Arthritis status changes and depressive symptoms among middle-aged and older Koreans: Analysis of data from the Korean Longitudinal Study of Aging survey

Arthritis can negatively affect physical and mental health, especially among middle-aged and older people. This study investigated the longitudinal association between changes in arthritis status and depressive symptoms among Korean adults aged ≥45 years. We analyzed data from the Korean Longitudina...

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Veröffentlicht in:Journal of psychosomatic research 2021-12, Vol.151, p.110662-110662, Article 110662
Hauptverfasser: Jeong, Sung Hoon, Kim, Seung Hoon, Park, Minah, Kwon, Junhyun, Lee, Hyeon Ji, Park, Eun-Cheol
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container_title Journal of psychosomatic research
container_volume 151
creator Jeong, Sung Hoon
Kim, Seung Hoon
Park, Minah
Kwon, Junhyun
Lee, Hyeon Ji
Park, Eun-Cheol
description Arthritis can negatively affect physical and mental health, especially among middle-aged and older people. This study investigated the longitudinal association between changes in arthritis status and depressive symptoms among Korean adults aged ≥45 years. We analyzed data from the Korean Longitudinal Study of Aging 2008–2018, using a generalized estimating equation model to investigate associations between arthritis status change and depressive symptoms, which were assessed using five categories according to measurements based on the Center for Epidemiological Studies Depression Scale (CES-D-10). Both men and women whose arthritis status changed to “worse” or remained “same” scored higher for depressive symptoms than those who reported “no symptoms of arthritis” (men, worse = β: 1.07, P ≤ .001, same = β: 0.25 P = .031; women, worse = β: 0.99, P ≤ .001, same = β: 0.13, P = .049). Conversely, men with a “better” arthritis status (β: -0.71, P ≤ .001) and women with a “recovered” arthritis status (β: -0.56, P = .031) scored lower for depressive symptoms than those who reported “no symptoms of arthritis.” Arthritis status changes are associated with depressive symptoms in middle-aged and older Koreans. Therefore, mental health evaluation and management interventions are recommended for patients with arthritis and changes in disease status. •Arthritis and depression have been linked with patients in some countries.•The ongoing Korean Longitudinal Study of Aging provides several years of data.•KLoSA 2008–2018 data confirm arthritis status' link to depression in Korean adults.•For middle-aged and older adults, worsening arthritis often increases depression.•Arthritis status and mental health should be measured for patients 45 and older.
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This study investigated the longitudinal association between changes in arthritis status and depressive symptoms among Korean adults aged ≥45 years. We analyzed data from the Korean Longitudinal Study of Aging 2008–2018, using a generalized estimating equation model to investigate associations between arthritis status change and depressive symptoms, which were assessed using five categories according to measurements based on the Center for Epidemiological Studies Depression Scale (CES-D-10). Both men and women whose arthritis status changed to “worse” or remained “same” scored higher for depressive symptoms than those who reported “no symptoms of arthritis” (men, worse = β: 1.07, P ≤ .001, same = β: 0.25 P = .031; women, worse = β: 0.99, P ≤ .001, same = β: 0.13, P = .049). Conversely, men with a “better” arthritis status (β: -0.71, P ≤ .001) and women with a “recovered” arthritis status (β: -0.56, P = .031) scored lower for depressive symptoms than those who reported “no symptoms of arthritis.” Arthritis status changes are associated with depressive symptoms in middle-aged and older Koreans. Therefore, mental health evaluation and management interventions are recommended for patients with arthritis and changes in disease status. •Arthritis and depression have been linked with patients in some countries.•The ongoing Korean Longitudinal Study of Aging provides several years of data.•KLoSA 2008–2018 data confirm arthritis status' link to depression in Korean adults.•For middle-aged and older adults, worsening arthritis often increases depression.•Arthritis status and mental health should be measured for patients 45 and older.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2021.110662</identifier><identifier>PMID: 34739945</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adult ; Aged ; Aging ; Arthritis ; Arthritis - epidemiology ; Changes ; Chronic disease ; Depression ; Depression - epidemiology ; Epidemiology ; Female ; Health status ; Humans ; Longitudinal Studies ; Male ; Men ; Mental depression ; Mental disorders ; Mental health ; Mental health services ; Middle age ; Middle Aged ; Older people ; Osteoarthritis ; Psychological distress ; Republic of Korea - epidemiology ; Rheumatic diseases ; Symptoms ; Women</subject><ispartof>Journal of psychosomatic research, 2021-12, Vol.151, p.110662-110662, Article 110662</ispartof><rights>2021 The Author(s)</rights><rights>Copyright © 2021 The Author(s). 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Conversely, men with a “better” arthritis status (β: -0.71, P ≤ .001) and women with a “recovered” arthritis status (β: -0.56, P = .031) scored lower for depressive symptoms than those who reported “no symptoms of arthritis.” Arthritis status changes are associated with depressive symptoms in middle-aged and older Koreans. 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Conversely, men with a “better” arthritis status (β: -0.71, P ≤ .001) and women with a “recovered” arthritis status (β: -0.56, P = .031) scored lower for depressive symptoms than those who reported “no symptoms of arthritis.” Arthritis status changes are associated with depressive symptoms in middle-aged and older Koreans. Therefore, mental health evaluation and management interventions are recommended for patients with arthritis and changes in disease status. •Arthritis and depression have been linked with patients in some countries.•The ongoing Korean Longitudinal Study of Aging provides several years of data.•KLoSA 2008–2018 data confirm arthritis status' link to depression in Korean adults.•For middle-aged and older adults, worsening arthritis often increases depression.•Arthritis status and mental health should be measured for patients 45 and older.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>34739945</pmid><doi>10.1016/j.jpsychores.2021.110662</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Adult
Aged
Aging
Arthritis
Arthritis - epidemiology
Changes
Chronic disease
Depression
Depression - epidemiology
Epidemiology
Female
Health status
Humans
Longitudinal Studies
Male
Men
Mental depression
Mental disorders
Mental health
Mental health services
Middle age
Middle Aged
Older people
Osteoarthritis
Psychological distress
Republic of Korea - epidemiology
Rheumatic diseases
Symptoms
Women
title Arthritis status changes and depressive symptoms among middle-aged and older Koreans: Analysis of data from the Korean Longitudinal Study of Aging survey
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