ArticleBMC public health2025
Core and bridge symptoms in self-perceived aging, depression, and anxiety among the elderly with multiple chronic conditions in Chinese communities: a network analysis perspective.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Character strengths, psychological distress, anxiety, and depression in adolescents and young adults with gynecologic cancer: A network analysis.Asia-Pacific journal of oncology nursing · 2026Article
- Relationship between self-perceptions of ageing and interoception among older people living with HIV: a latent profile analysis.BMC public health · 2026Article
- Association Between Internet Addiction and Comorbid Anxiety and Depression in Chinese Children and Adolescents: A Latent Profile Analysis and Network Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Network Analysis of Symptom Clusters and Core Symptoms in Patients with Type 2 Diabetes Mellitus.Patient preference and adherence · 2026Article
- Network analysis of the relationships among activities of daily living disability, cognitive impairment, and depression in Chinese older adults.BMC public health · 2025Article
- A network analysis of the depression and anxiety comorbidity: a nationwide survey among Chinese adolescents during the normalization phase of COVID-19 pandemic prevention and control.BMC psychiatry · 2025Article
- Network Analysis of Contemporaneous Symptoms and Identification of Core Symptoms in Patients with Lumbar Disc Herniation.Journal of pain research · 2025Article
- Network analysis on depressive symptoms and big five personality traits of community elderly over 60 years old: a cross-sectional study.Frontiers in psychiatry · 2025Article
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6 authors.
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Abstract
backgroundPrevious research has overlooked the role of self-perceived aging in the psychological well-being of older adults with multiple chronic conditions, and few studies have analyzed specific symptom interactions from a symptom network perspective. Our study aimed to explore the structure of the network among self-perceived aging, depression, and anxiety in community-dwelling older adults with multiple chronic conditions.
methodsThis was a cross-sectional survey conducted using convenience sampling from four prefecture-level cities in Jiangsu Province, China, between November 2022 and May 2023. A total of 478 participants were included in the analysis. The Brief Ageing Perceptions Questionnaire (B-APQ) and the Depression Anxiety and Stress Scales-21 (DASS-21) were used to assess self-perceived aging, depression, and anxiety among older adults. Network analysis was performed using R to explore the interrelationships among symptoms in the network and identify the core symptoms and bridge symptoms.
resultsNetwork analysis revealed that, after controlling for covariates, the node S5 ('Emotional-Representations') had the highest strength, followed by D7 ('Meaningless'), S2 ('Consequences-Positive'), S1 ('Consequences and Control Negative'), and D6 ('Worthless'). Furthermore, based on the bridge strength values, A5 ('Panic'), D7 ('Meaningless'), and S5 ('Emotional-Representations') were identified as bridge symptoms connecting self-perceived aging, depression, and anxiety. The study also identified several strong edge weight, most of which were linked to core symptoms and bridge symptoms.
conclusionThe study suggests that targeting "Emotional-Representations" as a core symptom can be effective in addressing psychological issues in older adults with multiple chronic conditions. Furthermore, preventing and inhibiting bridge symptoms such as "panic," "Meaningless," and "Emotional-Representations" could be potentially effective prevent widespread activation of symptoms (e.g., from self-perceived aging to depression).
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