Analysis of depression symptoms and its influencing factors in middle-aged and elderly diabetic patients

CHEN Yueying; WANG Nan; LI Fang; SHU Lingxia; LIU Jia

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Journal of Hunan Normal University(Medical Science) ›› 2023, Vol. 20 ›› Issue (3) : 143-148.

Clinical Medicine

Analysis of depression symptoms and its influencing factors in middle-aged and elderly diabetic patients

CHEN Yueying¹, WANG Nan¹, LI Fang¹, SHU Lingxia², LIU Jia³

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Abstract

Objective The aim of this study was to investigate the important factors influencing depressive symptoms among middle-aged and elderly diabetic patients in rural and urban areas of China. Method Seven hundred and thirteen middle-aged and elderly diabetic patients from the 2018 China Health and Aging National Tracking Survey (CHARLS) project were selected as the study population, and depressive symptoms in the study population were assessed using the Depression Self-Assessment Scale (CES-D). Significant variables influencing depressive symptoms were screened and ranked by the random forest algorithm. Based on this, multi-factor logistic regression analysis was used to explore the factors associated with depressive symptoms affecting middle-aged and elderly diabetic patients in rural and urban areas. Results The results of random forest algorithm showed that the top 10 important variables among the 18 indicators were income, age, sleep duration, life satisfaction, health satisfaction, nap duration, somatic pain, marital satisfaction, child satisfaction, and air satisfaction. The results of multifactorial logistic regression analysis showed that female, short sleep duration, poor life satisfaction, poor health satisfaction, poor child satisfaction, and somatic pain were associated with depressive symptoms in middle-aged and elderly diabetic patients. Conclusion 41.65% of rural and urban middle-aged and elderly diabetic patients had depressive symptoms, and the state and government should pay more attention to the mental health status of diabetic patients in rural and urban areas in the future.

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middle-aged and elderly people / diabetes mellitus / depressive symptoms / influencing factors

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CHEN Yueying, WANG Nan, LI Fang, SHU Lingxia, LIU Jia. Analysis of depression symptoms and its influencing factors in middle-aged and elderly diabetic patients[J]. Journal of Hunan Normal University(Medical Science). 2023, 20(3): 143-148

References

[1] Zhang Y, Chen Y, Ma L.Depression and cardiovascular disease in elderly: Current understanding[J]. J Clin Neurosci, 2018, 47: 1-5.
[2] 吴念韦, 杨帆, 夏静, 等. 我国中老年人抑郁现况及其影响因素分析[J]. 四川大学学报 (医学版), 2021, 52(05): 767-771.
[3] Malhi GS, Mann JJ.Depression[J]. Lancet, 2018, 392(10161): 2299-2312.
[4] Gregory JM, Rosenblat JD, McIntyre RS. Deconstructing Diabetes and Depression: Clinical Context, Treatment Strategies, and New Directions[J]. Focus (Am Psychiatr Publ), 2016, 14(2): 184-193.
[5] Anderson RJ, Freedland KE, Clouse RE, et al.The prevalence of comorbid depression in adults with diabetes: a meta-analysis[J]. Diabetes Care, 2001, 24(6): 1069-1078.
[6] 周吉, 杨绍湖, 吕应楠. 南宁市城市和农村2型糖尿病患者血糖控制的影响因素分析[J]. 实用预防医学, 2021, 28(07): 785-791.
[7] 杨帆. 中国健康与养老追踪调查数据库介绍[J]. 实证社会科学, 2017, 3(01): 115-122.
[8] Andresen EM, Malmgren JA, Carter WB, et al.Screening for depression in well older adults: evaluation of a short form of the CES-D[J]. Am J Prev Med, 1994, 10(2): 77-84.
[9] Boey KW.Cross-validation of a short form of the CES-D in Chinese elderly[J]. Int J Geriatr Psychiatry, 1999, 14(8): 608-617.
[10] 黄庆波, 王晓华, 陈功.10项流调中心抑郁自评量表在中国中老人群中的信效度[J]. 中国健康心理学杂志, 2015, 23(07): 1036-1041.
[11] 李淳娥, 任玉华, 曹爱华, 等. 云南大理地区白族人群2型糖尿病合并抑郁患病率及影响因素分析[J]. 糖尿病新世界, 2020, 23(17): 36-38+41.
[12] 陈嘉威. 2型糖尿病患者伴抑郁症情况调查及中医辨证探究[D]. 成都:成都中医药大学, 2020.
[13] Khaledi M, Haghighatdoost F, Feizi A, et al.The prevalence of comorbid depression in patients with type 2 diabetes: an updated systematic review and meta-analysis on huge number of observational studies[J]. Acta Diabetol, 2019, 56(6): 631-650.
[14] Zhai L, Zhang H, Zhang D.Sleep duration and depression among adults: a meta-analysis of prospective studies[J]. Depress Anxiety, 2015, 32(9): 664-670.
[15] 李玉洁. 中国中老年人睡眠时间与抑郁症状的纵向关联研究[D]. 青岛: 青岛大学, 2018.
[16] van Noorden MS, van Fenema EM, van der Wee NJ, et al. Predicting outcome of depression using the depressive symptom profile: the Leiden Routine Outcome Monitoring Study[J]. Depress Anxiety, 2012, 29(6): 523-530.
[17] Weicker H, Strüder HK.Influence of exercise on serotonergic neuromodulation in the brain[J]. Amino Acids, 2001, 20(1): 35-47.
[18] Salmon P.Effects of physical exercise on anxiety, depression, and sensitivity to stress: a unifying theory[J]. Clin Psychol Rev, 2001, 21(1): 33-61.
[19] Paluska SA, Schwenk TL.Physical activity and mental health: current concepts[J]. Sports Med, 2000, 29(3): 167-180.
[20] 刘佳, 彭红叶, 阎早芳, 等. 中国健康与养老追踪调查: 中老年残疾人抑郁症状及相关因素[J]. 中华行为医学与脑科学杂志, 2021, 30(3): 273-278.
[21] Aguirre-Camacho A, Moreno-Jiménez B.Depression and Anxiety in Patients With Pulmonary Hypertension: The Role of Life Satisfaction and Optimism[J]. Psychosomatics, 2018, 59: 575-583.
[22] 张文娣, 许晶, 胡志云. 自测健康评定量表在抑郁症患者中的应用[J]. 中国医药指南, 2011, 9(13): 30-31.
[23] Lima-Costa MF, Cesar CC, Chor D, et al.Self-rated health compared with objectively measured health status as a tool for mortality risk screening in older adults: 10-year follow-up of the Bambuí Cohort Study of Aging[J]. Am J Epidemiol, 2012, 175(3): 228-235.
[24] Qiu Y, Li H, Yang Z, et al.The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study[J]. BMC Health Serv Res, 2020, 20(1): 600.
[25] 栗娟, 陈秀荣. 情绪释放疗法对糖尿病周围神经病理性疼痛患者的影响[J]. 护理学杂志, 2021, 36(16): 69-72.
[26] 孙玉莲. 农村2型糖尿病患者糖尿病知识与自我管理现状调查[J]. 中外医疗, 2019, 38(29): 115-118.
[27] Bauer H, Emeny RT, Baumert J, et al.Resilience moderates the association between chronic pain and depressive symptoms in the elderly[J]. Eur J Pain, 2016, 20(8): 1253-1265.
[28] 方福生, 成晓玲, 李志冰, 等. 老年2型糖尿病患者血糖波动性别差异的病例对照研究[J]. 中国药物应用与监测, 2013, 10(04): 193-196.
[29] Buscemi S, Re A, Batsis JA, et al.Glycaemic variability using continuous glucose monitoring and endothelial function in the metabolic syndrome and in Type 2 diabetes[J]. Diabet Med, 2010, 27(8): 872-878.
[30] 赵博, 刘燕萍, 张翼飞, 等.2型糖尿病患者颈动脉硬化度的性别差异: 四年随访研究[J]. 中华医学超声杂志 (电子版), 2012, 9(2): 132-135.
[31] 詹晓慧, 郭文斌. 抑郁症的性别差异及其相关学说[J]. 国外医学. 精神病学分册, 2004(04): 240-243.
[32] Katon W, Russo J, Lin EH, et al.Diabetes and poor disease control: is comorbid depression associated with poor medication adherence or lack of treatment intensification?[J]. Psychosom Med, 2009, 71(9): 965-972.
[33] Heckbert SR, Rutter CM, Oliver M, et al.Depression in relation to long-term control of glycemia, blood pressure, and lipids in patients with diabetes[J]. J Gen Intern Med, 2010, 25(6): 524-529.
[34] Katon W, Russo J, Lin EH, et al.Depression and diabetes: factors associated with major depression at five-year follow-up[J]. Psychosomatics, 2009, 50(6): 570-579.