ArticleFrontiers in psychiatry2024
Network analysis of depressive and anxiety symptoms in older Chinese adults with diabetes mellitus.
Article in Frontiers in psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed, 25 citations in OpenAlex.
- Symptom Network and Lesion Mapping of Post-Stroke Depression, Cognitive Impairment, and Dysfunction: A Multicenter Cohort Study.Brain and behavior · 2026Observational
- Psychometric Network Characteristics of Anxiety and Depression Among Chinese Physical Education Teachers.Behavioral sciences (Basel, Switzerland) · 2026Article
- Unveiling intervention targets: urban-rural disparities in depression-anxiety symptoms networks among Chinese older adults living alone.BMC geriatrics · 2026Article
- Longitudinal Patterns of Within- and Cross-Domain Multimorbidity Across Physical, Psychological, and Cognitive Conditions in China and the United States: The Role of Socioeconomic and Healthcare Inequalities.Healthcare (Basel, Switzerland) · 2026Article
- A Network Analysis of Panic Disorder, Agoraphobia, and Generalized Anxiety Disorder in 463 Patients From a Psychiatric Hospital.Brain and behavior · 2026Article
- Component- and dimension-level network associations between sleep quality and health-related quality of life in older adults with hypertension.Frontiers in public health · 2026Article
- Multilayer network analysis of mental health symptoms in UK University students: association patterns of depression, loneliness, and suicidal ideation.Frontiers in psychiatry · 2026Article
- Depression, anxiety, and sleep problems among Chinese university students enrolled in basketball elective courses: a network psychometric analysis.Frontiers in psychology · 2026Article
- Physical inactivity linked to depressive symptoms in people with and without diabetes: A longitudinal network analysis of health risk behaviours and individual depressive symptoms from the Survey of Health, Ageing and Retirement in Europe.Journal of health psychology · 2025Article
- IADL for identifying cognitive impairment in Chinese older adults: insights from cross-lagged panel network analysis.BMC geriatrics · 2025Article
- Network analysis of anxiety and depressive symptoms among patients with cardiovascular disease.BMC public health · 2025Article
- A network analysis of depression and anxiety symptoms among Chinese elderly living alone: based on the 2017-2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS).BMC psychiatry · 2025Article
- Network of anxiety and depression symptoms in older Chinese adults living alone: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Depression and Associated Factors Among Diabetic Patients Undergoing Diabetic Retinopathy Assessments at a Tertiary Care Center: A Cross-Sectional Study.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Core Symptoms and Dynamic Interactions of Depressive Symptoms in Older Chinese Adults: A Longitudinal Network Analysis.Depression and anxiety · 2025Article
- Prediction of traditional Chinese medicine for diabetes based on the multi-source ensemble method.Frontiers in pharmacology · 2025Article
- Analysis of anxiety and depression status and their influencing factors in patients with diabetic retinopathy.World journal of psychiatry · 2024Article
- Depression and Anxiety among Migrant Older Adults during the COVID-19 Pandemic in China: Network Analysis of Continuous Cross-Sectional Data.Healthcare (Basel, Switzerland) · 2024Article
- The comorbid network characteristics of anxiety and depressive symptoms among Chinese college freshmen.BMC psychiatry · 2024Article
- Psychosomatic health status and corresponding comorbid network analysis of college students in traditional Chinese medicine schools.Frontiers in psychiatry · 2024Article
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8 authors at 1 institution in 1 country.
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Abstract
Background: The move away from investigating mental disorders as whole using sum scores to the analysis of symptom-level interactions using network analysis has provided new insights into comorbidities. The current study explored the dynamic interactions between depressive and anxiety symptoms in older Chinese adults with diabetes mellitus (DM) and identified central and bridge symptoms in the depression-anxiety network to provide potential targets for prevention and intervention for depression and anxiety. Methods: This study used a cross-sectional design with data from the 2017-2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). A regularized partial correlation network for depressive and anxiety symptoms was estimated based on self-reported scales completed by 1685 older adults with DM aged 65 years or older. Depressive and anxiety symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10) and the Seven-Item Generalized Anxiety Disorder Scale (GAD-7), respectively. Expected influence (EI) and bridge expected influence (BEI) indices were calculated for each symptom. Results: According to cutoff scores indicating the presence of depression and anxiety, the prevalences of depression and anxiety in our sample were 52.9% and 12.8%, respectively. The comorbidity rate of depression and anxiety was 11.5%. The six edges with the strongest regularized partial correlations were between symptoms from the same disorder. "Feeling blue/depressed", "Nervousness or anxiety", "Uncontrollable worry", "Trouble relaxing", and "Worry too much" had the highest EI values. "Nervousness or anxiety" and "Everything was an effort" exhibited the highest BEI values. Conclusion: Central and bridge symptoms were highlighted in this study. Targeting these symptoms may be effective in preventing the comorbidity of depressive and anxiety symptoms and facilitate interventions in older Chinese adults with DM who are at risk for or currently have depressive and anxiety symptoms.
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