{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T06:56:50Z","timestamp":1782889010071,"version":"3.54.5"},"reference-count":76,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depressive symptoms among long-term care (LTC) residents are heterogeneous. This study aimed to identify latent classes of depressive symptoms among older adults in Chinese LTC homes and examine their associations with social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study included 329 older adults from 11 LTC homes. Depressive symptoms and social support were measured using the PHQ-9 and Perceived Social Support Scale. Latent class analysis (LCA) identified symptom patterns, and multinomial logistic regression evaluated associations with social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>LCA identified three clinically interpretable classes: low depressive symptoms (54.1%), somatic-dominant depressive symptoms (22.5%), and severe-spectrum depressive symptoms (23.4%). The severe-spectrum group exhibited the highest physical dependency, multimorbidity, and social isolation. Higher levels of perceived support from family and friends were associated with lower odds of belonging to the severe-spectrum group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Depressive symptoms in LTC residents can be described by clinically interpretable symptom patterns. Perceived social support may be relevant to depressive symptom differentiation in LTC residents and may inform psychosocial care in LTC settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1861090","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T05:20:00Z","timestamp":1782883200000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patterns of depressive symptoms among older adults living in long-term care homes in China: a latent class analysis"],"prefix":"10.3389","volume":"14","author":[{"given":"Hongwei","family":"Qi","sequence":"first","affiliation":[{"name":"School of Nursing, Qingdao University","place":["Qingdao, Shandong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sihan","family":"Dong","sequence":"additional","affiliation":[{"name":"Qingdao University Affiliated Hospital","place":["Qingdao, Shandong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaoqing","family":"Ge","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin School of Nursing","place":["Austin, TX, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuting","family":"Song","sequence":"additional","affiliation":[{"name":"School of Nursing, Qingdao University","place":["Qingdao, Shandong, China"]},{"name":"Faculty of Nursing, University of Alberta","place":["Edmonton, AB, Canada"]},{"name":"Qingdao Municipal Key Laboratory for Smart Chronic Disease Management and Digital Rehabilitation Nursing","place":["Qingdao, Shandong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1006","DOI":"10.3969\/j.issn.1000-6729.2020.12.007","article-title":"A meta-analysis of detection rate of depressive symptoms among the elderly in pension institutions in China","volume":"34","author":"Zhong","year":"2020","journal-title":"Chin Ment Health J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1016\/j.jad.2021.06.050","article-title":"Prevalence of depressive symptoms among older adults in mainland China: a systematic review and meta-analysis","volume":"293","author":"Tang","year":"2021","journal-title":"J Affect Disord"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1186\/s12877-022-02859-1","article-title":"Strategies to support older adults\u2019 mental health during the transition into residential aged care: a qualitative study of multiple stakeholder perspectives","volume":"22","author":"Polacsek","year":"2022","journal-title":"BMC Geriatr"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/j.gerinurse.2022.02.025","article-title":"Status of traditional Chinese medicine healthcare services in nursing homes across China","volume":"45","author":"Meng","year":"2022","journal-title":"Geriatr Nurs"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"187","DOI":"10.5498\/wjp.v12.i1.187","article-title":"Risk factors for suicidal behaviour in late-life depression: a systematic review","volume":"12","author":"Fernandez-Rodrigues","year":"2022","journal-title":"World J Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1038\/s41398-025-03463-8","article-title":"Depression and health outcomes: an umbrella review of systematic reviews and meta-analyses of observational studies","volume":"15","author":"Chen","year":"2025","journal-title":"Transl Psychiatry"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"924309","DOI":"10.3389\/fmed.2022.924309","article-title":"Depressive symptoms and healthcare utilization in late life. 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