Association of self-reported arthritis with depression, anxiety, and comorbid depression/anxiety among the older Chinese adults: A cross-sectional study.

Journal: Journal of affective disorders

Volume: 354

Issue: 

Year of Publication: 

Affiliated Institutions:  Research Center for Universal Health, School of Public Health, China Medical University, Shenyang , China. Electronic address: @cmu.edu.cn. Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian , China. Research Center for Universal Health, School of Public Health, China Medical University, Shenyang , China. Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang , China. Department of Critical Care Medicine, Shengjing Hospital of China Medical University, Shenyang , China. Electronic address: haiyuan_why@.com.

Abstract summary 

Arthritis is relatively common among middle-aged and older people and is a significant public health problem. However, research on the relationship between arthritis and mental health in older populations is currently limited.Data were obtained from the Chinese Longitudinal Healthy Longevity Survey. The 10-item Center for Epidemiologic Studies Depression Scale and 7-item Generalized Anxiety Disorder Scale were used to evaluate depressive and anxiety symptoms. Arthritis status was self-reported. Linear and logistic regression analyses were conducted to assess the impact of arthritis on depression, anxiety, and comorbid depression/anxiety symptoms.A total of 11,104 participants aged ≥65 years (mean age, 83.1 ± 11.1 years) were included in the analysis. We detected positive associations of arthritis with depression symptoms (adjusted odds ratio [OR]: 1.57, 95 % confidence interval [CI] 1.33 to 1.86), anxiety symptoms (adjusted OR: 1.48, 95 % CI: 1.15 to 1.90), and comorbid depression/anxiety symptoms (adjusted OR: 1.88, 95 % CI: 1.41 to 2.5) in the older adult population. Participants with arthritis had higher anxiety (adjusted linear regression coefficient: 0.43, 95 % CI: 0.24 to 0.63) and depression (adjusted linear regression coefficient: 0.87, 95 % CI: 0.57 to 1.14) scores compared with those without arthritis. In addition, there were no significant interaction effects between arthritis and participant characteristics on depression symptoms, anxiety symptoms, or comorbid depression/anxiety symptoms.Arthritis was positively associated with depression symptoms, anxiety symptoms, and comorbid depression/anxiety symptoms among older adults. Further cohort studies are needed to validate these associations.

Authors & Co-authors:  Chen Guo Li Huang Hong Wang

Study Outcome 

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Citations : 
Authors :  6
Identifiers
Doi : 10.1016/j.jad.2024.03.086
SSN : 1573-2517
Study Population
Male,Female
Mesh Terms
Other Terms
Anxiety symptoms;Arthritis;Comorbid depression/anxiety symptoms;Depression symptoms;Older adult
Study Design
Study Approach
Country of Study
Publication Country
Netherlands