Skip to main content

Advertisement

Log in

Multimorbidity patterns, social networks, and depression among chinese older women

  • Published:
Current Psychology Aims and scope Submit manuscript

Abstract

Multimorbidity refers to an individual has two or more chronic diseases at the same time. Studies on the associations between multimorbidity patterns and depression among Chinese older women are scarce. This study investigated 3455 Chinese women (aged 60 and above) to identify their multimorbidity patterns and the relationships between multimorbidity patterns, social networks, and depression. Based on the results of latent class analysis, the multimorbidity patterns of Chinese women can be divided into four classes: relatively healthy (44.78%), degenerative diseases (35.28%), high multisystem morbidity (5.85%), and metabolic diseases (14.10%). Linear regression found that degenerative diseases and high multisystem morbidity positively predicted depression. Through the Process plug-in in SPSS software, we found family network partially mediated the relationship between high multisystem morbidity and depression, performing a suppressing effect. This is the first study that investigated multimorbidity patterns among Chinese women. Given the influence of different multimorbidity patterns on older women’s depression, specific measures should be implemented by community healthcare staff and family members for older women with different characteristics.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data availability statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

References

  • Almagro, P., Ponce, A., Komal, S., de la Asunción Villaverde, M., Castrillo, C., Grau, G., Simon, L., & de la Sierra, A. (2020). Multimorbidity gender patterns in hospitalized elderly patients. PloS one, 15(1), e0227252. https://doi.org/10.1371/journal.pone.0227252

    Article  PubMed  PubMed Central  Google Scholar 

  • Alimohammadian, M., Majidi, A., Yaseri, M., Ahmadi, B., Islami, F., Derakhshan, M., & Malekzadeh, R. (2017). Multimorbidity as an important issue among women: results of a gender difference investigation in a large population-based cross-sectional study in West Asia. BMJ open, 7(5), e013548.

  • Aoki, T., Yamamoto, Y., Shimizu, S., & Fukuhara, S. (2020). Physical multimorbidity patterns and depressive symptoms: a nationwide cross-sectional study in Japan. Family Medicine and Community Health, 8(1).

  • Blümel, J. E., Carrillo-Larco, R. M., Vallejo, M. S., & Chedraui, P. (2020). Multimorbidity in a cohort of middle-aged women: risk factors and disease clustering. Maturitas, 137, 45–49. https://doi.org/10.1016/j.maturitas.2020.04.016

    Article  PubMed  PubMed Central  Google Scholar 

  • Bobo, W. V., Grossardt, B. R., Virani, S., Sauver, S., Boyd, J. L., C. M., & Rocca, W. A. (2022). Association of depression and anxiety with the Accumulation of Chronic Conditions. JAMA network open, 5(5), e229817–e229817.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cao, X. X., Xu, C. J., Hou, Y. B., Wang, Y. Y., Fan, N., Xu, F. S., & Wang, Y. G. (2020). Epidemiological trends and projections of high-incidence chronic diseases in China from 1990–2025. China Chronic Disease Prevention and Control, 28(01), 14–19. https://doi.org/10.16386/j.cjpccd.issn

    Article  Google Scholar 

  • Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological bulletin, 98(2), 310.

    Article  PubMed  Google Scholar 

  • Cong, Z., & Silverstein, M. (2008). Intergenerational time-for-money exchanges in rural China: does reciprocity reduce depressive symptoms of older grandparents? Research in Human Development, 5(1), 6–25.

    Article  Google Scholar 

  • Cui, L., Ding, D., Chen, J., Wang, M., He, F., & Yu, S. (2022). Factors affecting the evolution of chinese elderly depression: a cross-sectional study. BMC geriatrics, 22(1), 1–11.

    Article  Google Scholar 

  • Dooley, L. N., Kuhlman, K. R., Robles, T. F., Eisenberger, N. I., Craske, M. G., & Bower, J. E. (2018). The role of inflammation in core features of depression: insights from paradigms using exogenously-induced inflammation. Neuroscience and biobehavioral reviews, 94, 219–237. https://doi.org/10.1016/j.neubiorev.2018.09.006

    Article  PubMed  PubMed Central  Google Scholar 

  • Fan, K. J., Wang, L. B., Huang, L., & Wang, T. Y. (2020). Progress of research on the correlation between rheumatoid arthritis and depression. Practical Drugs and Clinics, 23(7), 666–668.

    Google Scholar 

  • Ghanei Gheshlagh, R., Parizad, N., & Sayehmiri, K. (2016). The relationship between Depression and metabolic syndrome: systematic review and Meta-analysis study. Iranian Red Crescent medical journal, 18(6), e26523. https://doi.org/10.5812/ircmj.26523

    Article  PubMed  PubMed Central  Google Scholar 

  • Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford publications.

  • Hayes, A. F. (2012). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press. Return to ref 2012 in article.

    Google Scholar 

  • Hayes, A. F., Preacher, K. J., & Myers, T. A. (2011). Mediation and the estimation of indirect effects in political communication research. Sourcebook for political communication research: Methods, measures, and analytical techniques, 23(1), 434 – 65.

  • Hajat, C., & Stein, E. (2018). The global burden of multiple chronic conditions: a narrative review. Preventive medicine reports, 12, 284–293. https://doi.org/10.1016/j.pmedr.2018.10.008

    Article  PubMed  PubMed Central  Google Scholar 

  • Hsieh, C. R., & Qin, X. (2018). Depression hurts, depression costs: the medical spending attributable to depression and depressive symptoms in China. Health Economics, 27(3), 525–544.

    Article  PubMed  Google Scholar 

  • Ingle, V. K., Pandey, I., Singh, A. R., Pakhare, A., & Kumar, S. (2017). Screening of patients with Chronic Medical Disorders in the Outpatient Department for Depression using Handheld Computers as Interface and Patient Health Questionnaire-9 as a Tool. International journal of applied & basic medical research, 7(2), 129–133. https://doi.org/10.4103/2229-516X.205809

    Article  Google Scholar 

  • Kahn, R. L., & Antonucci, T. C. (1980). Convoys over the Life Course: attachment, Roles and Social Support. In P. B. Baltes, Brim O. G., (Eds.) (Ed.), Life-span development and Behaviour Publisher. Cambridege, MA, USA: Academic Pres.

    Google Scholar 

  • Lai, F., Ma, T. W., & Hou, W. K. (2019). Multimorbidity is associated with more subsequent depressive symptoms in three months: a prospective study of community-dwelling adults in Hong Kong. International psychogeriatrics, 31(9), 1367–1371. https://doi.org/10.1017/S1041610218001916

    Article  PubMed  Google Scholar 

  • Laux, G., Kuehlein, T., Rosemann, T., & Szecsenyi, J. (2008). Co-and multimorbidity patterns in primary care based on episodes of care: results from the german CONTENT project. BMC Health Services Research, 8(1), 1–8. https://doi.org/10.1186/1472-6963-8-14

    Article  Google Scholar 

  • Lei, P., Xu, L., Nwaru, B. I., Long, Q., & Wu, Z. (2016). Social networks and health-related quality of life among chinese old adults in urban areas: results from 4th national Household Health Survey. Public health, 131, 27–39. https://doi.org/10.1016/j.puhe.2015.10.009

    Article  PubMed  Google Scholar 

  • Li, C., Peng, W., Li, M., Li, X., Yang, T., Yan, H., & Wang, Y. (2022). Exploring the relationship between depression and different multimorbidity patterns among older people covered by long-term care insurance in Shanghai, China. Psychogeriatrics, 22(1), 99–107.

    Article  PubMed  Google Scholar 

  • Lorah, J., & Womack, A. (2019). Value of sample size for computation of the bayesian information criterion (BIC) in multilevel modeling. Behavior research methods, 51(1), 440–450.

    Article  PubMed  Google Scholar 

  • Lu, J., Wang, Y., Hou, L., Zuo, Z., Zhang, N., & Wei, A. (2021). Multimorbidity patterns in old adults and their associated multi-layered factors: a cross-sectional study. BMC geriatrics, 21(1), 372. https://doi.org/10.1186/s12877-021-02292-w

    Article  PubMed  PubMed Central  Google Scholar 

  • Lubben, J., Blozik, E., Gillmann, G., Iliffe, S., von Renteln Kruse, W., Beck, J. C., & Stuck, A. E. (2006). Performance of an abbreviated version of the Lubben Social Network Scale among three european community-dwelling older adult populations. The Gerontologist, 46(4), 503–513. https://doi.org/10.1093/geront/46.4.503

    Article  PubMed  Google Scholar 

  • Muthén, B., & Muthén, B. O. (2009). Statistical analysis with latent variables (123 vol.). No. 6). New York: Wiley.

    Google Scholar 

  • Ofori-Asenso, R., Chin, K. L., Curtis, A. J., Zomer, E., Zoungas, S., & Liew, D. (2019). Recent patterns of multimorbidity among older adults in high-income countries. Population health management, 22(2), 127–137. https://doi.org/10.1089/pop.2018.0069

    Article  PubMed  Google Scholar 

  • Qiu, W., Cai, X., Zheng, C., Qiu, S., Ke, H., & Huang, Y. (2021). Update on the relationship between depression and neuroendocrine metabolism. Frontiers in Neuroscience, 1122. https://doi.org/10.3389/fnins.2021.728810

  • Seo, J., Choi, B., Kim, S., Lee, H., & Oh, D. (2017). The relationship between multiple chronic diseases and depressive symptoms among middle-aged and elderly populations: results of a 2009 korean community health survey of 156,747 participants. BMC public health, 17(1), 844. https://doi.org/10.1186/s12889-017-4798-2

    Article  PubMed  PubMed Central  Google Scholar 

  • Silverstein, M., Cong, Z., & Li, S. (2006). Intergenerational transfers and living arrangements of older people in rural China: consequences for psychological well-being. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 61(5), S256–S266. https://doi.org/10.1093/geronb/61.5.s256

    Article  PubMed  Google Scholar 

  • Singh, L., Singh, P. K., & Arokiasamy, P. (2016). Social Network and Mental Health among older adults in rural Uttar Pradesh, India: a cross-sectional study. Journal of cross-cultural gerontology, 31(2), 173–192. https://doi.org/10.1007/s10823-016-9286-0

    Article  PubMed  Google Scholar 

  • Tang, D., Lin, Z., & Chen, F. (2020). Moving beyond living arrangements: the role of family and friendship ties in promoting mental health for urban and rural older adults in China. Aging & mental health, 24(9), 1523–1532. https://doi.org/10.1080/13607863.2019.1602589

    Article  Google Scholar 

  • Yang, S. J., Wang, F. L., Zhang, S. L., & Xing, F. M. (2018). Effects of family caring and social support on health promotion behaviors of older adults. China Public Health, 34(09), 1266–1269.

    Google Scholar 

  • Zhang, Y., Liu, Z., Zhang, L., Zhu, P., Wang, X., & Huang, Y. (2019). Association of living arrangements with depressive symptoms among older adults in China: a cross-sectional study. BMC public health, 19(1), 1–10.

    Article  Google Scholar 

  • Zheng, H., & Jia, C. (2022). Gender differences in the association of depression trajectories with executive and memory functions: evidence from the longitudinal study of the Survey of Health, Ageing and Retirement in Europe (2004–2017). Journal of psychiatric research, 149, 177–184. https://doi.org/10.1016/j.jpsychires.2022.03.007

    Article  PubMed  Google Scholar 

  • Zou, S., Wang, Z., Bhura, M., Zhang, G., & Tang, K. (2022). Prevalence and associated socioeconomic factors of multimorbidity in 10 regions of China: an analysis of 0.5 million adults. Journal of public health, 44(1), 36–50. https://doi.org/10.1093/pubmed/fdaa204

    Article  PubMed  Google Scholar 

  • Zis, P., Daskalaki, A., Bountouni, I., Sykioti, P., Varrassi, G., & Paladini, A. (2017). Depression and chronic pain in the elderly: links and management challenges. Clinical interventions in aging, 12, 709–720. https://doi.org/10.2147/CIA.S113576

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yuexuan Mu.

Ethics declarations

Declaration of interest statement

This paper has no funding. We have no conflicts of interest to disclose.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mu, Y., Zheng, Z. Multimorbidity patterns, social networks, and depression among chinese older women. Curr Psychol 42, 30902–30910 (2023). https://doi.org/10.1007/s12144-022-04122-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12144-022-04122-7

Keywords

Navigation