韩国成年糖尿病患者的抑郁症状轨迹:个体差异以及与生活满意度和死亡率的关联。

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2024-07-24 DOI:10.1111/bjhp.12742
Eun-Jung Shim, Sang Jin Park, Gyu Hyeong Im, Ruth A. Hackett, Paola Zaninotto, Andrew Steptoe
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引用次数: 0

摘要

研究目的我们研究了成人糖尿病患者的抑郁症状轨迹及其预测因素。我们评估了这些轨迹是否与生活满意度和死亡率有关:设计:纵向、前瞻性观察研究:我们分析了韩国老龄化纵向研究(2006-2018年)中1217名成年糖尿病患者(年龄≥45岁)的数据:在生长混合模型中发现了抑郁症状的三种轨迹:低/稳定(即症状水平低且稳定;85.56%)、高/下降(即症状水平高且轨迹下降;7.47%)和中/上升(即症状水平中且轨迹上升;6.98%)。基线时健康状况较差的参与者更有可能属于中度/加重或高度/减轻级别,而不是低度/稳定级别。对生活质量满意度最低的是 "中度/上升 "组,其次是 "高度/下降 "组和 "低度/稳定 "组。中度/递增和高度/递减班级对配偶和子女关系的满意度低于低度/稳定班级。高/递减组的死亡风险高于低/稳定组:鉴于抑郁症状对生活满意度和死亡率的潜在不利影响,有必要对成年糖尿病患者的抑郁症状进行长期监测。
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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Trajectories of depressive symptoms in Korean adults with diabetes: Individual differences and associations with life satisfaction and mortality

Objective

We examined trajectories of depressive symptoms and their predictors in adults with diabetes. We assessed whether these trajectories were related to life satisfaction and mortality.

Design

Longitudinal, prospective observational study.

Methods

We analysed data from 1217 adults with diabetes (aged ≥45 years) in the Korean Longitudinal Study of Aging (2006–2018).

Results

Three trajectories of depressive symptomology were identified in growth mixture models: low/stable (i.e., low and stable levels of symptoms; 85.56%), high/decreasing (i.e., high levels of symptoms with a decreasing trajectory; 7.47%), and moderate/increasing (i.e., moderate levels of symptoms with an increasing trajectory; 6.98%). Participants with poor perceived health status at baseline were more likely to be in the moderate/increasing or high/decreasing classes than in the low/stable class. The moderate/increasing class had the lowest satisfaction with quality of life, followed by the high/decreasing and low/stable classes. The moderate/increasing and the high/decreasing classes had lower satisfaction with relationships with spouse and children than the low/stable class. The high/decreasing class had a higher mortality risk than the low/stable class.

Conclusions

Long-term monitoring of depressive symptoms in adults with diabetes is warranted given their potential adverse impact on life satisfaction and mortality.

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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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