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Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective
BACKGROUND: Lifestyle habits are vital components of the culture of mental health treatment settings. We examined the bridge connection between depressive and anxiety symptoms and lifestyles from a network perspective using a population-based study. METHODS: Face-to-face interviews were conducted wi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10308220/ https://www.ncbi.nlm.nih.gov/pubmed/37398582 http://dx.doi.org/10.3389/fpsyt.2023.1104841 |
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author | Wang, Shi-Bin Xu, Wen-Qi Gao, Li-Juan Tan, Wen-Yan Zheng, Hui-Rong Hou, Cai-Lan Jia, Fu-Jun |
author_facet | Wang, Shi-Bin Xu, Wen-Qi Gao, Li-Juan Tan, Wen-Yan Zheng, Hui-Rong Hou, Cai-Lan Jia, Fu-Jun |
author_sort | Wang, Shi-Bin |
collection | PubMed |
description | BACKGROUND: Lifestyle habits are vital components of the culture of mental health treatment settings. We examined the bridge connection between depressive and anxiety symptoms and lifestyles from a network perspective using a population-based study. METHODS: Face-to-face interviews were conducted with a provincially representative sample of 13,768 inhabitants from the Guangdong Sleep and Psychosomatic Health Survey based on standardized evaluation techniques. We identified the central symptoms by expected influence. The interconnection between depression and anxiety symptoms, as well as the bridge connectivity linking depression–anxiety symptoms and lifestyle factors, were assessed using the bridge centrality index. Network stability and sensibility analyses were performed using a case-dropping bootstrap procedure. RESULTS: The core symptom that exhibited the highest expected influence was fatigue or little energy, followed by uncontrollable worry, trouble relaxing, and sad mood in the depression-anxiety symptoms network, while guilt was the most interconnected symptom and had the highest bridge strength. Surrounding nodes of each node explained an average variance of 57.63%. Additionally, suicidal thoughts were recognized as collective bridging symptoms connecting lifestyle variables in the network integrating depression-anxiety symptoms with lifestyle factors. Current tobacco and alcohol consumption were positively associated with suicidal thoughts and irritability. Habitual diet rhythm and physical exercise frequency were linked to suicidal thoughts, guilt, and poor appetite or overeating. Suicidal thoughts, irritability, and guilt indicated the greatest connectivity with lifestyle factors. All networks had high stability and accuracy. CONCLUSION: These highlighted core and bridge symptoms could serve as latent targets for the prevention and intervention of comorbid depression and anxiety. It might be crucial for clinical practitioners to design effective and targeted treatment and prevention strategies aiming at specific lifestyles and behaviors. |
format | Online Article Text |
id | pubmed-10308220 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-103082202023-06-30 Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective Wang, Shi-Bin Xu, Wen-Qi Gao, Li-Juan Tan, Wen-Yan Zheng, Hui-Rong Hou, Cai-Lan Jia, Fu-Jun Front Psychiatry Psychiatry BACKGROUND: Lifestyle habits are vital components of the culture of mental health treatment settings. We examined the bridge connection between depressive and anxiety symptoms and lifestyles from a network perspective using a population-based study. METHODS: Face-to-face interviews were conducted with a provincially representative sample of 13,768 inhabitants from the Guangdong Sleep and Psychosomatic Health Survey based on standardized evaluation techniques. We identified the central symptoms by expected influence. The interconnection between depression and anxiety symptoms, as well as the bridge connectivity linking depression–anxiety symptoms and lifestyle factors, were assessed using the bridge centrality index. Network stability and sensibility analyses were performed using a case-dropping bootstrap procedure. RESULTS: The core symptom that exhibited the highest expected influence was fatigue or little energy, followed by uncontrollable worry, trouble relaxing, and sad mood in the depression-anxiety symptoms network, while guilt was the most interconnected symptom and had the highest bridge strength. Surrounding nodes of each node explained an average variance of 57.63%. Additionally, suicidal thoughts were recognized as collective bridging symptoms connecting lifestyle variables in the network integrating depression-anxiety symptoms with lifestyle factors. Current tobacco and alcohol consumption were positively associated with suicidal thoughts and irritability. Habitual diet rhythm and physical exercise frequency were linked to suicidal thoughts, guilt, and poor appetite or overeating. Suicidal thoughts, irritability, and guilt indicated the greatest connectivity with lifestyle factors. All networks had high stability and accuracy. CONCLUSION: These highlighted core and bridge symptoms could serve as latent targets for the prevention and intervention of comorbid depression and anxiety. It might be crucial for clinical practitioners to design effective and targeted treatment and prevention strategies aiming at specific lifestyles and behaviors. Frontiers Media S.A. 2023-06-15 /pmc/articles/PMC10308220/ /pubmed/37398582 http://dx.doi.org/10.3389/fpsyt.2023.1104841 Text en Copyright © 2023 Wang, Xu, Gao, Tan, Zheng, Hou and Jia. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Wang, Shi-Bin Xu, Wen-Qi Gao, Li-Juan Tan, Wen-Yan Zheng, Hui-Rong Hou, Cai-Lan Jia, Fu-Jun Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective |
title | Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective |
title_full | Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective |
title_fullStr | Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective |
title_full_unstemmed | Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective |
title_short | Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective |
title_sort | bridge connection between depression and anxiety symptoms and lifestyles in chinese residents from a network perspective |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10308220/ https://www.ncbi.nlm.nih.gov/pubmed/37398582 http://dx.doi.org/10.3389/fpsyt.2023.1104841 |
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