Inter-relationships of depression and anxiety symptoms among widowed and non-widowed older adults: findings from the Chinese Longitudinal Healthy Longevity Survey based on network analysis and propensity score matching

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: March 12, 2025

Background Depression and anxiety are prevalent mental health issues among older adult widowed adults. However, the symptom-level relationships between these conditions remain unclear. Due to high correlations complex various symptoms, this study employs network analysis explore differences in structures of depression symptoms non-widowed Methods Propensity score matching was used identify adults with similar demographic characteristics. Data from 1,736 matched controls were analyzed using Chinese Longitudinal Healthy Longevity Survey (2017–2018). measured by Center for Epidemiologic Studies Scale-10 (CESD-10) seven-item Generalized Anxiety Disorder Scale (GAD-7), respectively. Central bridge evaluated expected influence (EI) (BEI), Results Network revealed similarities central adults, both groups exhibiting “Feeling depressed or down” (CESD3), tense having difficulty relaxing” (GAD4), “Being unable stop control worrying” (GAD2) as core symptoms. emerged In group, anxious, worried, distressed” (GAD1) most strongly connected “Felt lonely” (CESD8); “Worrying too much about things” (GAD3) linked increasingly exhausted useless age” (CESD4); (CESD3) had a strong association “Becoming easily annoyed irritable” (GAD6). exhibited strongest “Having good sleep quality” (CESD10); “Getting upset over small matters” (CESD1) closely (GAD1); (CESD3). Conclusion Common highlight universal intervention targets. Addressing may help prevent depression-anxiety comorbidity. These findings support targeted interventions improve outcomes. Future research should evaluate tailored effectiveness.

Language: Английский

Network analysis of the urban-rural differences in depressive symptoms among older adults with multiple chronic conditions: Evidence from a national survey

Geriatric Nursing, Journal Year: 2024, Volume and Issue: 58, P. 480 - 487

Published: July 1, 2024

Language: Английский