Longitudinal association of spirituality with depressive symptom trajectories among older adults in mainland China
Objectives The relationship between spirituality and depressive symptoms among the Chinese elderly is not well known. The current study explores this relationship using longitudinal data and trajectory modeling of depressive symptoms. Methods A longitudinal study design was used to measure depressiv...
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| Veröffentlicht in: | International journal of geriatric psychiatry 2024-03, Vol.39 (3), p.e6077-n/a |
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| container_title | International journal of geriatric psychiatry |
| container_volume | 39 |
| creator | Hu, Xue Ma, Wanrui Tong, Yan Xiong, Mengyun He, Zhehao Lei, Qiuhui Koenig, Harold G. Wang, Zhizhong |
| description | Objectives
The relationship between spirituality and depressive symptoms among the Chinese elderly is not well known. The current study explores this relationship using longitudinal data and trajectory modeling of depressive symptoms.
Methods
A longitudinal study design was used to measure depressive symptoms repeatedly from 2012 to 2021 using the Geriatric Depression Scale (GDS). Group‐based trajectory modeling analysis was conducted to determine the trajectories of depressive symptoms, and multiple logistic regression was used to explore the association between spirituality and depressive symptom trajectories.
Results
A total of 2333 participants completed at least two GDS measures, and these were included in the Group‐based trajectory modeling analysis. An optimal model of three trajectories was derived: no depressive symptoms group (75.2%), new‐onset depressive symptoms group (14.4%), and persistent depressive symptoms group (10.4%). Logistic regression modeling revealed that higher spirituality was associated with a lower risk of both new‐onset depressive symptoms (OR = 0.68, 95% CI = 0.49–0.93) and persistent depressive symptoms (OR = 0.32, 95% CI = 0.23–0.45).
Conclusions
Spirituality predicts a lower risk of new‐onset depressive symptoms and persistent symptoms among older adults in mainland China.
Key points
An optimal model of three trajectories was derived: no depressive symptoms group, new‐onset depressive symptoms group, and persistent depressive symptoms group.
The present study found that age ≥65 years old, being female, hypertension and severe medical comorbidity were risk factors for the development of depressive symptoms.
Higher spirituality was associated with a lower risk of both new‐onset depressive symptoms and persistent depressive symptoms.
Provide primary evidence support the implementation of depression‐targeted spiritual integrated community intervention program among older adults in mainland China. |
| doi_str_mv | 10.1002/gps.6077 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2956160047</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2956160047</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3107-8f3987867fee7d23b8134d92559ce7ab10e5af8b94be5a0b8decc49ef63cb8093</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVIaTZpob-gCHLpxenIsmXpWJZ8FBYSSHo2sjROtNiWK8kJ---rbZIWAjnNwDw8M8xLyBcGZwyg_H4_xzMBTXNAVgyUKhgT4pCsQMq6ECWHI3Ic4xYgz5j8SI64rISsympFwsZP9y4t1k16oDpGb5xOzk_U9zTOLuSZHlza0SeXHqjFOWCM7hFp3I1z8iNNQW_RJB8cRqrHrKN-sBiotsuQInUTHbWbBj1Zun7Iaz6RD70eIn5-qSfk18X53fqq2Fxf_lz_2BSGM2gK2XMlGymaHrGxJe8k45VVZV0rg43uGGCte9mpqssNdNKiMZXCXnDTSVD8hHx79s7B_14wpnZ00eCQL0G_xLZUtWACoGoyevoG3fol5I_sKVlLYMDlf6EJPsaAfTsHN-qwaxm0-xzanEO7zyGjX1-ESzei_Qe-Pj4DxTPw5AbcvStqL29u_wr_AHfXk-Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2985801038</pqid></control><display><type>article</type><title>Longitudinal association of spirituality with depressive symptom trajectories among older adults in mainland China</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Hu, Xue ; Ma, Wanrui ; Tong, Yan ; Xiong, Mengyun ; He, Zhehao ; Lei, Qiuhui ; Koenig, Harold G. ; Wang, Zhizhong</creator><creatorcontrib>Hu, Xue ; Ma, Wanrui ; Tong, Yan ; Xiong, Mengyun ; He, Zhehao ; Lei, Qiuhui ; Koenig, Harold G. ; Wang, Zhizhong</creatorcontrib><description>Objectives
The relationship between spirituality and depressive symptoms among the Chinese elderly is not well known. The current study explores this relationship using longitudinal data and trajectory modeling of depressive symptoms.
Methods
A longitudinal study design was used to measure depressive symptoms repeatedly from 2012 to 2021 using the Geriatric Depression Scale (GDS). Group‐based trajectory modeling analysis was conducted to determine the trajectories of depressive symptoms, and multiple logistic regression was used to explore the association between spirituality and depressive symptom trajectories.
Results
A total of 2333 participants completed at least two GDS measures, and these were included in the Group‐based trajectory modeling analysis. An optimal model of three trajectories was derived: no depressive symptoms group (75.2%), new‐onset depressive symptoms group (14.4%), and persistent depressive symptoms group (10.4%). Logistic regression modeling revealed that higher spirituality was associated with a lower risk of both new‐onset depressive symptoms (OR = 0.68, 95% CI = 0.49–0.93) and persistent depressive symptoms (OR = 0.32, 95% CI = 0.23–0.45).
Conclusions
Spirituality predicts a lower risk of new‐onset depressive symptoms and persistent symptoms among older adults in mainland China.
Key points
An optimal model of three trajectories was derived: no depressive symptoms group, new‐onset depressive symptoms group, and persistent depressive symptoms group.
The present study found that age ≥65 years old, being female, hypertension and severe medical comorbidity were risk factors for the development of depressive symptoms.
Higher spirituality was associated with a lower risk of both new‐onset depressive symptoms and persistent depressive symptoms.
Provide primary evidence support the implementation of depression‐targeted spiritual integrated community intervention program among older adults in mainland China.</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.6077</identifier><identifier>PMID: 38468424</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Aged ; China - epidemiology ; cohort study ; Depression - diagnosis ; depressive symptom ; elderly ; group‐based trajectory modeling ; Humans ; Longitudinal Studies ; Mental depression ; Older people ; Regression analysis ; Research Design ; Risk Factors ; Spirituality ; trajectory of depressive symptom</subject><ispartof>International journal of geriatric psychiatry, 2024-03, Vol.39 (3), p.e6077-n/a</ispartof><rights>2024 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3107-8f3987867fee7d23b8134d92559ce7ab10e5af8b94be5a0b8decc49ef63cb8093</cites><orcidid>0000-0002-0612-3218 ; 0000-0002-7344-9189 ; 0009-0003-4855-4272 ; 0000-0002-3470-1994 ; 0000-0003-2573-6121 ; 0000-0002-6844-544X ; 0009-0003-3478-4966</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fgps.6077$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fgps.6077$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38468424$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hu, Xue</creatorcontrib><creatorcontrib>Ma, Wanrui</creatorcontrib><creatorcontrib>Tong, Yan</creatorcontrib><creatorcontrib>Xiong, Mengyun</creatorcontrib><creatorcontrib>He, Zhehao</creatorcontrib><creatorcontrib>Lei, Qiuhui</creatorcontrib><creatorcontrib>Koenig, Harold G.</creatorcontrib><creatorcontrib>Wang, Zhizhong</creatorcontrib><title>Longitudinal association of spirituality with depressive symptom trajectories among older adults in mainland China</title><title>International journal of geriatric psychiatry</title><addtitle>Int J Geriatr Psychiatry</addtitle><description>Objectives
The relationship between spirituality and depressive symptoms among the Chinese elderly is not well known. The current study explores this relationship using longitudinal data and trajectory modeling of depressive symptoms.
Methods
A longitudinal study design was used to measure depressive symptoms repeatedly from 2012 to 2021 using the Geriatric Depression Scale (GDS). Group‐based trajectory modeling analysis was conducted to determine the trajectories of depressive symptoms, and multiple logistic regression was used to explore the association between spirituality and depressive symptom trajectories.
Results
A total of 2333 participants completed at least two GDS measures, and these were included in the Group‐based trajectory modeling analysis. An optimal model of three trajectories was derived: no depressive symptoms group (75.2%), new‐onset depressive symptoms group (14.4%), and persistent depressive symptoms group (10.4%). Logistic regression modeling revealed that higher spirituality was associated with a lower risk of both new‐onset depressive symptoms (OR = 0.68, 95% CI = 0.49–0.93) and persistent depressive symptoms (OR = 0.32, 95% CI = 0.23–0.45).
Conclusions
Spirituality predicts a lower risk of new‐onset depressive symptoms and persistent symptoms among older adults in mainland China.
Key points
An optimal model of three trajectories was derived: no depressive symptoms group, new‐onset depressive symptoms group, and persistent depressive symptoms group.
The present study found that age ≥65 years old, being female, hypertension and severe medical comorbidity were risk factors for the development of depressive symptoms.
Higher spirituality was associated with a lower risk of both new‐onset depressive symptoms and persistent depressive symptoms.
Provide primary evidence support the implementation of depression‐targeted spiritual integrated community intervention program among older adults in mainland China.</description><subject>Aged</subject><subject>China - epidemiology</subject><subject>cohort study</subject><subject>Depression - diagnosis</subject><subject>depressive symptom</subject><subject>elderly</subject><subject>group‐based trajectory modeling</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Mental depression</subject><subject>Older people</subject><subject>Regression analysis</subject><subject>Research Design</subject><subject>Risk Factors</subject><subject>Spirituality</subject><subject>trajectory of depressive symptom</subject><issn>0885-6230</issn><issn>1099-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1r3DAQhkVIaTZpob-gCHLpxenIsmXpWJZ8FBYSSHo2sjROtNiWK8kJ---rbZIWAjnNwDw8M8xLyBcGZwyg_H4_xzMBTXNAVgyUKhgT4pCsQMq6ECWHI3Ic4xYgz5j8SI64rISsympFwsZP9y4t1k16oDpGb5xOzk_U9zTOLuSZHlza0SeXHqjFOWCM7hFp3I1z8iNNQW_RJB8cRqrHrKN-sBiotsuQInUTHbWbBj1Zun7Iaz6RD70eIn5-qSfk18X53fqq2Fxf_lz_2BSGM2gK2XMlGymaHrGxJe8k45VVZV0rg43uGGCte9mpqssNdNKiMZXCXnDTSVD8hHx79s7B_14wpnZ00eCQL0G_xLZUtWACoGoyevoG3fol5I_sKVlLYMDlf6EJPsaAfTsHN-qwaxm0-xzanEO7zyGjX1-ESzei_Qe-Pj4DxTPw5AbcvStqL29u_wr_AHfXk-Q</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Hu, Xue</creator><creator>Ma, Wanrui</creator><creator>Tong, Yan</creator><creator>Xiong, Mengyun</creator><creator>He, Zhehao</creator><creator>Lei, Qiuhui</creator><creator>Koenig, Harold G.</creator><creator>Wang, Zhizhong</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0612-3218</orcidid><orcidid>https://orcid.org/0000-0002-7344-9189</orcidid><orcidid>https://orcid.org/0009-0003-4855-4272</orcidid><orcidid>https://orcid.org/0000-0002-3470-1994</orcidid><orcidid>https://orcid.org/0000-0003-2573-6121</orcidid><orcidid>https://orcid.org/0000-0002-6844-544X</orcidid><orcidid>https://orcid.org/0009-0003-3478-4966</orcidid></search><sort><creationdate>202403</creationdate><title>Longitudinal association of spirituality with depressive symptom trajectories among older adults in mainland China</title><author>Hu, Xue ; Ma, Wanrui ; Tong, Yan ; Xiong, Mengyun ; He, Zhehao ; Lei, Qiuhui ; Koenig, Harold G. ; Wang, Zhizhong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3107-8f3987867fee7d23b8134d92559ce7ab10e5af8b94be5a0b8decc49ef63cb8093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>China - epidemiology</topic><topic>cohort study</topic><topic>Depression - diagnosis</topic><topic>depressive symptom</topic><topic>elderly</topic><topic>group‐based trajectory modeling</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Mental depression</topic><topic>Older people</topic><topic>Regression analysis</topic><topic>Research Design</topic><topic>Risk Factors</topic><topic>Spirituality</topic><topic>trajectory of depressive symptom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hu, Xue</creatorcontrib><creatorcontrib>Ma, Wanrui</creatorcontrib><creatorcontrib>Tong, Yan</creatorcontrib><creatorcontrib>Xiong, Mengyun</creatorcontrib><creatorcontrib>He, Zhehao</creatorcontrib><creatorcontrib>Lei, Qiuhui</creatorcontrib><creatorcontrib>Koenig, Harold G.</creatorcontrib><creatorcontrib>Wang, Zhizhong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hu, Xue</au><au>Ma, Wanrui</au><au>Tong, Yan</au><au>Xiong, Mengyun</au><au>He, Zhehao</au><au>Lei, Qiuhui</au><au>Koenig, Harold G.</au><au>Wang, Zhizhong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longitudinal association of spirituality with depressive symptom trajectories among older adults in mainland China</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int J Geriatr Psychiatry</addtitle><date>2024-03</date><risdate>2024</risdate><volume>39</volume><issue>3</issue><spage>e6077</spage><epage>n/a</epage><pages>e6077-n/a</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><abstract>Objectives
The relationship between spirituality and depressive symptoms among the Chinese elderly is not well known. The current study explores this relationship using longitudinal data and trajectory modeling of depressive symptoms.
Methods
A longitudinal study design was used to measure depressive symptoms repeatedly from 2012 to 2021 using the Geriatric Depression Scale (GDS). Group‐based trajectory modeling analysis was conducted to determine the trajectories of depressive symptoms, and multiple logistic regression was used to explore the association between spirituality and depressive symptom trajectories.
Results
A total of 2333 participants completed at least two GDS measures, and these were included in the Group‐based trajectory modeling analysis. An optimal model of three trajectories was derived: no depressive symptoms group (75.2%), new‐onset depressive symptoms group (14.4%), and persistent depressive symptoms group (10.4%). Logistic regression modeling revealed that higher spirituality was associated with a lower risk of both new‐onset depressive symptoms (OR = 0.68, 95% CI = 0.49–0.93) and persistent depressive symptoms (OR = 0.32, 95% CI = 0.23–0.45).
Conclusions
Spirituality predicts a lower risk of new‐onset depressive symptoms and persistent symptoms among older adults in mainland China.
Key points
An optimal model of three trajectories was derived: no depressive symptoms group, new‐onset depressive symptoms group, and persistent depressive symptoms group.
The present study found that age ≥65 years old, being female, hypertension and severe medical comorbidity were risk factors for the development of depressive symptoms.
Higher spirituality was associated with a lower risk of both new‐onset depressive symptoms and persistent depressive symptoms.
Provide primary evidence support the implementation of depression‐targeted spiritual integrated community intervention program among older adults in mainland China.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38468424</pmid><doi>10.1002/gps.6077</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-0612-3218</orcidid><orcidid>https://orcid.org/0000-0002-7344-9189</orcidid><orcidid>https://orcid.org/0009-0003-4855-4272</orcidid><orcidid>https://orcid.org/0000-0002-3470-1994</orcidid><orcidid>https://orcid.org/0000-0003-2573-6121</orcidid><orcidid>https://orcid.org/0000-0002-6844-544X</orcidid><orcidid>https://orcid.org/0009-0003-3478-4966</orcidid></addata></record> |
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| ispartof | International journal of geriatric psychiatry, 2024-03, Vol.39 (3), p.e6077-n/a |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Aged China - epidemiology cohort study Depression - diagnosis depressive symptom elderly group‐based trajectory modeling Humans Longitudinal Studies Mental depression Older people Regression analysis Research Design Risk Factors Spirituality trajectory of depressive symptom |
| title | Longitudinal association of spirituality with depressive symptom trajectories among older adults in mainland China |
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