Frontiers in public health · 2025
Change in depressive symptom scores to assess the risk of new-onset dual sensory impairment in middle-aged and older adults: a nationwide cohort study.
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Wang Jiang, Duan Lanzhi, Zeng Rui, Xie Fayi, Wu Zhigang, Luo Yanhong, Zhang Xiaoming, Li Wei, Ye Dongmei, Zhu Ke, Fan Tenghui, Zhu Aizhang, Chen Lihuan, Zhu Wan, Zhao Yueyue, Hu Hongmei, Xiao Yi
Аннотация
BACKGROUND: Evidence of the association between change in depressive symptom scores and new-onset dual sensory impairment (DSI) remain underexplored. We aimed to investigate the relationship between depressive symptom scores and the risk of new-onset DSI in middle-aged and older adults.
METHODS: The study included 3,237 participants. The Center for Epidemiologic Studies Depression Scale (CES-D-10) was used to assess depression symptoms. CES-D-10 scores were classified according to the K-means cluster analysis. Subsequently, the logistic regression analysis was used to determine the association between the change in CES-D-10 scores and DSI. Additionally, restricted cubic splines (RCS) were employed to examine whether there was a linear correlation between cumulative CES-D-10 scores and DSI. We also explored whether the association of CES-D-10 scores with DSI varies across different subgroups.
RESULTS: One thousand and sixty one out of 3,237 participants had a new-onset DSI during 3 years. Compared to class 1 with the best control of depressive state, the OR for class 2 with good control was 1.54 (95% CI, 1.28, 1.85), the OR for class 3 with moderate control was 1.59 (95% CI, 1.22, 2.07), the OR for class 4 with worse control was 1.62 (95% CI, 1.31, 2.02), and the OR for class 5 with consistently high levels was 1.86 (95% CI, 1.34, 2.57).
CONCLUSIONS: Individuals exhibiting suboptimal management of depressive symptoms were more susceptible to developing new-onset DSI, underscoring the need for early depression screening and assessment in the preventative strategies for new-onset DSI.
METHODS: The study included 3,237 participants. The Center for Epidemiologic Studies Depression Scale (CES-D-10) was used to assess depression symptoms. CES-D-10 scores were classified according to the K-means cluster analysis. Subsequently, the logistic regression analysis was used to determine the association between the change in CES-D-10 scores and DSI. Additionally, restricted cubic splines (RCS) were employed to examine whether there was a linear correlation between cumulative CES-D-10 scores and DSI. We also explored whether the association of CES-D-10 scores with DSI varies across different subgroups.
RESULTS: One thousand and sixty one out of 3,237 participants had a new-onset DSI during 3 years. Compared to class 1 with the best control of depressive state, the OR for class 2 with good control was 1.54 (95% CI, 1.28, 1.85), the OR for class 3 with moderate control was 1.59 (95% CI, 1.22, 2.07), the OR for class 4 with worse control was 1.62 (95% CI, 1.31, 2.02), and the OR for class 5 with consistently high levels was 1.86 (95% CI, 1.34, 2.57).
CONCLUSIONS: Individuals exhibiting suboptimal management of depressive symptoms were more susceptible to developing new-onset DSI, underscoring the need for early depression screening and assessment in the preventative strategies for new-onset DSI.