Residential College | false |
Status | 已發表Published |
Inter-relationship between cognitive performance and depressive symptoms and their association with quality of life in older adults: A network analysis based on the 2017–2018 wave of Chinese Longitudinal Healthy Longevity Survey (CLHLS) | |
Bai, Wei1,2; Zhang, Juan3; Smith, Robert D.1; Cheung, Teris4; Su, Zhaohui5; Ng, Chee H.6; Zhang, Qinge7; Xiang, Yu Tao1,2 | |
2023 | |
Source Publication | Journal of Affective Disorders |
ISSN | 0165-0327 |
Volume | 320Pages:621-627 |
Abstract | Background: Depressive symptoms and cognitive impairment are common psychiatric conditions and often co-occur in older adults. Network analysis has been widely used in exploring the inter-connections between psychiatric symptoms. The aim of this study was to explore the network model of depressive symptoms and cognitive performance, and their association with quality of life in people aged 65 years or above based on the 2017–2018 wave of Chinese Longitudinal Healthy Longevity Survey (CLHLS). Method: Global cognitive performance, depressive symptoms, and global quality of life (QoL) were measured using the validated Chinese version of the Mini Mental State Examination (MMSE), the 10-item Center for Epidemiologic Studies Short Depression Scale (CES-D), and the World Health Organization Quality of Life-brief version (WHOQOL-BREF), respectively. Central symptoms and bridge symptoms were identified via strength and bridge strength, respectively. The flow network was used to identify symptoms directly related to QoL. Network stability was examined using the case dropping bootstrap method. Results: A total of 9023 participants were included in the network analysis. CESD3 “Feeling blue/depressed”, CESD4 “Everything was an effort”, and At_C “Attention and Calculation” were the central (influential) symptoms that had the highest strength value. Three bridge symptoms (i.e., Nam “Naming”, CESD2 “Difficulty with concentrating”, and Lan “Language”) were also identified. CESD10 “Sleep disturbances” had the strongest direct connection to QoL. Conclusions: This exploratory study highlights the inter-relationships between cognitive performance and depressive symptoms in older adults in the general population. Interventions targeting bridge symptoms have the potential to alleviate depressive and cognitive symptoms in this population. Furthermore, improving sleep quality in older adults may reduce the negative impact of depression and cognition decline on QoL. |
Keyword | Cognition Depression Network Analysis Older Adults Quality Of Life |
DOI | 10.1016/j.jad.2022.09.159 |
URL | View the original |
Indexed By | SCIE ; SSCI |
Language | 英語English |
WOS Research Area | Neurosciences & Neurology ; Psychiatry |
WOS Subject | Clinical Neurology ; Psychiatry |
WOS ID | WOS:000888135400014 |
Publisher | Elsevier Ltd |
Scopus ID | 2-s2.0-85140275002 |
Fulltext Access | |
Citation statistics | |
Document Type | Journal article |
Collection | Faculty of Education Faculty of Health Sciences DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION |
Corresponding Author | Xiang, Yu Tao |
Affiliation | 1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao 2.Centre for Cognitive and Brain Sciences, University of Macau, Macao 3.Faculty of Education, University of Macau, Macao 4.School of Nursing, Hong Kong Polytechnic University, Hong Kong 5.Center on Smart and Connected Health Technologies, Mays Cancer Center, School of Nursing, UT Health San Antonio, San Antonio, United States 6.Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, Australia 7.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China |
First Author Affilication | Faculty of Health Sciences; University of Macau |
Corresponding Author Affilication | Faculty of Health Sciences; University of Macau |
Recommended Citation GB/T 7714 | Bai, Wei,Zhang, Juan,Smith, Robert D.,et al. Inter-relationship between cognitive performance and depressive symptoms and their association with quality of life in older adults: A network analysis based on the 2017–2018 wave of Chinese Longitudinal Healthy Longevity Survey (CLHLS)[J]. Journal of Affective Disorders, 2023, 320, 621-627. |
APA | Bai, Wei., Zhang, Juan., Smith, Robert D.., Cheung, Teris., Su, Zhaohui., Ng, Chee H.., Zhang, Qinge., & Xiang, Yu Tao (2023). Inter-relationship between cognitive performance and depressive symptoms and their association with quality of life in older adults: A network analysis based on the 2017–2018 wave of Chinese Longitudinal Healthy Longevity Survey (CLHLS). Journal of Affective Disorders, 320, 621-627. |
MLA | Bai, Wei,et al."Inter-relationship between cognitive performance and depressive symptoms and their association with quality of life in older adults: A network analysis based on the 2017–2018 wave of Chinese Longitudinal Healthy Longevity Survey (CLHLS)".Journal of Affective Disorders 320(2023):621-627. |
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