Evidence map›Paper›PMID 38454373›Full record

ArticleBMC psychiatry2024

Associations between anxiety, depression, and personal mastery in community-dwelling older adults: a network-based analysis.

Zekun Bian, Renyan Xu, Bin Shang, Fei Lv, Weiyi Sun, Qian Li, Yijing Gong, Caifeng Luo

Abstract read
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zekun Bian *School of Medicine, Jiangsu University, Zhenjiang, China.
Renyan Xu *School of Medicine, Jiangsu University, Zhenjiang, China.
Bin ShangSchool of Medicine, Jiangsu University, Zhenjiang, China.
Fei LvDepartment of Nursing, Jingjiang College, Jiangsu University, Zhenjiang, China.
Weiyi SunSchool of Medicine, Jiangsu University, Zhenjiang, China.
Qian LiSchool of Medicine, Jiangsu University, Zhenjiang, China.
Yijing GongSchool of Medicine, Jiangsu University, Zhenjiang, China.
Caifeng LuoSchool of Medicine, Jiangsu University, Zhenjiang, China. lcf0105@163.com.

Funding

2023 Jiangsu Provincial Graduate Research and Practice Innovation Program SJCX23_20972023 "Youth and Blue Project" of Jiangsu Provincial Education Department Su Teacher Letter (2023) No. 51
6 · The paper itself

Abstract

backgroundIn China, about 18.70% of the population aged 60 years and older are at risk of low personal mastery as well as anxiety and depression for a variety of reasons. The purpose of this study was to construct a symptom network model of the relationship between anxiety, depression, and personal mastery in community-dwelling older adults and to identify central and bridge symptoms in this network.

methodsDepression, anxiety, and personal mastery were measured using the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), and Personal Mastery Scale (PMS), respectively. A total of 501 older adults in 16 communities in Changzhou and Zhenjiang, Jiangsu Province, China, were surveyed by using a combination of stratified sampling and convenience sampling methods. The R language was used to construct the network.

results(1) The network structure of anxiety-depression-personal mastery was stable, with "Nervousness" (node GAD1, strength = 1.38), "Sad mood" (node PHQ2, strength = 1.22), " Inability to change" (node PMS2, strength = 1.01) and "Involuntarily" (node PMS3, strength = 0.95) as the central symptoms. (2) "Irritability" (node GAD6, bridge strength = 0.743), "Sad mood" (node PHQ2, bridge strength = 0.655), and "Trouble relaxing" (node GAD4, bridge strength = 0.550) were the bridge symptoms connecting anxiety, depressive symptoms, and personal mastery. (3) In the network comparison test (NCT), residence, somatic chronic comorbidity and gender had no significant effect on network structure.

conclusionsThe construction of the anxiety-depression-personal mastery network structure opens up new possibilities for mechanisms of action and intervention formulation for psychological disorders in community-dwelling older adults. The identification of central symptoms (e.g., nervousness, sad mood, inability to change, involuntarily) and bridge symptoms (e.g., irritability, sad mood, trouble relaxing) in community-dwelling older adults with anxiety, depression, and low sense of mastery can provide a scientific basis for the development of precise interventions.

Indexed as

DepressionIndependent LivingAgedAnxietyAnxiety DisordersComorbidityHumansMiddle AgedAnxietyDepressionNetwork analysisOlder adultsPersonal mastery

Identifiers

PMID38454373
PMCPMC10921593

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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.