ArticleFrontiers in public health2024
Network analysis of depression and anxiety symptoms and their associations with life satisfaction among Chinese hypertensive older adults: a cross-sectional study.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 40 citations in OpenAlex.
- Network analysis of mental health literacy and depressive/anxiety symptoms in patients under maintenance hemodialysis: a cross-sectional study of multicenter data.Scientific reports · 2026Article
- A network analysis of depression and anxiety symptoms among Chinese elderly with multiple chronic conditions: based on the 2017-2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS).BMC psychology · 2026Article
- Associations Between Life Satisfaction and Sleep Quality Among Older Adults in China: Mediating Roles of Psychological Resilience and Anxiety and a Moderating Role of Chronic Disease.Healthcare (Basel, Switzerland) · 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
- Mind-body exercise and anxiety in middle-aged and older adults: a sequential mediation model of emotion regulation and sleep quality.Frontiers in public health · 2026Article
- Dissecting Depression in Cardiovascular Disease in Middle-Aged and Older Adults: Evidence That Comorbidity is Associated with Higher Depression Network Strength.Psychology research and behavior management · 2026Article
- Cross-sectional and longitudinal network analyses depict variations of symptom networks in depression patients across the lifespan: insight from a large-scale sample.BMC psychiatry · 2025Article
- The impact of financial support for older adult care services on life satisfaction: evidence from China reform pilot.BMC geriatrics · 2025Article
- Quantifying the association of Life's Crucial 9 with cardiovascular diseases among elderly hypertensive patients managed in primary care settings.Population health metrics · 2025Article
- Association of mold exposure and solid household fuel use with depression and anxiety among older adults in China.Environmental health : a global access science source · 2025Article
- Association of Emotion, Sleep Quality With Hypertension and Complications in the Elderly Population.Brain and behavior · 2025Article
- IADL for identifying cognitive impairment in Chinese older adults: insights from cross-lagged panel network analysis.BMC geriatrics · 2025Article
- Analysis of the Status and Influencing Factors of Depression in Chinese Middle-Aged and Older Cancer Patients-Based on Empirical Evidence from the 2020 CHARLS Database.Healthcare (Basel, Switzerland) · 2025Article
- Network structure of common mental health problems and life satisfaction in a Japanese population.Scientific reports · 2025Article
- The silent struggle: assessing anxiety prevalence in Marrakech's hypertensive population.BMC public health · 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
- A network analysis of anxiety and depression symptoms among empty nesters in China.Frontiers in psychology · 2025Article
- Inter-relationships of depression and anxiety symptoms among widowed and non-widowed older adults: findings from the Chinese Longitudinal Healthy Longevity Survey based on network analysis and propensity score matching.Frontiers in public health · 2025Article
- Determinants of life satisfaction in older adults with diabetes in China: a national cross-sectional study.Frontiers in public health · 2025Article
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Authors and funding
4 authors at 1 institution in 1 country.
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Abstract
Background: Hypertension is one of the most prevalent chronic diseases among the older adult population in China and older adults with hypertension are more susceptible to mental health problems. This study aimed to explore the network structure of depression and anxiety, and their association with life satisfaction (LS) in older adults with hypertension. Methods: A total of 4,993 hypertensive individuals aged 60 and above were selected from the Chinese Longitudinal Healthy Longevity Survey (CLHLS 2017-2018). The design of the CLHLS study was approved by the Campus Institutional Review Board of Duke University (Pro00062871) and the Biomedical Ethics Committee of Peking University (IRB00001052-13,074). The Center for Epidemiologic Studies Depression Scale-10 (CESD-10) and the Generalized Anxiety Disorder Scale-7 (GAD-7) were used to assess depressive and anxiety symptoms. Central and bridge symptoms were identified via "Expected Influence" and "Bridge Expected Influence", respectively. Network stability was assessed using the case-dropping bootstrap technique. Results: Network analysis identified CESD3 (Feeling blue/depressed), GAD4 (Trouble relaxing), and GAD2 (Uncontrollable worry) as the most influential central symptoms in the network of depression and anxiety. Concurrently, GAD1 (Nervousness or anxiety), CESD10 (Sleep disturbances), and CESD1 (Feeling bothered) stand as critical bridge symptoms between depression and anxiety disorders. Moreover, CESD7 (Lack of happiness) exhibited the strongest negative correlation with LS in Chinese hypertensive older adults. Conclusion: This exploratory study represents the first investigation to examine the mutual relationship between depressive and anxiety symptoms among Chinese hypertensive older adults. Interventions addressing targeting bridge symptoms have the potential to alleviate depressive and anxiety symptoms. Furthermore, improving happiness, hope, and sleep quality in this population may mitigate the adverse effects of depression and anxiety on LS.
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