在患有癌症,非癌症对照和健康个体之间比较抑郁症状的表现:一个网络方法
Judith Hirschmiller1, Mareike Ernst2, Tamara Schwinn1
1Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Journal of psychosomatic research
|September 24, 2025
概括
癌症患者经历更多的抑郁症状,但潜在的症状网络结构在癌症患者,非癌症对照和健康个体中是相似的. 癌症患者的体征症状与其他群体一样相互联系,因此需要将其纳入查和干预措施.
科学领域:
- 精神病学是一个精神病学.
- 在瘤学瘤学.
- 网络科学 网络科学
背景情况:
- 抑郁症在癌症患者中很常见,但患病率各不相同.
- 癌症中的身体症状可能会使抑郁症评估复杂化.
- 了解癌症中抑郁症状的相互关系至关重要.
研究的目的:
- 为了比较患有癌症的个体与非癌症和健康对照者的抑郁症状网络结构.
- 为了研究超出简单的总和得分之外的症状相互关系.
主要方法:
- 使用高斯图形模型对3512名参与者的网络分析.
- 网络结构,症状可预测性和PHQ-9项目的中心性在三个组 (癌症,非癌症,健康) 的比较.
主要成果:
- 在癌症患者中,抑郁症状更为频繁.
- 两组之间没有发现整体抑郁症状网络结构的差异.
- 癌症患者的抑郁情绪最高;对照组的能量损失最高. 两者都是中央节点.
结论:
- 抑郁症状的结构在患有癌症的个体,非癌症对照和健康个体中是相似的.
- 癌症患者的体征症状与其他症状的相互联系和对照组一样.
- 在癌症患者的查和干预中,除了心理症状外,还应考虑体质症状.
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