Evidence map›Paper›PMID 40993514›Full record

ArticleBMC geriatrics2025

Network analysis of sleep disorders, depression and anxiety symptoms among community older adults.

Jing Huang, Aoyi Tang, Qianrui Li, Fei Chen, Suni Ye, Linyang Song, Peiyuan Qiu

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

6 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

7 authors.

Jing HuangDepartment of Epidemiology and Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, 17 section 3 south Renmin Road, Chengdu, 610041, China.
Aoyi TangDepartment of Epidemiology and Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, 17 section 3 south Renmin Road, Chengdu, 610041, China.
Qianrui LiState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China.
Fei ChenDepartment of Epidemiology and Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, 17 section 3 south Renmin Road, Chengdu, 610041, China.
Suni YeDepartment of Epidemiology and Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, 17 section 3 south Renmin Road, Chengdu, 610041, China.
Linyang SongDepartment of Epidemiology and Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, 17 section 3 south Renmin Road, Chengdu, 610041, China.
Peiyuan QiuDepartment of Epidemiology and Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, 17 section 3 south Renmin Road, Chengdu, 610041, China. qiupeiyuan@scu.edu.cn.

Funding

China Medical Board CMB14-198National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University Z20191006National Natural Science Foundation of China Z20191006Nature Science Foundation of Sichuan Province 2022NSFSC0668
6 · The paper itself

Abstract

backgroundSleep disorders, depression, and anxiety are emerging as significant public health concerns among the aging population worldwide, and they are highly interrelated with each other. We aim to identify key symptoms and shed light on a deeper understanding of the intricate connections between symptoms of sleep disorders, depression and anxiety.

methodsThis study used multistage sampling to select 18 residential areas in Jinjiang District, Chengdu City, Sichuan Province, China from December 2017 to April 2018. A total of 434 urban community-dwelling older adults aged 60 or above were recruited. The item scores of the Pittsburgh Sleep Quality Index (PSQI), Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) were used to measure the participants' symptoms of sleep disorders, depression and anxiety, respectively. The statistical analysis employed network analyses as the primary methodology.

resultsWithin the realm of depressive symptoms, "Suicidality" showed the strongest link with "Worthlessness" (weight = 0.23). In terms of cross-disorders connections, "Disturbed sleep" in depression displayed a close relationship with "Sleep latency" in sleep disorders (weight = 0.32). However, no strong connection was observed between anxiety and sleep disorders. Furthermore, the symptoms "Fatigue" and "Sleep difficulties " had the highest strength centrality (z > = 1).

conclusionsThe central symptoms and their intricate connections in the network play an importance role in gaining the underlying pathological mechanisms, as well as potential interventions for comorbidity in community older adults.

Indexed as

AnxietyDepressionIndependent LivingSleep Wake DisordersAgedAged, 80 and overChinaFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAnxietyDepressionGeriatricNetwork analysisSleep disorders

Identifiers

PMID40993514
PMCPMC12462105

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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.