Adverse childhood experiences and 10-year depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study
BackgroundAdverse childhood experiences (ACEs) influence depressive symptoms. Depressive symptoms were heterogeneous from the perspective of life course.ObjectiveTo explore the effects of ACEs on the trajectory of depressive symptoms in China.ParticipantsThe data is from the 5 waves of the China Hea...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1455750/full |
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| author | Jin Xu Guangxue Han Xiulian Xu Xiulian Xu |
| author_facet | Jin Xu Guangxue Han Xiulian Xu Xiulian Xu |
| author_sort | Jin Xu |
| collection | DOAJ |
| description | BackgroundAdverse childhood experiences (ACEs) influence depressive symptoms. Depressive symptoms were heterogeneous from the perspective of life course.ObjectiveTo explore the effects of ACEs on the trajectory of depressive symptoms in China.ParticipantsThe data is from the 5 waves of the China Health and Retirement Longitudinal Study (CHARLS) and the 2014 Life Course Survey of it. A total of 17,106 individuals were included, without the people younger than 45 years.MethodsWe dealt with the missing values using multiple interpolation. The CESD-10 and a 12-item questionnaire was used to assess the depressive symptom and ACEs, respectively. We used group-based trajectory modelling (GBTM) to identify the 10-year depressive-symptoms. Logistic regression models were used to explore associations between the trajectory and the ACEs.ResultsFive depressive-symptom trajectories were identified based on the GBTM analysis (BIC = 540533.61; AIC = 540347.68; n = 17,106). Compared to the participants without depressive symptoms, the older adults who have more adverse childhood experiences have more odds of being in the other four groups, and the more ACEs the older adults experienced, the more likely it is.ConclusionThe 10-year depressive-symptoms trajectories among middle-aged and older adults in China were different from previous features. The significance of a life-course intervention plan to prevent childhood adversity and the related mental health damage in later life is demonstrated by the long-term influence of ACEs on depressive symptoms. |
| format | Article |
| id | doaj-art-e2d152a8df1e4f93a72b2ed5c8dfd223 |
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| issn | 2296-2565 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-e2d152a8df1e4f93a72b2ed5c8dfd2232025-08-04T17:14:33ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-12-011210.3389/fpubh.2024.14557501455750Adverse childhood experiences and 10-year depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort studyJin Xu0Guangxue Han1Xiulian Xu2Xiulian Xu3School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong, ChinaSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Surgical Clinic, Qilu Hospital of Shandong University, Jinan, Shandong, ChinaNursing Theory and Practice Innovation Research Center, Shandong University, Jinan, Shandong, ChinaBackgroundAdverse childhood experiences (ACEs) influence depressive symptoms. Depressive symptoms were heterogeneous from the perspective of life course.ObjectiveTo explore the effects of ACEs on the trajectory of depressive symptoms in China.ParticipantsThe data is from the 5 waves of the China Health and Retirement Longitudinal Study (CHARLS) and the 2014 Life Course Survey of it. A total of 17,106 individuals were included, without the people younger than 45 years.MethodsWe dealt with the missing values using multiple interpolation. The CESD-10 and a 12-item questionnaire was used to assess the depressive symptom and ACEs, respectively. We used group-based trajectory modelling (GBTM) to identify the 10-year depressive-symptoms. Logistic regression models were used to explore associations between the trajectory and the ACEs.ResultsFive depressive-symptom trajectories were identified based on the GBTM analysis (BIC = 540533.61; AIC = 540347.68; n = 17,106). Compared to the participants without depressive symptoms, the older adults who have more adverse childhood experiences have more odds of being in the other four groups, and the more ACEs the older adults experienced, the more likely it is.ConclusionThe 10-year depressive-symptoms trajectories among middle-aged and older adults in China were different from previous features. The significance of a life-course intervention plan to prevent childhood adversity and the related mental health damage in later life is demonstrated by the long-term influence of ACEs on depressive symptoms.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1455750/fullACEsCHARLSlife course epidemiologydepressive symptomstrajectory |
| spellingShingle | Jin Xu Guangxue Han Xiulian Xu Xiulian Xu Adverse childhood experiences and 10-year depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study Frontiers in Public Health ACEs CHARLS life course epidemiology depressive symptoms trajectory |
| title | Adverse childhood experiences and 10-year depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study |
| title_full | Adverse childhood experiences and 10-year depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study |
| title_fullStr | Adverse childhood experiences and 10-year depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study |
| title_full_unstemmed | Adverse childhood experiences and 10-year depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study |
| title_short | Adverse childhood experiences and 10-year depressive-symptoms trajectories among middle-aged and older adults in China: a population-based cohort study |
| title_sort | adverse childhood experiences and 10 year depressive symptoms trajectories among middle aged and older adults in china a population based cohort study |
| topic | ACEs CHARLS life course epidemiology depressive symptoms trajectory |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1455750/full |
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