The prevalence of Depression among Chronic Health Conditions: results from NHANES data 2005 to 2018
Authors
Kalony Lin

Share
Annotation
Background
Depression as a multifaceted psychological disorder has grown in prevalence in recent years. This study investigates the trends and prevalence of depression symptoms in the United States from 2005 to 2018, with a particular focus on its relationship with chronic physical conditions including diabetes, asthma, hypertension, and high cholesterol levels.
Method
Using data from NHANES, the responses of 70,190 participants in self-reported surveys are analyzed in terms of depression severity, demographic factors, and chronic conditions from 2005 to 2018. Depression prevalence was categorized into four groups of severities based on PHQ-9 scores, while chronicle conditions were determined with yes and no responses. R was used to carry out statistical analysis for an evaluation of trends and associations.
Results
Depressive symptom prevalence showed increases over time, with females constantly showing a higher percentage compared to males. On average, the depressive prevalence in chronic condition patients fluctuated around 30% while the average prevalence was around 20%. Participants of all four chronic physical conditions show a higher prevalence of depression, suggesting an association.
Conclusion
The results of this study support the associations between chronic health conditions with the development of depressive symptoms. The indicated association highlights the importance of healthcare which integrates physical treatments with mental healthcare interventions.
Keywords
Authors
Kalony Lin

Share
References:
1 Chand SP, Arif H. Depression. StatPearls. Treasure Island (FL): StatPearls Publishing 2024.
2 Liu Q, He H, Yang J, et al. Changes in the global burden of depression from 1990 to 2017: Findings from the Global Burden of Disease study. J Psychiatr Res. 2020;126:134–40. doi: 10.1016/j.jpsychires.2019.08.002
3 Weinberger AH, Gbedemah M, Martinez AM, et al. Trends in depression prevalence in the USA from 2005 to 2015: widening disparities in vulnerable groups. Psychol Med. 2018;48:1308–15.
4 Goodwin RD, Dierker LC, Wu M, et al. Trends in US depression prevalence from 2015 to 2020: the widening treatment gap. Am J Prev Med. 2022;63:726–33.
5 Ma Y, Xiang Q, Yan C, et al. Relationship between chronic diseases and depression: the mediating effect of pain. BMC Psychiatry. 2021;21:436. doi: 10.1186/s12888-021-03428-3
7 Olive DJ. Software for data analysis: programming with R. Technometrics. 2010;52:261.
8 Yu B, Zhang X, Wang C, et al. Trends in depression among adults in the United States, NHANES 2005–2016. J Affect Disord. 2020;263:609–20.
9 Iranpour S, Sabour S, Koohi F, et al. The trend and pattern of depression prevalence in the US: Data from National Health and Nutrition Examination Survey (NHANES) 2005 to 2016. J Affect Disord. 2022;298:508–15.
10 Spijkerman T, de Jonge P, van den Brink RH, et al. Depression following myocardial infarction: first-ever versus ongoing and recurrent episodes. Gen Hosp Psychiatry. 2005;27:411–7.
11 Bobo WV, Grossardt BR, Virani S, et al. Association of depression and anxiety with the accumulation of chronic conditions. JAMA Netw Open. 2022;5:e229817–e229817.
