Sensory impairments and depressive symptoms in Europe: a cross-national cohort study.

IF 2.8 3区医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-12-01 Epub Date: 2024-05-02 DOI:10.1080/13607863.2024.2345790

Linda Juel Ahrenfeldt, Sören Möller, Dorthe Linding Nielsen, Niels Kristian Kjær, Jens Søndergaard, Jesper Lykkegaard

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Abstract

Objectives: To investigate the associations between sensory impairments and the development of depressive symptoms across sex, age, and European regions, and to examine the mediating role of cognitive function, activities of daily living (ADL), and physical activity.

Method: A cohort study including 56,847 Europeans aged 50+ participating in at least two waves of the Survey of Health, Ageing and Retirement in Europe (SHARE). Associations were analyzed using mixed effects logistic regression models considering several confounders.

Results: Overall, 17.8% developed depressive symptoms. Compared to participants with good vision and hearing, those with vision impairment (VI) (odds ratio (OR) = 1.35, 95% confidence interval (CI) 1.27-1.44), hearing impairment (HI) OR = 1.32, 95% CI 1.21-1.43, and dual sensory impairment (DSI, i.e. VI and HI) (OR = 1.93, 95% CI 1.75-2.13) had increased odds of depressive symptoms. The associations were consistent across sex and European regions but became stronger with advancing age among men. Dose-response relationships were found for all associations. Mediation analyses revealed that preventing cognitive decline, ADL limitations, and physical inactivity would eliminate 15.0%, 11.5%, and 21.4% of the total effect for VI, HI, and DSI, respectively.

Conclusion: Our findings emphasize the importance of preventing sensory impairments to avoid depressive symptoms.

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欧洲的感官障碍和抑郁症状：一项跨国队列研究。

研究目的调查不同性别、年龄和欧洲地区的感官障碍与抑郁症状发展之间的关联，并研究认知功能、日常生活活动（ADL）和体育活动的中介作用：方法：一项队列研究，包括 56,847 名 50 岁以上的欧洲人，他们至少参加了两次欧洲健康、老龄和退休调查（SHARE）。研究使用混合效应逻辑回归模型分析了其中的关联，并考虑了若干混杂因素：总体而言，17.8%的人出现了抑郁症状。与视力和听力良好的参与者相比，有视力障碍（VI）（几率比（OR）=1.35，95% 置信区间（CI）1.27-1.44）、听力障碍（HI）（OR = 1.32，95% CI 1.21-1.43）和双重感觉障碍（DSI，即 VI 和 HI）（OR = 1.93，95% CI 1.75-2.13）的人出现抑郁症状的几率更高。这种关联在不同性别和欧洲地区都是一致的，但随着男性年龄的增长，这种关联变得更加强烈。所有关联都存在剂量-反应关系。中介分析显示，预防认知能力下降、ADL 限制和缺乏运动将分别消除 VI、HI 和 DSI 总效应的 15.0%、11.5% 和 21.4%：我们的研究结果强调了预防感官障碍对避免抑郁症状的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.