Bidirectional association between depression and cognition in Chinese middle-aged and older women: a 10-year longitudinal study

BackgroundWomen’s health is an important issue worldwide, and as the population is aging, the health of middle-aged and older women is becoming increasingly vital. Although many studies have examined the relationship between cognition and depression, few studies have been conducted specifically with...

Full description

Saved in:
Bibliographic Details
Main Authors: Xiaoxu Jiang, Zheng Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1531202/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850043351521296384
author Xiaoxu Jiang
Zheng Jiang
Zheng Jiang
author_facet Xiaoxu Jiang
Zheng Jiang
Zheng Jiang
author_sort Xiaoxu Jiang
collection DOAJ
description BackgroundWomen’s health is an important issue worldwide, and as the population is aging, the health of middle-aged and older women is becoming increasingly vital. Although many studies have examined the relationship between cognition and depression, few studies have been conducted specifically with middle-aged and older women. This study used a longitudinal approach to examine the bidirectional relationship between cognition and depression in middle-aged and older women.MethodsThe study used three waves (2011, 2015, and 2020) of data from the China Health and Retirement Longitudinal Study (CHARLS), enrolling a total of 4,618 middle-aged and older women aged over 45 years. Participants’ general demographic characteristics were analyzed descriptively, and changes in study variables were measured using repeated-measures analysis of variance. Generalized estimating equation (GEE) and cross-lagged models were used to investigate the longitudinal relationship between depression and cognition.ResultsThe results of the GEE and cross-lagged models revealed that previous cognitive problems lead to future depression and prior depressive conditions affect subsequent cognition.ConclusionsThere is a bidirectional relationship between depression and cognition in middle-aged and older women over time. More clinical mechanisms need to be explored in the future.
format Article
id doaj-art-02b9dfac87a14c5b828fc7fb7c406205
institution DOAJ
issn 1664-0640
language English
publishDate 2025-05-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj-art-02b9dfac87a14c5b828fc7fb7c4062052025-08-20T02:55:16ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-05-011610.3389/fpsyt.2025.15312021531202Bidirectional association between depression and cognition in Chinese middle-aged and older women: a 10-year longitudinal studyXiaoxu Jiang0Zheng Jiang1Zheng Jiang2Maternal and Child Health Development Research Center, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan, ChinaDepartment of Neurosurgery, Qilu Hospital, Cheeloo College of Medicine and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan, ChinaShandong Key Laboratory of Brain Health and Function Remodeling, Jinan, ChinaBackgroundWomen’s health is an important issue worldwide, and as the population is aging, the health of middle-aged and older women is becoming increasingly vital. Although many studies have examined the relationship between cognition and depression, few studies have been conducted specifically with middle-aged and older women. This study used a longitudinal approach to examine the bidirectional relationship between cognition and depression in middle-aged and older women.MethodsThe study used three waves (2011, 2015, and 2020) of data from the China Health and Retirement Longitudinal Study (CHARLS), enrolling a total of 4,618 middle-aged and older women aged over 45 years. Participants’ general demographic characteristics were analyzed descriptively, and changes in study variables were measured using repeated-measures analysis of variance. Generalized estimating equation (GEE) and cross-lagged models were used to investigate the longitudinal relationship between depression and cognition.ResultsThe results of the GEE and cross-lagged models revealed that previous cognitive problems lead to future depression and prior depressive conditions affect subsequent cognition.ConclusionsThere is a bidirectional relationship between depression and cognition in middle-aged and older women over time. More clinical mechanisms need to be explored in the future.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1531202/fulldepressioncognitionChinese middle-aged and older femalesCHARLSlongitudinal
spellingShingle Xiaoxu Jiang
Zheng Jiang
Zheng Jiang
Bidirectional association between depression and cognition in Chinese middle-aged and older women: a 10-year longitudinal study
Frontiers in Psychiatry
depression
cognition
Chinese middle-aged and older females
CHARLS
longitudinal
title Bidirectional association between depression and cognition in Chinese middle-aged and older women: a 10-year longitudinal study
title_full Bidirectional association between depression and cognition in Chinese middle-aged and older women: a 10-year longitudinal study
title_fullStr Bidirectional association between depression and cognition in Chinese middle-aged and older women: a 10-year longitudinal study
title_full_unstemmed Bidirectional association between depression and cognition in Chinese middle-aged and older women: a 10-year longitudinal study
title_short Bidirectional association between depression and cognition in Chinese middle-aged and older women: a 10-year longitudinal study
title_sort bidirectional association between depression and cognition in chinese middle aged and older women a 10 year longitudinal study
topic depression
cognition
Chinese middle-aged and older females
CHARLS
longitudinal
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1531202/full
work_keys_str_mv AT xiaoxujiang bidirectionalassociationbetweendepressionandcognitioninchinesemiddleagedandolderwomena10yearlongitudinalstudy
AT zhengjiang bidirectionalassociationbetweendepressionandcognitioninchinesemiddleagedandolderwomena10yearlongitudinalstudy
AT zhengjiang bidirectionalassociationbetweendepressionandcognitioninchinesemiddleagedandolderwomena10yearlongitudinalstudy