong>A national cross-sectional study based on multistage random sampling was conducted in China in 2022. The subjects for this study were 7669 college students who completed a set of questionnaires assessing their health literacy, subjective well-being, PIU and social support. A structural equation model (SEM) was utilised for exploring the mediating effect of subjective well-being, and the PROCESS macro was used to test the moderating effect of social support.</p><p><strong>Results: </strong>After controlling for demographic factors, a significantly negative correlation was found between health literacy and PIU, and subjective well-being partially mediated this relationship. In addition, social support was negatively related to PIU and could moderate the relationship between health literacy and subjective well-being and between subjective well-being and PIU.</p><p><strong>Limitations: </strong>This is a cross-sectional study, and the results cannot inform the causality between these variables.</p><p><strong>Conclusion: </strong>Results revealed that the relationship between health literacy and PIU was partially mediated by subjective well-being in college students. The correlation between health literacy and subjective well-being and between subjective well-being and PIU were moderated by social support. Thus, future interventions for college students' PIU should be facilitated by improving health literacy, subjective well-being and social support.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The mediating effect of maternal gut microbiota between prenatal psychological distress and neurodevelopment of infants. 母体肠道微生物群在产前心理困扰与婴儿神经发育之间的中介效应。
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-10-01 Epub Date: 2024-07-14 DOI: 10.1016/j.jad.2024.07.045
Xiaoxiao Fan, Tianzi Zang, Ni Wu, Jun Liu, Yu Sun, Julia Slack, Jinbing Bai, Yanqun Liu
{"title":"The mediating effect of maternal gut microbiota between prenatal psychological distress and neurodevelopment of infants.","authors":"Xiaoxiao Fan, Tianzi Zang, Ni Wu, Jun Liu, Yu Sun, Julia Slack, Jinbing Bai, Yanqun Liu","doi":"10.1016/j.jad.2024.07.045","DOIUrl":"10.1016/j.jad.2024.07.045","url":null,"abstract":"<p><strong>Background: </strong>Prenatal psychological distress and maternal inflammation can increase the risk of neurodevelopmental delay in offspring; recently, the gut microbiota has been shown to may be a potential mechanism behind this association and not fully elucidated in population study.</p><p><strong>Methods: </strong>Seventy-two maternal-infant pairs who completed the assessments of prenatal psychological distress during the third trimester and neurodevelopment of infants at age 6-8 months of age were included in this study. The gut microbiota and its short-chain fatty acids (SCFAs) of maternal-infant were determined by 16S rRNA sequencing and liquid chromatography-mass spectrometry analysis. Inflammatory cytokines in the blood of pregnant women during the third trimester were detected by luminex liquid suspension microarrays.</p><p><strong>Results: </strong>This study found that infants in the prenatal psychological distress group had poorer fine motor skills (β = -4.396, 95 % confidence interval (CI) = -8.546, -0.246, p = 0.038), problem-solving skills (β = -5.198, 95 % CI = -10.358, -0.038, p = 0.048) and total development (β = -22.303, 95%CI = -41.453, -3.153, p = 0.022) compared to the control group. The study also indicated that the higher level of interleukin-1β (IL-1β) (β = -1.951, 95%CI = -3.321, -0.581, p = 0.005) and interferon-inducible protein-10 (IP-10) (β = -0.019, 95%CI = -0.034, -0.004, p = 0.015) during the third trimester, the poorer fine motor skills in infants. Also, the higher level of IL-10 (β = -0.498, 95%CI = -0.862, -0.133, p = 0.007), IL-12p70 (β = -0.113, 95%CI = -0.178, -0.048, p = 0.001), IL-17 A (β = -0.817, 95%CI = -1.517, -0.118, p = 0.022), interferon-γ (β = -0.863, 95%CI = -1.304, -0.422, p < 0.001), IP-10 (β = -0.020, 95%CI = -0.038, -0.001, p = 0.035), and regulated upon activation normal T cell expressed and secreted (β = -0.002, 95%CI = -0.003, -0.001, p = 0.005) during the third trimester, the poorer problem-solving skills in infants. After controlling for relevant covariates, this study found that maternal gut microbiota Roseburia mediates the relationship between prenatal psychological distress and total neurodevelopment of infants (a = 0.433, 95%CI = 0.079, 0.787, p = 0.017; b = -19.835, 95%CI = -33.877, -5.792, p = 0.006; c = 22.407, 95%CI = -43.207,-1.608, p = 0.035; indirect effect = -8.584, 95%CI = -21.227, -0.587).</p><p><strong>Conclusions: </strong>This is the first study to emphasize the role of the maternal-infant gut microbiota in prenatal psychological distress and infant neurodevelopment. Further studies are needed to explore the biological mechanisms underlying the relationship between prenatal psychological distress, maternal-infant gut microbiota, and infant neurodevelopment.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to "Suicidal thoughts and behaviors in the Kingdom of Saudi Arabia" [J. Affect. Disord. volume 352, 1 May 2024, pages 429-436]. 沙特阿拉伯王国的自杀想法和行为"[J. Affect. Disord. 第 352 卷,2024 年 5 月 1 日,第 429-436 页]的更正。
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-10-01 Epub Date: 2024-07-27 DOI: 10.1016/j.jad.2024.07.002
Yasmin Altwaijri, Corina Benjet, Abdulhameed Al-Habeeb, Abdullah Al-Subaie, Marya Akkad, Sarah Alammar, Lisa Bilal, Talal Naseem
{"title":"Corrigendum to \"Suicidal thoughts and behaviors in the Kingdom of Saudi Arabia\" [J. Affect. Disord. volume 352, 1 May 2024, pages 429-436].","authors":"Yasmin Altwaijri, Corina Benjet, Abdulhameed Al-Habeeb, Abdullah Al-Subaie, Marya Akkad, Sarah Alammar, Lisa Bilal, Talal Naseem","doi":"10.1016/j.jad.2024.07.002","DOIUrl":"10.1016/j.jad.2024.07.002","url":null,"abstract":"","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perinatal risk factors and subclinical hypomania: A prospective community study. 围产期风险因素与亚临床躁狂症:一项前瞻性社区研究。
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-10-01 Epub Date: 2024-07-17 DOI: 10.1016/j.jad.2024.07.118
Irene Gonzalez-Calvo, Angelica Ronald, Sania Shakoor, Mark J Taylor, Thalia C Eley, Georgina M Hosang
{"title":"Perinatal risk factors and subclinical hypomania: A prospective community study.","authors":"Irene Gonzalez-Calvo, Angelica Ronald, Sania Shakoor, Mark J Taylor, Thalia C Eley, Georgina M Hosang","doi":"10.1016/j.jad.2024.07.118","DOIUrl":"10.1016/j.jad.2024.07.118","url":null,"abstract":"<p><strong>Background: </strong>Perinatal risk factors are implicated in the development of psychopathology, but their role in bipolar disorder (BD) and hypomania is unclear. Using data from a prospective community cohort, this is the first study to investigate the association between a range of perinatal risk factors, hypomanic symptoms, and 'high-risk' for BD in the general population.</p><p><strong>Methods: </strong>Parent report of perinatal events were available for 26,040 eighteen-month-olds from the Twins Early Development Study. Subsequent self-report hypomania was measured at ages 16 (Hypomania Checklist-16; N = 2943) and 26 (Mood Disorders Questionnaire; N = 7748). Participants were categorised as 'high-risk' for BD using established classifications. Linear and logistic regressions were conducted within a generalised estimating equations framework to account for relatedness in the sample.</p><p><strong>Results: </strong>Prenatal alcohol exposure (β = 0.08, SE = 0.04, p = .0002) and number of alcohol units consumed (β = 0.09, SE = 0.02, p < .0001) were associated with hypomanic symptoms at age 16, and number of alcohol units (OR = 1.13, 95 % CI:1.06-1.21, p = .0003) and maternal stress (OR = 1.68, 95 % CI:1.21-2.34, p = .002) were associated with 'high-risk' for BD age 16. Prenatal tobacco exposure (β = 0.10, SE = 0.04, p < .0001) and number of cigarettes smoked (β = 0.10, SE = 0.01, p < .0001) were associated with hypomanic symptoms and 'high-risk' for BD at age 26, although these result were attenuated controlling for parental psychiatric history.</p><p><strong>Limitations: </strong>Familial confounding could not be fully adjusted for. Rater reports include some biases.</p><p><strong>Conclusions: </strong>These findings show perinatal risk factors to be associated with subclinical hypomania and 'high-risk' for BD. Future work should explore the mechanisms underlying these longitudinal associations, which could shed light on prevention and intervention efforts.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to "Distinct global brain connectivity alterations in depressed adolescents with subthreshold mania and the relationship with processing speed: Evidence from sBEAD Cohort" [J. Affect. Disord. 357 (2024) 97-106]. 阈下躁狂症青少年抑郁症患者不同的全脑连通性改变及其与处理速度的关系:来自sBEAD队列的证据》[J. Affect. Disord. 357 (2024) 97-106]的更正。
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-10-01 Epub Date: 2024-07-15 DOI: 10.1016/j.jad.2024.06.065
Xiaofei Zhang, Xiaofang Cheng, Jianshan Chen, Jiaqi Sun, Xiaoyong Yang, Weiming Li, Lei Chen, Yimiao Mao, Yutong Liu, Xuanlin Zeng, Biyu Ye, Chanjuan Yang, Xuan Li, Liping Cao
{"title":"Corrigendum to \"Distinct global brain connectivity alterations in depressed adolescents with subthreshold mania and the relationship with processing speed: Evidence from sBEAD Cohort\" [J. Affect. Disord. 357 (2024) 97-106].","authors":"Xiaofei Zhang, Xiaofang Cheng, Jianshan Chen, Jiaqi Sun, Xiaoyong Yang, Weiming Li, Lei Chen, Yimiao Mao, Yutong Liu, Xuanlin Zeng, Biyu Ye, Chanjuan Yang, Xuan Li, Liping Cao","doi":"10.1016/j.jad.2024.06.065","DOIUrl":"10.1016/j.jad.2024.06.065","url":null,"abstract":"","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to "Analysis of risk factors and construction of a prediction model for posttraumatic stress disorder among Chinese college students during the COVID-19 pandemic" [J. Affect. Disord. 362 (3 July 2024) 230-236]. COVID-19大流行期间中国大学生创伤后应激障碍风险因素分析及预测模型构建》[J. Affect. Disord. 362 (3 July 2024) 230-236]更正。
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-10-01 Epub Date: 2024-07-16 DOI: 10.1016/j.jad.2024.07.014
Guangjian Li, Xugui Sun, Tingye Gao, Kun Liang, Mengying Wu, Yingzhi Zhu, Xin Gao, Peng Li, Yaping Kong, Jingping Shu
{"title":"Corrigendum to \"Analysis of risk factors and construction of a prediction model for posttraumatic stress disorder among Chinese college students during the COVID-19 pandemic\" [J. Affect. Disord. 362 (3 July 2024) 230-236].","authors":"Guangjian Li, Xugui Sun, Tingye Gao, Kun Liang, Mengying Wu, Yingzhi Zhu, Xin Gao, Peng Li, Yaping Kong, Jingping Shu","doi":"10.1016/j.jad.2024.07.014","DOIUrl":"10.1016/j.jad.2024.07.014","url":null,"abstract":"","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Depression, brain structure and socioeconomic status: A UK Biobank study
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-09-17 DOI: 10.1016/j.jad.2024.09.102
{"title":"Depression, brain structure and socioeconomic status: A UK Biobank study","authors":"","doi":"10.1016/j.jad.2024.09.102","DOIUrl":"10.1016/j.jad.2024.09.102","url":null,"abstract":"<div><h3>Background</h3><p>Depression results from interactions between biological, social, and psychological factors. Literature shows that depression is associated with abnormal brain structure, and that socioeconomic status (SES) is associated with depression and brain structure. However, limited research considers the interaction between each of these factors.</p></div><div><h3>Methods</h3><p>Multivariate regression analysis was conducted using UK Biobank data on 39,995 participants to examine the relationship between depression and brain volume in 23 cortical regions for the whole sample and then separated by sex. It then examined whether SES affected this relationship.</p></div><div><h3>Results</h3><p>Eight out of 23 brain areas had significant negative associations with depression in the whole population. However, these relationships were abolished in seven areas when SES was included in the analysis. For females, three regions had significant negative associations with depression when SES was not included, but only one when it was. For males, lower volume in six regions was significantly associated with higher depression without SES, but this relationship was abolished in four regions when SES was included. The precentral gyrus was robustly associated with depression across all analyses.</p></div><div><h3>Limitations</h3><p>Participants with conditions that could affect the brain were not excluded. UK Biobank is not representative of the general population which may limit generalisability. SES was made up of education and income which were not considered separately.</p></div><div><h3>Conclusions</h3><p>SES affects the relationship between depression and cortical brain volume. Health practitioners and researchers should consider this when working with imaging data in these populations.</p></div>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0165032724015908/pdfft?md5=e0696942fc74c2304b3c1e5d9b9d3cce&pid=1-s2.0-S0165032724015908-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuroticism, loneliness, all-cause and cause-specific mortality: A 17-year study of nearly 500,000 individuals
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-09-15 DOI: 10.1016/j.jad.2024.09.077
{"title":"Neuroticism, loneliness, all-cause and cause-specific mortality: A 17-year study of nearly 500,000 individuals","authors":"","doi":"10.1016/j.jad.2024.09.077","DOIUrl":"10.1016/j.jad.2024.09.077","url":null,"abstract":"<div><h3>Background</h3><p>Neuroticism is related to mental and physical health. This study examined whether neuroticism and its underlying components were associated with risk of all-cause and cause-specific mortality.</p></div><div><h3>Methods</h3><p>Community-dwelling adults (<em>N</em> = 491,323) in the UK Biobank completed a neuroticism scale between 2006 and 2010. Vital status was tracked up to December 2022 via linkage with the UK National Health Service.</p></div><div><h3>Results</h3><p>Over 17 years of follow-up, 43,400 (8.8 %) participants died. Accounting for age, sex, and ethnicity, participants who scored 1 SD higher on neuroticism had a 10 % greater risk of dying (HR = 1.10, 95%CI = 1.09–1.11), an association that remained significant but was explained partly by socioeconomic status, health behaviors, and chronic conditions. Item-level analyses found that loneliness was the neuroticism item most predictive of mortality (HR = 1.46, 95%CI = 1.43–1.49), especially in males. Neuroticism and loneliness were more predictive of mortality among relatively younger adults and those with lower education. Among the causes of death, neuroticism and loneliness had the strongest association with deaths due to intentional self-harm, respiratory and digestive system diseases.</p></div><div><h3>Limitations</h3><p>Loneliness was assessed with a single item. The associations could be due to increases in neuroticism and loneliness approaching death. However, contrary to expectations from reverse causality, the associations were similar when excluding deaths within the first five or ten years of follow-up. Future research should examine whether findings from this high-income country replicate in middle- and lower-income communities.</p></div><div><h3>Conclusions</h3><p>Loneliness was the component of neuroticism most strongly associated with premature mortality, including from intentional self-harm, respiratory, and digestive system causes of death.</p></div>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of pomegranate supplementation on symptom severity and quality of life in women with premenstrual syndrome: A randomised controlled trial
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-09-14 DOI: 10.1016/j.jad.2024.09.079
{"title":"The effect of pomegranate supplementation on symptom severity and quality of life in women with premenstrual syndrome: A randomised controlled trial","authors":"","doi":"10.1016/j.jad.2024.09.079","DOIUrl":"10.1016/j.jad.2024.09.079","url":null,"abstract":"<div><h3>Background</h3><p>The aim of this study was to find out how well pomegranate use affects quality of life and PMS symptoms.</p></div><div><h3>Methods</h3><p>This randomised controlled trial (Clinical trial number: <span><span>NCT06201702</span><svg><path></path></svg></span>) was conducted in a city in the western region of Turkey, reaching women with PMS through social media announcements. Data were collected between 2 January 2024 and 15 May 2024. In the study of 60 participants (intervention group: 30, control group: 30), the intervention group was given pomegranate exrat supplementation for 2 cycles, while the control group did not receive any intervention. The research data were collected through a descriptive information, Premenstrual Syndrome Scale and World Health Organisation Quality of Life Scale. IBM SPSS Version 23 software was used for data analysis. Chi-square test, paired sample <em>t</em>-test and independent sample t-test were used. <em>P</em>-value &lt;.05 was considered statistically significant.</p></div><div><h3>Results</h3><p>When the intervention and control groups were compared in terms of premenstrual syndrome scores, a statistically significant difference was found and it was observed that symptoms decreased significantly in the intervention group after the intervention (<em>p</em> &lt; .05). However, no statistically significant change was observed in the control group (<em>p</em> &gt; .05). When the quality of life scores after the intervention were evaluated, it was seen that the social quality of life of the intervention group was higher than the control group (p &lt; .05).</p></div><div><h3>Conclusions</h3><p>This study shows that pomegranate may be a potential natural solution, especially in reducing PMS symptoms, and may also be effective in improving social quality of life.</p></div>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of adverse childhood experiences on cognitive function among middle-aged and older Chinese adults: Multiple mediators of cognitive reserve and depressive symptoms
IF 4.9 2区 医学
Journal of affective disorders Pub Date : 2024-09-14 DOI: 10.1016/j.jad.2024.09.049
{"title":"The impact of adverse childhood experiences on cognitive function among middle-aged and older Chinese adults: Multiple mediators of cognitive reserve and depressive symptoms","authors":"","doi":"10.1016/j.jad.2024.09.049","DOIUrl":"10.1016/j.jad.2024.09.049","url":null,"abstract":"<div><h3>Background</h3><p>Adverse childhood experiences (ACEs) are associated with later cognitive decline. However, the mechanisms underlying the effects of different types of ACEs are unclear. This study examined how ACEs impact cognitive function, specifically deprivation-related ACEs (DrACEs) and threat-related ACEs (TrACEs). Additionally, we explored the potential role of cognitive reserve (CR) and depression in these relationships.</p></div><div><h3>Methods</h3><p>Data were taken from the China Health and Retirement Longitudinal Study (CHARLS) of 2014 and 2020. CR, depressive symptoms and cognitive function measures were collected from 2020. ACEs were assessed at the 2014 Life Course Survey. The main analyses included 7113 participants aged 45 years or older. To explore potential associations, linear regression and SPSS Macro PROCESS were employed.</p></div><div><h3>Results</h3><p>Among middle-aged and older adults, only exposure to DrACEs was associated with cognitive function ((<em>β</em> = −0.101 [95%<em>CI</em>: −0.150, −0.052]) for DrACEs = 1; (<em>β</em> = −0.250 [95%<em>CI</em>: −0.333, −0.167]) for DrACEs ≥ 2). The indirect effects mediated by CR and depressive symptoms were statistically significant.</p></div><div><h3>Limitations</h3><p>The use of retrospective self-reported data for ACEs may introduce recall bias.</p></div><div><h3>Conclusions</h3><p>Chinese middle-aged and older adults who have experienced DrACEs exhibit poorer cognitive function, while the association between TrACEs and cognitive function was not significant. And the impact of DrACEs on cognitive function was mediated by CR and depressive symptoms. Further research is necessary to validate our findings, establish causal links, and uncover the underlying mechanisms involved.</p></div>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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