Disability Transitions and Depressive Symptoms Among Chinese Older Adults: Evidence from CHARLS
School of Humanities and Social Sciences, Fuzhou University, Fuzhou 350116, China
| Abstract: | (1) Background: The issue of disability among older adults demands greater attention, and addressing their physical and mental health is of significant practical importance. Previous research has primarily focused on the static disability status, with insufficient attention paid to dynamic disability transitions. Therefore, this study aimed to explore the relationship between disability transitions and depressive symptoms among Chinese older adults using longitudinal data. (2) Methods: Data were obtained from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2013, 2015, and 2018. Ordinary least squares (OLS) regression models and longitudinal one-period lagged OLS regression models were employed to examine the relationship between disability transitions and depressive symptoms among older adults. (3) Results: There was a significant positive correlation between disability status and depressive symptoms among Chinese older adults (mild disability, β=2.012, p<0.001; moderate disability, β=3.881, p<0.001; severe disability, β=4.766, p<0.001). There was also a significant correlation between disability transitions and depressive symptoms among Chinese older adults (deterioration of disability status: non-disability → mild disability, β=2.212, p<0.001; non-disability → moderate disability, β=2.647, p<0.001; non-disability → severe disability, β=2.808, p<0.001; mild disability → moderate disability, β=2.496, p<0.01; mild disability → severe disability, β=1.685, p<0.05) (recovery of disability status: moderate disability → non-disability, β=-2.603, p<0.05). This correlation between disability transitions and depressive symptoms among Chinese older adults varied with baseline disability status (BDS) (non-disability → mild disability, β=2.212, p<0.001; non-disability → moderate disability, β=2.647, p<0.001; non-disability → severe disability, β=2.808, p<0.001) (mild disability → moderate disability, β=2.496, p<0.01; mild disability → severe disability, β=1.685, p<0.05) (moderate disability → non-disability, β=-2.603, p<0.05). (4) Conclusion: The results show a correlation between disability transitions and depressive symptoms, especially the deterioration of disability status was positively correlated with depressive symptoms. This highlights the need for comprehensive public health policy and clinical interventions, as well as the importance of integrated intervention strategies that address both deterioration of disability status and depressive symptoms. |
| Keywords: | Disability Transitions; Depressive Symptoms; Disability Status; Chinese Older Adults |
| DOI: | 10.57237/j.nhres.2024.03.002 |
View:
Downloads:
收稿日期: 2024-08-28
接受日期: 2024-11-19
在线出版日期: 2024-12-05
基金
| 1. | Fujian Provincial Social Science Foundation Youth Project "Research on the Dynamic Evolution, Multiple Risk Exposure, and Optimization Pathways of Elderly Care Vulnerability among the Rural Elderly Population" (Project No. FJ2024C165) |
参考文献
| [1] | Aneshensel, C. S., Phelan, J. C., Bierman, A. The sociology of mental health: Surveying the field. Handbook of the Sociology of Mental Health, 2013: 1-19. |
| [2] | Blazer, D., Burchett, B., Service, C., George, L. K. The association of age and depression among the elderly: an epidemiologic exploration. Journal of gerontology, 1991, 46(6): 210-215. |
| [3] | Mirowsky, J., Ross, C. E. Age and depression. Journal of health and social behavior, 1992, 33(3): 187-205. |
| [4] | Avison, W. R. Mental Health. In M. J. Shanahan, J. T. Mortimer, M. Kirkpatrick Johnson (Eds.), Handbook of the Life Course: Volume II. Cham: Springer International Publishing, 2016: 407-429. |
| [5] | Bruce, M. L. Depressive symptoms and disability in late life: directions for future research. The American Journal of geriatric psychiatry, 2001, 9(2): 102-112. |
| [6] | Barry, L. C., Allore, H. G., Bruce, M. L., Gill, T. M. Longitudinal association between depressive symptoms and disability burden among older persons. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 2009, 64(12): 1325-1332. |
| [7] | Bruce, M. L., Seeman, T. E., Merrill, S. S., Blazer, D. G. The impact of depressive symptomatology on physical disability: MacArthur studies of successful aging. American journal of public health, 1994, 84(11): 1796-1799. |
| [8] | Lenze, E. J., Rogers, J. C., Martire, L. M., Mulsant, B. H., Rollman, B. L., Dew, M. A., et al. The association of late-life depression and anxiety with physical disability: a review of the literature and prospectus for future research. The American journal of geriatric psychiatry, 2001, 9(2): 113-135. |
| [9] | Aneshensel, C. S., Frerichs, R. R., Huba, G. J. Depression and physical illness: A multiwave, nonrecursive causal model. Journal of health and social behavior, 1984, 25(4), 350-371. |
| [10] | Ormel, J., Rijsdijk, F. V., Sullivan, M., van Sonderen, E., Kempen, G. I. J. Temporal and reciprocal relationship between IADL/ADL disability and depressive symptoms in late life. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2002, 57(4): 338-347. |
| [11] | Gayman, M. D., Turner, R. J., Cui, M. Physical limitations and depressive symptoms: exploring the nature of the association. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2008, 63(4): 219-228. |
| [12] | Turner, R. J., Noh, S. Physical disability and depressive symptoms: A longitudinal analysis. Journal of health and social behavior, 1988, 29(1), 23-37. |
| [13] | Yang, Y. How does functional disability affect depressive symptoms in late life? The role of perceived social support and psychological resources. Journal of health and social behavior, 2006, 47(4): 355-372. |
| [14] | Lachman, M. E., Weaver, S. L. The sense of control as a moderator of social class differences in health and well-being. Journal of personality and social psychology, 1998, 74(3): 763. |
| [15] | Wolinsky, F. D., Stump, T. E., Callahan, C. M., Johnson, R. J. Consistency and change in functional status among older adults over time. Journal of Aging and Health, 1996, 8(2): 155-182. |
| [16] | Verbrugge, L. M., Reoma, J. M., Gruber-Baldini, A. L. Short-term dynamics of disability and well-being. Journal of health and social behavior, 1994, 35(2), 97-117. |
| [17] | Hou, C., Ma, Y., Yang, X., Zhao, J., Yang, G., Li, L., et al. Disability transitions and health expectancies among elderly people aged 65 years and over in China: a nationwide longitudinal study. Aging and disease, 2019, 10(6), 1246-1256. |
| [18] | Gannon, B., Nolan, B. The impact of disability transitions on social inclusion. Social Science & Medicine, 2007, 64(7): 1425-1437. |
| [19] | Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., Jaffe, M. W. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA, 1963, 185(12), 914-919. |
| [20] | Lawton M P, Brody E M. Assessment of older people: self-maintaining and instrumental activities of daily living. Nursing Research, 1970, 19(3): 278. |
| [21] | Nagi, S. Z. An epidemiology of disability among adults in the United States. The Milbank Memorial Fund Quarterly. Health and Society, 1976, 54(4), 439-467. |
| [22] | Brown, T. H., Warner, D. F. Divergent pathways? Racial/ethnic differences in older women's labor force withdrawal. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2008, 63(3): 122-134. |
| [23] | Reitzes, D. C., Mutran, E., Pope, H. W. Location and well-being among retired men. Journal of Gerontology, 1991, 46(4): 195-203. |
| [24] | van der Ploeg, T., Gobbens, R. J. J. Disability transitions in Dutch community-dwelling older people aged 75 years or older. Archives of Gerontology and Geriatrics, 2024, 116: 105165. |
| [25] | Taniguchi, L. U., Avelino-Silva, T. J., Dias, M. B., Jacob-Filho, W., Salles, Y. R., Mello, L. M., et al. Patient-centered outcomes following COVID-19: frailty and disability transitions in critical care survivors. Critical care medicine, 2022, 50(6): 955-963. |
| [26] | Myasoedova, E., Davis III, J. M., Kronzer, V. L., Crowson, C. S., Matteson, E. L. The point of no return? Functional disability transitions in patients with and without rheumatoid arthritis: a population-based cohort study. Seminars in arthritis and rheumatism, 2022, 52: 151941. |
| [27] | Yang, Y., George, L. K. Functional disability, disability transitions, and depressive symptoms in late life. Journal of aging and health, 2005, 17(3): 263-292. |
| [28] | Pearlin, L. I., Bierman, A. Current issues and future directions in research into the stress process. Handbook of the Sociology of Mental Health, 2013: 325-340. |
| [29] | Pearlin, L. I. The stress process revisited: Reflections on concepts and their interrelationships. Handbook of the Sociology of Mental Health, Springer US: Boston, 1999: 395-415. |
| [30] | Turner, R. J., Turner, J. B. Social integration and support. Handbook of the Sociology of Mental Health, Boston, Springer US, 1999: 301-319. |
| [31] | Baltes, M. M., Wahl, H. W., Schmid-Furstoss, U. The daily life of elderly Germans: Activity patterns, personal control, and functional health. Journal of Gerontology, 1990, 45(4): 173-179. |
| [32] | Mirowsky, J. Age and the sense of control. Social Psychology Quarterly, 1995, 58(1), 31-43. |
