Prevalence and correlates of anxiety disorders and depressive disorders among older adults with non-communicable diseases: results from China Mental Health Survey
BackgroundAnxiety disorders (ADs) and depressive disorders (DDs) are prevalent among older adults with non-communicable diseases (NCDs), yet nationally representative epidemiological data from China remain limited. This study, as a part of the 2013–2015 China Mental Health Survey (CMHS), aimed to as...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Psychiatry |
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| author | Hongmin Ge Zhaorui Liu Yue Tong Yueqin Huang Xiaofei Hou Minghui Li Yongping Yan Shuiyuan Xiao Lingjiang Li Tingting Zhang Jie Yan Yaqin Yu Xiufeng Xu Zhizhong Wang Yifeng Xu Tao Li Xiangdong Xu Limin Wang Huifang Yin Guangming Xu |
| author_facet | Hongmin Ge Zhaorui Liu Yue Tong Yueqin Huang Xiaofei Hou Minghui Li Yongping Yan Shuiyuan Xiao Lingjiang Li Tingting Zhang Jie Yan Yaqin Yu Xiufeng Xu Zhizhong Wang Yifeng Xu Tao Li Xiangdong Xu Limin Wang Huifang Yin Guangming Xu |
| author_sort | Hongmin Ge |
| collection | DOAJ |
| description | BackgroundAnxiety disorders (ADs) and depressive disorders (DDs) are prevalent among older adults with non-communicable diseases (NCDs), yet nationally representative epidemiological data from China remain limited. This study, as a part of the 2013–2015 China Mental Health Survey (CMHS), aimed to assess the prevalence of ADs and DDs and identify associated factors among older adults with NCDs in China.MethodA total of 5,428 patients aged 60 years and above with reported NCDs were selected from the CMHS. The Composite International Diagnostic Interview (CIDI) was used to diagnose ADs, DDs, and alcohol use disorders (AUDs) in order to assess their disease status and the lifetime and 12-month prevalence. Data were weighted by age, sex, and residential distribution from the 2010 Chinese census to correct for selection probabilities and response rates, and were post-stratified for national representativeness. Univariate and multivariate logistic regression was used to identify factors associated with 12-month ADs and DDs.ResultThe lifetime prevalence of ADs was 8.3% and the 12-month prevalence of ADs was 5.8%. The two most prevalent ADs were specific phobia (SP; lifetime prevalence of 4.2% and 12-month prevalence of 3.1%) and obsessive-compulsive disorder (OCD; lifetime prevalence of 2.8% and 12-month prevalence of 2.1%). The lifetime prevalence of DDs was 10.1%, while the 12-month prevalence was 5.4%. The two most common DDs were major depressive disorder (MDD; lifetime prevalence of 7.2% and 12-month prevalence of 4.4%) and dysthymia (lifetime prevalence of 2.8% and 12-month prevalence of 2.2%). ADs are most common in individuals with heart attacks (12%), chronic lung disease (11.2%), and other chronic pain (11%). DDs are most commonly linked to heart attacks (13.8%), other chronic pain (13.2%), and cancer (13.1%). Female gender, alcohol use disorder, and comorbid with three or more NCDs were found to be risk factors associated with ADs and DDs.ConclusionThe co- occurrence of mental disorders among older adults with NCDs has become a growing public health concern in China. Primary health care institutions and clinicians should simultaneously enhance the management of chronic NCDs and mental health care among older adults. |
| format | Article |
| id | doaj-art-ff7f93a2b8fb4a4aa5e8272d21f83796 |
| institution | Kabale University |
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| publishDate | 2025-08-01 |
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| spelling | doaj-art-ff7f93a2b8fb4a4aa5e8272d21f837962025-08-20T03:39:18ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-08-011610.3389/fpsyt.2025.16265401626540Prevalence and correlates of anxiety disorders and depressive disorders among older adults with non-communicable diseases: results from China Mental Health SurveyHongmin Ge0Zhaorui Liu1Yue Tong2Yueqin Huang3Xiaofei Hou4Minghui Li5Yongping Yan6Shuiyuan Xiao7Lingjiang Li8Tingting Zhang9Jie Yan10Yaqin Yu11Xiufeng Xu12Zhizhong Wang13Yifeng Xu14Tao Li15Xiangdong Xu16Limin Wang17Huifang Yin18Guangming Xu19Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, ChinaPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, ChinaTianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, ChinaPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, ChinaTianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, ChinaTianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, ChinaDepartment of Epidemiology, Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, School of Public Health, Fourth Military Medical University, Xi’an, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, ChinaMental Health Institute, The Second Xiangya Hospital, Central-South University, Changsha, Hunan, ChinaPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, ChinaInstitute of Social Science Survey, Peking University, Beijing, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of Epidemiology and Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, Ningxia, China0Shanghai Mental Health Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China1Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China2The Fourth People’s Hospital in Urumqi, Urumqi, China3National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaTianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, ChinaTianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, ChinaBackgroundAnxiety disorders (ADs) and depressive disorders (DDs) are prevalent among older adults with non-communicable diseases (NCDs), yet nationally representative epidemiological data from China remain limited. This study, as a part of the 2013–2015 China Mental Health Survey (CMHS), aimed to assess the prevalence of ADs and DDs and identify associated factors among older adults with NCDs in China.MethodA total of 5,428 patients aged 60 years and above with reported NCDs were selected from the CMHS. The Composite International Diagnostic Interview (CIDI) was used to diagnose ADs, DDs, and alcohol use disorders (AUDs) in order to assess their disease status and the lifetime and 12-month prevalence. Data were weighted by age, sex, and residential distribution from the 2010 Chinese census to correct for selection probabilities and response rates, and were post-stratified for national representativeness. Univariate and multivariate logistic regression was used to identify factors associated with 12-month ADs and DDs.ResultThe lifetime prevalence of ADs was 8.3% and the 12-month prevalence of ADs was 5.8%. The two most prevalent ADs were specific phobia (SP; lifetime prevalence of 4.2% and 12-month prevalence of 3.1%) and obsessive-compulsive disorder (OCD; lifetime prevalence of 2.8% and 12-month prevalence of 2.1%). The lifetime prevalence of DDs was 10.1%, while the 12-month prevalence was 5.4%. The two most common DDs were major depressive disorder (MDD; lifetime prevalence of 7.2% and 12-month prevalence of 4.4%) and dysthymia (lifetime prevalence of 2.8% and 12-month prevalence of 2.2%). ADs are most common in individuals with heart attacks (12%), chronic lung disease (11.2%), and other chronic pain (11%). DDs are most commonly linked to heart attacks (13.8%), other chronic pain (13.2%), and cancer (13.1%). Female gender, alcohol use disorder, and comorbid with three or more NCDs were found to be risk factors associated with ADs and DDs.ConclusionThe co- occurrence of mental disorders among older adults with NCDs has become a growing public health concern in China. Primary health care institutions and clinicians should simultaneously enhance the management of chronic NCDs and mental health care among older adults.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1626540/fullanxiety disordersdepressive disordersnon-communicable diseasescross-sectional studyepidemiology |
| spellingShingle | Hongmin Ge Zhaorui Liu Yue Tong Yueqin Huang Xiaofei Hou Minghui Li Yongping Yan Shuiyuan Xiao Lingjiang Li Tingting Zhang Jie Yan Yaqin Yu Xiufeng Xu Zhizhong Wang Yifeng Xu Tao Li Xiangdong Xu Limin Wang Huifang Yin Guangming Xu Prevalence and correlates of anxiety disorders and depressive disorders among older adults with non-communicable diseases: results from China Mental Health Survey Frontiers in Psychiatry anxiety disorders depressive disorders non-communicable diseases cross-sectional study epidemiology |
| title | Prevalence and correlates of anxiety disorders and depressive disorders among older adults with non-communicable diseases: results from China Mental Health Survey |
| title_full | Prevalence and correlates of anxiety disorders and depressive disorders among older adults with non-communicable diseases: results from China Mental Health Survey |
| title_fullStr | Prevalence and correlates of anxiety disorders and depressive disorders among older adults with non-communicable diseases: results from China Mental Health Survey |
| title_full_unstemmed | Prevalence and correlates of anxiety disorders and depressive disorders among older adults with non-communicable diseases: results from China Mental Health Survey |
| title_short | Prevalence and correlates of anxiety disorders and depressive disorders among older adults with non-communicable diseases: results from China Mental Health Survey |
| title_sort | prevalence and correlates of anxiety disorders and depressive disorders among older adults with non communicable diseases results from china mental health survey |
| topic | anxiety disorders depressive disorders non-communicable diseases cross-sectional study epidemiology |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1626540/full |
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