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Depression treatment

Do daily-living limits track depression in older Chinese adults?

Liu H, Ma Y, Lin L, et al. · Frontiers in public health · 2023

Open access · cc by · source: Europe PMC

Among 9,789 CHARLS adults ≥60, ~43.5% had high-risk CES-D scores; BADL and IADL limitations roughly tripled adjusted depression odds.

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Study at a glance

Design
Cross-sectional — CHARLS wave 4; BADL/IADL limitations vs CES-D-10 depressive symptoms
N
N=9789 · Chinese adults aged ≥60 years
Population
Community-dwelling older adults in CHARLS
Outcome
High-risk depressive symptoms (CES-D-10 ≥10) associated with BADL/IADL limits

Structured fields used in claim comparison tables when every cited study has a complete layer.

Key findings

High-risk depression prevalence 43.5%; BADL limitation 19.02%; IADL limitation 25.29%. Limited BADL (OR-adjusted 2.71) and IADL (2.68) associated with higher depression risk vs no limitation.

Methodology

Used CHARLS wave 4 to relate 12-item ADL (BADL/IADL) limitations to CES-D-10 depressive symptoms with generalized linear mixed-effect models.

Limitations

Cross-sectional CHARLS data cannot establish whether disability causes depression or the reverse; residual confounding remains.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsDigital divide and late-life cognitionconcept

    ADL limits track higher late-life depression risk.

    In CHARLS older adults, BADL/IADL limitations associated with roughly 2.7× adjusted odds of high-risk depressive symptoms—functional health alongside digital access.

    Evidence for the claim as stated.

  • SupportsDigital divide and late-life cognitionconcept

    Digital-access disparities, ADL–depression associations, and connectivity maintenance speak to related aging problems without proving one common intervention.

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

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