Eun-Jung Shim, Sang Jin Park, Gyu Hyeong Im, Ruth A. Hackett, Paola Zaninotto, Andrew Steptoe
{"title":"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。","authors":"Eun-Jung Shim, Sang Jin Park, Gyu Hyeong Im, Ruth A. Hackett, Paola Zaninotto, Andrew Steptoe","doi":"10.1111/bjhp.12742","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>Longitudinal, prospective observational study.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We analysed data from 1217 adults with diabetes (aged ≥45 years) in the Korean Longitudinal Study of Aging (2006–2018).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Three trajectories of depressive symptomology were identified in growth mixture models: <i>low/stable</i> (i.e., low and stable levels of symptoms; 85.56%), <i>high/decreasing</i> (i.e., high levels of symptoms with a decreasing trajectory; 7.47%), and <i>moderate/increasing</i> (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 <i>moderate/increasing</i> or <i>high/decreasing</i> classes than in the <i>low/stable</i> class. The <i>moderate/increasing</i> class had the lowest satisfaction with quality of life, followed by the <i>high/decreasing</i> and <i>low/stable</i> classes. The <i>moderate/increasing</i> and the <i>high/decreasing</i> classes had lower satisfaction with relationships with spouse and children than the <i>low/stable</i> class. The <i>high/decreasing</i> class had a higher mortality risk than the <i>low/stable</i> class.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Long-term monitoring of depressive symptoms in adults with diabetes is warranted given their potential adverse impact on life satisfaction and mortality.</p>\n </section>\n </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.5000,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12742","citationCount":"0","resultStr":"{\"title\":\"Trajectories of depressive symptoms in Korean adults with diabetes: Individual differences and associations with life satisfaction and mortality\",\"authors\":\"Eun-Jung Shim, Sang Jin Park, Gyu Hyeong Im, Ruth A. Hackett, Paola Zaninotto, Andrew Steptoe\",\"doi\":\"10.1111/bjhp.12742\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>Longitudinal, prospective observational study.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>We analysed data from 1217 adults with diabetes (aged ≥45 years) in the Korean Longitudinal Study of Aging (2006–2018).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Three trajectories of depressive symptomology were identified in growth mixture models: <i>low/stable</i> (i.e., low and stable levels of symptoms; 85.56%), <i>high/decreasing</i> (i.e., high levels of symptoms with a decreasing trajectory; 7.47%), and <i>moderate/increasing</i> (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 <i>moderate/increasing</i> or <i>high/decreasing</i> classes than in the <i>low/stable</i> class. The <i>moderate/increasing</i> class had the lowest satisfaction with quality of life, followed by the <i>high/decreasing</i> and <i>low/stable</i> classes. The <i>moderate/increasing</i> and the <i>high/decreasing</i> classes had lower satisfaction with relationships with spouse and children than the <i>low/stable</i> class. 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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.
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.