ArticleFrontiers in public health2022
Network analysis of anxiety and depression in the functionally impaired elderly.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 44 citations in OpenAlex.
- Psychological distress, decision-making, and health behaviors among prostate cancer survivors with urinary incontinence: A scale- and symptom-level network analysis.Asia-Pacific journal of oncology nursing · 2026Article
- The association between social support and depressive symptoms in rural older adults with cardiometabolic multimorbidity: a network analysis.BMC public health · 2026Article
- Network analysis of sleep disorders, anxiety, and loneliness among the community-dwelling older adults.Frontiers in public health · 2026Article
- Bridging mental health, cognition and the brain in mild traumatic brain injury: A multilayer network analysis of the TRACK-TBI study.NeuroImage. Clinical · 2026Article
- Network analysis of social isolation, loneliness, depression and anxiety among post-discharge rehabilitation patients.Frontiers in psychiatry · 2026Article
- Identifying core symptoms of anxiety and depression in colorectal cancer patients: network analysis.Frontiers in psychiatry · 2026Article
- Prevalence, role impairment, and mental health service utilization of depressive disorders among community-dwelling older adults in China.Frontiers in psychiatry · 2026Article
- A network analysis study of anxiety, depression and loneliness among middle-aged and elderly people in Xining area.BMC psychology · 2025Article
- Depression and anxiety symptom networks across the lifespan.Age and ageing · 2025Article
- Living and neighborhood environments and anxiety symptoms among older adults in Anhui, China: evidence from a cross-sectional study.BMC public health · 2025Article
- Network of job demands-resources and depressive symptoms in critical care nurses: a nationwide cross-sectional study.Critical care (London, England) · 2025Article
- Network Analysis of Anxiety, Insomnia, Depression, and Suicide Attempts in Chinese Outpatients with Somatic Symptom Disorder.Neuropsychiatric disease and treatment · 2025Article
- Understanding the complex network of anxiety, depression, sleep problems, and smartphone addiction among college art students using network analysis.Frontiers in psychiatry · 2025Article
- Uncovering unseen ties: a network analysis explores activities of daily living limitations and depression among Chinese older adults.Frontiers in aging neuroscience · 2025Article
- Adverse childhood experiences and subsequent experiences of intimate partner violence in adulthood: a gender perspective.Epidemiology and psychiatric sciences · 2024Article
- Anxiety and depression in Chinese cataract patients: a network analysis.BMC psychology · 2024Article
- Network analysis of anxiety and depressive symptoms among patients with heart failure.BMC psychiatry · 2024Article
- The comorbid network characteristics of anxiety and depressive symptoms among Chinese college freshmen.BMC psychiatry · 2024Article
- Associations between anxiety, depression, and personal mastery in community-dwelling older adults: a network-based analysis.BMC psychiatry · 2024Article
- Network analysis of depressive and anxiety symptoms in older Chinese adults with diabetes mellitus.Frontiers in psychiatry · 2024Article
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Evidence from previous studies has confirmed that functionally impaired elderly individuals are susceptible to comorbid anxiety and depression. Network theory holds that the comorbidity emerges from interactions between anxiety and depression symptoms. This study aimed to investigate the fine-grained relationships among anxiety and depression symptoms in the functionally impaired elderly and identify central and bridge symptoms to provide potential targets for intervention of these two comorbid disorders. Methods: A total of 325 functionally impaired elderly individuals from five communities in Xi'an, China, were recruited for our investigation. The GAD-7 and PHQ-9 were used to measure anxiety and depression, respectively. SPSS 22.0 software was used for descriptive statistics, and R 4.1.1 software was used for network model construction, expected influence (EI) evaluation and bridge expected influence (BEI) evaluation. Results: In the network, there were 35 edges (indicating partial correlations between symptoms) across the communities of anxiety and depression, among which the strongest edge was A1 "Nervousness or anxiety"-D2 "Depressed or sad mood." A2 "Uncontrollable worry" and D2 "Depressed or sad mood" had the highest EI values in the network, while A6 "Irritable" and D7 "Concentration difficulties" had the highest BEI values of their respective community. In the flow network, the strongest direct edge of D9 "Thoughts of death" was with D6 "Feeling of worthlessness." Conclusion: Complex fine-grained relationships exist between anxiety and depression in functionally impaired elderly individuals. "Uncontrollable worry," "depressed or sad mood," "irritable" and "concentration difficulties" are identified as the potential targets for intervention of anxiety and depression. Our study emphasizes the necessity of suicide prevention for functionally impaired elderly individuals, and the symptom "feeling of worthlessness" can be used as an effective target.
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