{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:11:43Z","timestamp":1753870303395,"version":"3.41.2"},"reference-count":65,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["71774075"],"award-info":[{"award-number":["71774075"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Stress and Health"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>This study aims to evaluate the bidirectional relationship between family functioning and depressive symptoms, considering life satisfaction as a potential mediator and gender, age and income as a moderator of these associations. A longitudinal study was conducted with 708 Chinese adults with diabetes and hypertension (51.6% women; mean age: 64.1\u00a0\u00b1\u00a07.7\u00a0years) recruited from 12 community health services. Data were collected at baseline (T1), one\u2010year follow\u2010up (T2), and two\u2010year follow\u2010up (T3) using self\u2010reported assessments of family functioning, depressive symptoms, and life satisfaction. Depressive symptoms negatively predicted family functioning from T1 to T2, and family functioning negatively predicted depressive symptoms from T2 to T3. Furthermore, life satisfaction mediated the relationship between family functioning and depressive symptoms from T1 to T3, and vice versa. Differences in gender, age, and income showed distinct patterns. Life satisfaction at T2 mediated the effect of family functioning at T1 on depressive symptoms at T3 for men, women, middle\u2010aged and low\u2010income adults, whereas life satisfaction mediated the effect of depressive symptoms at T1 on family functioning at T3 only among women and low\u2010income adults. This study explores the relationships among family functioning, life satisfaction, and depressive symptoms, noting potential differences based on gender, age and income. Family\u2010level interventions targeting life satisfaction could a helpful approach to addressing depressive symptoms among Chinese adults aged 45 and older with type 2 diabetes and\/or hypertension.<\/jats:p>","DOI":"10.1002\/smi.70007","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T11:41:47Z","timestamp":1737978107000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Family Functioning, Life Satisfaction, and Depressive Symptoms in Chinese Adults With Diabetes and Hypertension: A Cross\u2010Lagged Model"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9297-2154","authenticated-orcid":false,"given":"Gangjiao","family":"Zhu","sequence":"first","affiliation":[{"name":"School of Public Health Wuhan University  Wuhan China"},{"name":"Global Health Research Center Duke Kunshan University  Kunshan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Health Services and Systems Research Duke\u2010NUS Medical School  Singapore Singapore"},{"name":"Centre for Ageing Research and Education Duke\u2010NUS Medical School  Singapore Singapore"},{"name":"SingHealth Duke\u2010NUS Global Health Institute Medical School  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shangzhi","family":"Xiong","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health Faculty of Medicine and Health University of New South Wales  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinyue","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of International Health Bloomberg School of Public Health Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enying","family":"Gong","sequence":"additional","affiliation":[{"name":"School of Population Medicine and Public Health China Academy of Medical Science &amp; Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Agricultural Economics College of Agriculture Purdue University  West Lafayette Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Truls","family":"\u00d8stbye","sequence":"additional","affiliation":[{"name":"Global Health Research Center Duke Kunshan University  Kunshan China"},{"name":"Health Services and Systems Research Duke\u2010NUS Medical School  Singapore Singapore"},{"name":"Duke Global Health Institute Duke University  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lijing L.","family":"Yan","sequence":"additional","affiliation":[{"name":"School of Public Health Wuhan University  Wuhan China"},{"name":"Global Health Research Center Duke Kunshan University  Kunshan China"},{"name":"Duke Global Health Institute Duke University  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs8100086"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797618774796"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291797006077"},{"key":"e_1_2_13_5_1","first-page":"257","volume-title":"Gender and Stress","author":"Belle D.","year":"1987"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607860802342227"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0127161"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e3181a857f8"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010018\u20105990\u20108"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0882\u20107974.10.2.217"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/1070551070301834"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010014\u20100726\u20104"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/136031000101210"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326\u20105377.2009.tb02471.x"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630241003601079"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.0164"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010020\u201001973\u2010y"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnp034"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.032408.153621"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0003\u2010066x.56.3.218"},{"key":"e_1_2_13_21_1","first-page":"133","volume-title":"Analysis of Effect of Self\u2010Esteem and Family Function on the Relationship Between Depressive Symptoms and Life Satisfaction of Middle\u2010Aged and Elderly People in Rural Areas in Guangdong Province","author":"Gao J.","year":"2023"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00419"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.4082\/kjfm.19.0166"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192013277"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2004.04.013"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0378\u20105122(86)90029\u20100"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/002071520204300309"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0165\u20100327(02)00426\u20103"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.2307\/2095420"},{"key":"e_1_2_13_30_1","first-page":"45","volume-title":"Handbook of Positive Psychology","author":"Keyes C. 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