Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective
BackgroundLifestyle 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.MethodsFace-to-face interviews were conducted with a...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1104841/full |
| _version_ | 1797803802825326592 |
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| author | Shi-Bin Wang Wen-Qi Xu Li-Juan Gao Wen-Yan Tan Hui-Rong Zheng Cai-Lan Hou Cai-Lan Hou Cai-Lan Hou Fu-Jun Jia Fu-Jun Jia Fu-Jun Jia |
| author_facet | Shi-Bin Wang Wen-Qi Xu Li-Juan Gao Wen-Yan Tan Hui-Rong Zheng Cai-Lan Hou Cai-Lan Hou Cai-Lan Hou Fu-Jun Jia Fu-Jun Jia Fu-Jun Jia |
| author_sort | Shi-Bin Wang |
| collection | DOAJ |
| description | BackgroundLifestyle 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.MethodsFace-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.ResultsThe 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.ConclusionThese 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. |
| first_indexed | 2024-03-13T05:27:28Z |
| format | Article |
| id | doaj.art-81cd184f753a42a0adc4924c3c486ccc |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-13T05:27:28Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-81cd184f753a42a0adc4924c3c486ccc2023-06-15T05:16:35ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-06-011410.3389/fpsyt.2023.11048411104841Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspectiveShi-Bin Wang0Wen-Qi Xu1Li-Juan Gao2Wen-Yan Tan3Hui-Rong Zheng4Cai-Lan Hou5Cai-Lan Hou6Cai-Lan Hou7Fu-Jun Jia8Fu-Jun Jia9Fu-Jun Jia10Guangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaNanhai Public Health Hospital of Foshan City, Foshan, Guangdong, ChinaGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaMedical College of South China University of Technology, Guangzhou, Guangdong, ChinaDepartment of Psychology, School of Public Health, Southern Medical University, Guangzhou, Guangdong, ChinaGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaMedical College of South China University of Technology, Guangzhou, Guangdong, ChinaDepartment of Psychology, School of Public Health, Southern Medical University, Guangzhou, Guangdong, ChinaBackgroundLifestyle 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.MethodsFace-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.ResultsThe 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.ConclusionThese 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.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1104841/fullnetworkdepressionanxietylifestylespopulation-based study |
| spellingShingle | Shi-Bin Wang Wen-Qi Xu Li-Juan Gao Wen-Yan Tan Hui-Rong Zheng Cai-Lan Hou Cai-Lan Hou Cai-Lan Hou Fu-Jun Jia Fu-Jun Jia Fu-Jun Jia Bridge connection between depression and anxiety symptoms and lifestyles in Chinese residents from a network perspective Frontiers in Psychiatry network depression anxiety lifestyles population-based study |
| 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 | network depression anxiety lifestyles population-based study |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1104841/full |
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