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在COVID-19大流行之前和期间,抑郁和孤独症状的交互变化:纵向网络分析
He-Li Sun1, Qinge Zhang2, Tong Leong Si3
1Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China; Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.
Psychiatry research
|February 1, 2024
概括
随着COVID-19的流行,老年人的抑郁和孤独网络发生了重大变化. "无法起步"和"缺乏伴侣"是关键变化,突出了潜在的治疗目标.
科学领域:
- 老年学是一门学科.
- 心理健康研究 心理健康研究
- 流行病学 流行病学
背景情况:
- 抑郁症和孤独感经常在老年人中同时发生.
- 了解它们的动态相互作用至关重要,尤其是在公共卫生危机期间.
- 随着COVID-19的流行,这一群体的心理健康面临着独特的挑战.
研究的目的:
- 为了检查老年人抑郁和孤独之间的纵向互动变化.
- 为了比较这些变化在COVID-19大流行之前和期间.
- 在这个人群中识别中心症状和网络动态.
主要方法:
- 利用了英国长度老龄化研究 (ELSA) 三波 (2016-2020) 的数据.
- 使用Ising模型进行网络分析,以评估抑郁和孤独症状网络.
- 应用网络比较测试和预期影响 (EI) 以确定中心症状和网络变化.
主要成果:
- 在基线和大流行前评估之间,没有观察到抑郁症-孤独网络的显著变化.
- 在COVID-19大流行期间,抑郁症和孤独症的流行率和网络显著增加.
- 关键的变化包括"无法开始" (CESD8) 和"缺乏伴侣" (UCLA1) 和"无法开始" (CESD8) 之间的联系.
结论:
- 随着COVID-19的流行,老年人的抑郁和孤独的网络结构发生了重大影响.
- "感觉丧"和"一切都是努力"一直是整个过程中的中心症状.
- 识别最受影响的症状和网络连接为减轻抑郁和孤独风险提供了潜在的治疗目标.
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