Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis
BACKGROUND: People living with HIV (PLWH) experience multiple psychological symptoms. Few studies have provided information on central and bridge psychological symptoms among PLWH. This information has implications for improving the efficiency and efficacy of psychological interventions. Our study a...
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/PMC9846149/ https://www.ncbi.nlm.nih.gov/pubmed/36684950 http://dx.doi.org/10.3389/fpubh.2022.1024436 |
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author | Wen, Huan Zhu, Zheng Hu, Tiantian Li, Cheng Jiang, Tao Li, Ling Zhang, Lin Fu, Yanfen Han, Shuyu Wu, Bei Hu, Yan |
author_facet | Wen, Huan Zhu, Zheng Hu, Tiantian Li, Cheng Jiang, Tao Li, Ling Zhang, Lin Fu, Yanfen Han, Shuyu Wu, Bei Hu, Yan |
author_sort | Wen, Huan |
collection | PubMed |
description | BACKGROUND: People living with HIV (PLWH) experience multiple psychological symptoms. Few studies have provided information on central and bridge psychological symptoms among PLWH. This information has implications for improving the efficiency and efficacy of psychological interventions. Our study aimed to identify the central and bridge psychological symptoms of PLWH and to explore the interconnectedness among symptoms and clusters. METHODS: Our study used data from the HIV-related Symptoms Monitoring Survey, a multisite, cross-sectional study conducted during 2017–2021. We used R to visualize the network of 16 symptoms and analyzed the centrality and predictability indices of the network. We further analyzed the bridge symptoms among the three symptom clusters. RESULTS: A total of 3,985 participants were included in the analysis. The results suggested that sadness had the highest strength (r(S) = 9.69) and predictability (70.7%) compared to other symptoms. Based on the values of bridge strength, feeling unsafe (r(bs) = 0.94), uncontrollable worry (r(bs) = 0.82), and self-abasement (r(bs) = 0.81) were identified as bridge symptoms. We also found a strong correlation between sadness and self-abasement (r = 0.753) and self-loathing and self-blame (r = 0.744). CONCLUSION: We found that sadness was the central psychological symptom of PLWH, indicating that sadness was the center of the psychological symptom network from a mechanistic perspective and could be a target for intervention. Deactivating bridge symptoms, including “feeling unsafe,” “self-abasement,” and “uncontrollable worry,” could be more effective in preventing symptom activation from spreading (e.g., one symptom activating another). |
format | Online Article Text |
id | pubmed-9846149 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-98461492023-01-19 Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis Wen, Huan Zhu, Zheng Hu, Tiantian Li, Cheng Jiang, Tao Li, Ling Zhang, Lin Fu, Yanfen Han, Shuyu Wu, Bei Hu, Yan Front Public Health Public Health BACKGROUND: People living with HIV (PLWH) experience multiple psychological symptoms. Few studies have provided information on central and bridge psychological symptoms among PLWH. This information has implications for improving the efficiency and efficacy of psychological interventions. Our study aimed to identify the central and bridge psychological symptoms of PLWH and to explore the interconnectedness among symptoms and clusters. METHODS: Our study used data from the HIV-related Symptoms Monitoring Survey, a multisite, cross-sectional study conducted during 2017–2021. We used R to visualize the network of 16 symptoms and analyzed the centrality and predictability indices of the network. We further analyzed the bridge symptoms among the three symptom clusters. RESULTS: A total of 3,985 participants were included in the analysis. The results suggested that sadness had the highest strength (r(S) = 9.69) and predictability (70.7%) compared to other symptoms. Based on the values of bridge strength, feeling unsafe (r(bs) = 0.94), uncontrollable worry (r(bs) = 0.82), and self-abasement (r(bs) = 0.81) were identified as bridge symptoms. We also found a strong correlation between sadness and self-abasement (r = 0.753) and self-loathing and self-blame (r = 0.744). CONCLUSION: We found that sadness was the central psychological symptom of PLWH, indicating that sadness was the center of the psychological symptom network from a mechanistic perspective and could be a target for intervention. Deactivating bridge symptoms, including “feeling unsafe,” “self-abasement,” and “uncontrollable worry,” could be more effective in preventing symptom activation from spreading (e.g., one symptom activating another). Frontiers Media S.A. 2023-01-04 /pmc/articles/PMC9846149/ /pubmed/36684950 http://dx.doi.org/10.3389/fpubh.2022.1024436 Text en Copyright © 2023 Wen, Zhu, Hu, Li, Jiang, Li, Zhang, Fu, Han, Wu and Hu. 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 | Public Health Wen, Huan Zhu, Zheng Hu, Tiantian Li, Cheng Jiang, Tao Li, Ling Zhang, Lin Fu, Yanfen Han, Shuyu Wu, Bei Hu, Yan Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis |
title | Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis |
title_full | Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis |
title_fullStr | Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis |
title_full_unstemmed | Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis |
title_short | Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis |
title_sort | unraveling the central and bridge psychological symptoms of people living with hiv: a network analysis |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9846149/ https://www.ncbi.nlm.nih.gov/pubmed/36684950 http://dx.doi.org/10.3389/fpubh.2022.1024436 |
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