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Long-term effects of depression trajectories on functional disabilities: a prospective cohort study in middle-aged and older Chinese adults
Long-term effects of depression trajectories on functional disabilities: a prospective cohort study in middle-aged and older Chinese adults
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Long-term effects of depression trajectories on functional disabilities: a prospective cohort study in middle-aged and older Chinese adults
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Long-term effects of depression trajectories on functional disabilities: a prospective cohort study in middle-aged and older Chinese adults
Long-term effects of depression trajectories on functional disabilities: a prospective cohort study in middle-aged and older Chinese adults

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Long-term effects of depression trajectories on functional disabilities: a prospective cohort study in middle-aged and older Chinese adults
Long-term effects of depression trajectories on functional disabilities: a prospective cohort study in middle-aged and older Chinese adults
Journal Article

Long-term effects of depression trajectories on functional disabilities: a prospective cohort study in middle-aged and older Chinese adults

2024
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Overview
Although the link between mental health issues and physical functioning is established, research on the patterns of depression trajectories and their long-term impact on functional disabilities in middle-aged and older individuals remains scarce. This study leverages four waves of data from middle-aged and older Chinese adults to investigate how different trajectories of depression affect functional disabilities. Data from four waves of the China Health and Retirement Longitudinal Study (2011, 2013, 2015, and 2018), encompassing 3,126 participants aged 45 and older at baseline, were analyzed. Growth mixture modeling identified distinct patterns of depression trajectories. Bivariate and multivariable linear regression analyses were then applied to examine the long-term effects of these depression trajectories on functional disabilities. Depression trajectories among participants were categorized into four groups: persistently severe (7.7%), increasing (18.6%), decreasing (15.1%), and stable asymptomatic (58.6%). All observed relationships between depression trajectories and functional disabilities were statistically significant. Specifically, those with persistently severe, increasing, or decreasing depressive symptoms reported greater functional disabilities compared to stable asymptomatic individuals. Notably, respondents with increasing or decreasing depressive symptoms showed fewer functional disabilities than those with persistently severe symptoms, with decreasing symptoms associated with lesser disabilities than increasing symptoms. Clinical practitioners and social workers need to intensify efforts to alleviate the impact of chronic depression on daily functioning among middle-aged and older adults. Public health policymakers should prioritize resource allocation towards those with persistently severe depression and functional disabilities in this age group.