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...

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Autores principales: Wen, Huan, Zhu, Zheng, Hu, Tiantian, Li, Cheng, Jiang, Tao, Li, Ling, Zhang, Lin, Fu, Yanfen, Han, Shuyu, Wu, Bei, Hu, Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
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).
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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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