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在COVID-19大流行之前和期间的焦虑和抑郁症状:一个纵向网络分析
Sophie J Blackmore1,2, Marit Sijbrandij3, Jose Luis Ayuso-Mateos4,5,6
1Department of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, Netherlands, vu.nl.
Depression and anxiety
|March 9, 2026
概括
COVID-19大流行改变了焦虑和抑郁症症状网络,将焦点从基于恐惧的症状转移到认知症状. 网络分析揭示了针对性心理健康干预的关键症状变化.
科学领域:
- 心理健康研究 心理健康研究
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- COVID-19流行病研究显示,焦虑和抑郁症症状的变化结果各不相同,特别是在那些有先前疾病的人群中.
- 以前的研究经常使用总结得分,限制了对个体症状变化和结构的洞察力.
研究的目的:
- 使用网络分析调查焦虑和抑郁症状结构和时间变化.
- 检查COVID-19大流行之前和期间的三个时间点的症状变化.
主要方法:
- 来自荷兰抑郁和焦虑研究 (NESDA) 和NESDO队列的675名参与者的网络分析.
- 使用贝克焦虑清单 (BAI) 和快速清单抑郁症症状自评定 (QIDS-SR) 评估症状.
- 使用中心性指数和网络比较测试,比较COVID前,第一COVID峰值和第二COVID峰值时间点的症状网络.
主要成果:
- 在COVID-19高峰期,症状网络类似,但在全球强度方面与COVID前网络有显著差异.
- 在COVID前的网络显示,对恐惧,睡眠和自杀念头症状的中心性更高.
- 在疫情期间,焦虑症状网络从体质恐惧转向认知评估症状.
结论:
- 随着COVID-19大流行,焦虑和抑郁症状的复杂关联发生了变化.
- 焦虑症状网络从体质恐惧反应过渡到认知评估症状.
- 网络分析通过识别关键焦虑和抑郁症状,为有针对性的干预提供了洞察力.
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