在中国多种慢性疾病的老年人中,alexithymia,抑郁,焦虑和压力之间的关系:网络分析
Bin Shang1, Ruirui Chen1, Caifeng Luo1
1School of Medicine, Jiangsu University, Zhenjiang, China.
Frontiers in psychiatry
|August 2, 2023
概括
难以识别情绪是多种慢性疾病的老年人的一个核心症状. 解决这种问题和像恐慌这样的桥梁症状可以帮助管理并发病症,并优先考虑对亚历克西西米亚患者的护理.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 老年学是一门学科.
- 网络分析 网络分析
背景情况:
- 亚历克西西米亚与各种心理困扰有关.
- 患有多种慢性疾病 (MCC) 的老年人面临复杂的健康挑战.
- 了解症状的相互联系对于有效的干预至关重要.
研究的目的:
- 在中国老年人中建立一个alexithymia,抑郁症,焦虑和压力的网络.
- 在这个网络中识别核心和桥梁症状.
- 为了比较alexithymia和没有alexithymia的个体之间的网络结构.
主要方法:
- 采用662名参与者 (平均年龄为70.37岁) 的横截面调查设计.
- 使用了多伦多亚历克西西米亚量表 (TAS-20) 和抑郁焦虑和压力量表-21 (DASS-21).
- 用R语言进行网络分析,以确定症状的中心性和桥梁强度.
主要成果:
- "难以识别感情" (DIF) 成为核心症状 (最高中心性).
- 其他核心症状包括"毫无意义"",激动"",害怕"和"不展望未来".
- 发现的桥梁症状是"恐慌"",害怕"",没有放松"",没有主动"和"没有积极".
- 在alexithymia和非alexithymia组之间发现了网络结构的显著差异.
结论:
- "难以识别情绪"是MCC老年人心理干预的关键目标.
- 缓解桥梁症状可以破坏症状的传播和管理并发症.
- 患有alexithymia的老年人需要优先考虑心理健康干预措施.
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