Association between the depressive symptom trajectories and all-cause mortality in Chinese middle-aged and elderly adults

作者：Yayun Fan, Dingliu He, Chen Lin, Ge Chen · 发表于：Scientific Reports · 年份：2025 · DOI：10.1038/s41598-025-85177-x · 被引用次数：7 · 研究领域：Health disparities and outcomes、Psychological Well-being and Life Satisfaction、Cardiac Health and Mental Health

Previous studies reported that depressive symptoms were associated with a high risk of all-cause mortality. However, the effect of different long-term depressive symptom trajectory patterns on the risk of all-cause mortality has not been evaluated. Our research aimed to explore the association between different depressive symptom trajectories and the risk of all-cause mortality in Chinese adults. The data we used were from the China Health and Retirement Longitudinal Study. In total, 13,624 subjects aged over 45 years were ultimately included in the analysis. Group-based trajectory modeling was used to identify the different trajectories of depressive symptoms. The multivariable Cox regression model was used to examine the association between long-term depressive symptom trajectories and all-cause mortality. The results show that a total of five depressive symptom trajectories were identified in our study, including stable-low, stable-moderate, increasing, decreasing and stable-high. Compared with individuals in the stable-low depressive symptom trajectories group, those in the increasing and stable-high trajectory groups possessed a greater mortality rate, with a multivariable-adjusted hazard ratio (95% CIs) for mortality were 1.30 (1.06, 1.60) and 1.59 (1.26, 2.02), respectively. In addition, we have not identified the significant risk of all-cause mortality in people with decreased and stable-moderate symptom trajectories. Moreover, the risk of all-cause mortality had an i...