Evidence map›Paper›PMID 37086797›Full record

ArticleJournal of affective disorders2023

A network analysis of anxiety and depression symptoms in Chinese disabled elderly.

Peijia Zhang, Lianke Wang, Qianyu Zhou, Xiaofang Dong, Yuanli Guo, Panpan Wang, Wenqian He, Rongrong Wang, Tiantian Wu, Zihui Yao and 4 more

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Article in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
35.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 139 citations in OpenAlex.

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  11. Generalised anxiety disorder (GAD-7) in Ukrainian sample during wartime.Social psychiatry and psychiatric epidemiology · 2026
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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Peijia ZhangSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Lianke WangSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Qianyu ZhouCollege of Public Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Xiaofang DongDepartment of Neurology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Yuanli GuoDepartment of Neurology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Panpan WangSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Wenqian HeSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Rongrong WangSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Tiantian WuSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Zihui YaoSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Bo HuSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Yu WangSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Qiang ZhangSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China. Electronic address: qzhang25@zzu.edu.cn.
Changqing SunSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, People's Republic of China. Electronic address: zzugwsy@163.com.
Zhengzhou University · CNFirst Affiliated Hospital of Zhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health is an essential dimension of healthy aging. The number and severity of disabled elderly in China show an increasing tendency year by year. Due to their impaired ability of daily activities, reduced social participation and reduced self-care ability, they are more prone to depression and anxiety.

methodWe included 2131 individuals aged 65 and older from the Chinese Longitudinal Healthy Longevity Survey (CLHLS 2017-2018). We used the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10) and the Generalized Anxiety Disorder scale-7 (GAD-7) to assess depression and anxiety, respectively. The structure of depressive and anxiety symptoms was characterized using "Expected Influence" and "Bridge Expected Influence" as centrality indices in the symptom network. Network stability was tested using a case-dropping bootstrap procedure. Finally, a Network Comparison Test (NCT) was conducted to examine whether network characteristics differed by gender.

resultsNetwork analysis revealed that nodes CESD3 (Felt sadness), GAD2 (Uncontrollable worry), and GAD4 (Trouble relaxing) were the primary symptoms of the anxiety-depression network. Anxiety and depression were united by the symptoms of CESD9 (Could not get going), GAD1 (Nervousness or anxiety), CESD10 (Sleep quality), and GAD4 (Trouble relaxing). Additionally, Gender did not significantly affect the network structure.

conclusionCentral symptoms (e.g., felt sadness, uncontrollable worry and trouble relaxing) and key bridge symptoms (e.g., could not get going, nervousness and anxiety) in the depressive and anxiety symptoms network may be used as potential targets for intervention among disabled elderly who is at risk for or suffer from depressive and anxiety symptoms.

Indexed as

AnxietyDepressionEast Asian PeopleAgedHumansLongevityPersons with DisabilitiesAnxietyDepressionDisabled elderlyNetwork analysis

Identifiers

PMID37086797
OpenAlexW4366609086

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.