Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults
(1) Objectives: This study aims to investigate the bidirectional relationship between depressive symptoms and cognitive function among older adults in China, addressing a research gap in the context of developing nations. (2) Methods: A total of 3813 adults aged 60 and older participating in 2013, 2...
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| Format: | Article |
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MDPI AG
2023-11-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/21/2880 |
| _version_ | 1797631865393250304 |
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| author | Jiehua Lu Yunchen Ruan |
| author_facet | Jiehua Lu Yunchen Ruan |
| author_sort | Jiehua Lu |
| collection | DOAJ |
| description | (1) Objectives: This study aims to investigate the bidirectional relationship between depressive symptoms and cognitive function among older adults in China, addressing a research gap in the context of developing nations. (2) Methods: A total of 3813 adults aged 60 and older participating in 2013, 2015, and 2018 waves of the China Health and Retirement Longitudinal Study (CHARLS) were included. A fixed-effects model and cross-lagged panel model (CLPM) was utilized. (3) Results: First, the results indicated that a significant negative correlation existed between depressive symptoms and cognitive function in older adults during the study period (β = −0.084, <i>p</i> < 0.001). Second, after controlling for unobserved confounding factors, the deterioration and improvement of depressive symptoms still significantly affected cognitive function (β = −0.055, <i>p</i> < 0.001). Third, using the cross-lagged panel model, we observed a reciprocal relationship between depressive symptoms (Dep) and cognitive function (Cog) among Chinese older adults (Dep2013 → Cog2015, β = −0.025, <i>p</i> < 0.01; Dep2015 → Cog2018, β = −0.028, <i>p</i> < 0.001; Cog2013 → Dep2015, β = −0.079, <i>p</i> < 0.01; Cog2015 → Dep2018, β = −0.085, <i>p</i> < 0.01). (4) Discussion: The reciprocal relationship between depressive symptoms and cognitive functioning in older adults emphasizes the need for integrated public health policies and clinical interventions, to develop comprehensive intervention strategies that simultaneously address depressive symptoms and cognitive decline. |
| first_indexed | 2024-03-11T11:29:48Z |
| format | Article |
| id | doaj.art-77dcba4bcf6a4f3fba98f4326036038b |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T11:29:48Z |
| publishDate | 2023-11-01 |
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| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-77dcba4bcf6a4f3fba98f4326036038b2023-11-10T15:03:53ZengMDPI AGHealthcare2227-90322023-11-011121288010.3390/healthcare11212880Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older AdultsJiehua Lu0Yunchen Ruan1Department of Sociology, Peking University, No. 5 Yiheyuan Road, Haidian District, Beijing 100871, ChinaSchool of Humanities and Social Sciences, Fuzhou University, No. 2 Xueyuan Road, Fuzhou 350108, China(1) Objectives: This study aims to investigate the bidirectional relationship between depressive symptoms and cognitive function among older adults in China, addressing a research gap in the context of developing nations. (2) Methods: A total of 3813 adults aged 60 and older participating in 2013, 2015, and 2018 waves of the China Health and Retirement Longitudinal Study (CHARLS) were included. A fixed-effects model and cross-lagged panel model (CLPM) was utilized. (3) Results: First, the results indicated that a significant negative correlation existed between depressive symptoms and cognitive function in older adults during the study period (β = −0.084, <i>p</i> < 0.001). Second, after controlling for unobserved confounding factors, the deterioration and improvement of depressive symptoms still significantly affected cognitive function (β = −0.055, <i>p</i> < 0.001). Third, using the cross-lagged panel model, we observed a reciprocal relationship between depressive symptoms (Dep) and cognitive function (Cog) among Chinese older adults (Dep2013 → Cog2015, β = −0.025, <i>p</i> < 0.01; Dep2015 → Cog2018, β = −0.028, <i>p</i> < 0.001; Cog2013 → Dep2015, β = −0.079, <i>p</i> < 0.01; Cog2015 → Dep2018, β = −0.085, <i>p</i> < 0.01). (4) Discussion: The reciprocal relationship between depressive symptoms and cognitive functioning in older adults emphasizes the need for integrated public health policies and clinical interventions, to develop comprehensive intervention strategies that simultaneously address depressive symptoms and cognitive decline.https://www.mdpi.com/2227-9032/11/21/2880depressive symptomscognitive functionreciprocal relationshipChinese older adultscross-lagged panel model |
| spellingShingle | Jiehua Lu Yunchen Ruan Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults Healthcare depressive symptoms cognitive function reciprocal relationship Chinese older adults cross-lagged panel model |
| title | Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults |
| title_full | Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults |
| title_fullStr | Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults |
| title_full_unstemmed | Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults |
| title_short | Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults |
| title_sort | exploring the reciprocal relationship between depressive symptoms and cognitive function among chinese older adults |
| topic | depressive symptoms cognitive function reciprocal relationship Chinese older adults cross-lagged panel model |
| url | https://www.mdpi.com/2227-9032/11/21/2880 |
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