Age related differences in symptom networks of overall psychological functioning in a sample of patients diagnosed with anxiety, obsessive compulsive disorder, or posttraumatic stress disorder

IF 4.8 2区 医学 Q1 PSYCHIATRY
Melissa G. Guineau , Nessa Ikani , Bea Tiemens , Richard Oude Voshaar , Marjolein Fokkema , Gert-Jan Hendriks
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引用次数: 0

Abstract

Anxiety disorders, obsessive compulsive disorder (OCD), and posttraumatic stress disorder (PTSD) are among the most prevalent mental disorders across the lifespan. Yet, it has been suggested that there are phenomenological differences and differences in treatment outcomes between younger and older adults. There is, however, no consensus about the age that differentiates younger adults from older adults. As such, studies use different cut-off ages that are not well founded theoretically nor empirically. Network tree analysis was used to identify at what age adults differed in their symptom network of psychological functioning in a sample of Dutch patients diagnosed with anxiety disorders, OCD, or PTSD (N = 27,386). The networktree algorithm found a first optimal split at age 30 and a second split at age 50. Results suggest that differences in symptom networks emerge around 30 and 50 years of age, but that the core symptoms related to anxiety remain stable across age. If our results will be replicated in future studies, our study may suggest using the age split of 30 or 50 years in studies that aim to investigate differences across the lifespan. In addition, our study may suggest that age-related central symptoms are an important focus during treatment monitoring.

在被诊断为焦虑、强迫症或创伤后应激障碍的患者样本中,总体心理功能症状网络的年龄相关差异
焦虑症、强迫症(OCD)和创伤后应激障碍(PTSD)是一生中最常见的精神障碍。然而,已有研究表明,在年轻人和老年人之间存在现象差异和治疗结果差异。然而,对于区分年轻人和老年人的年龄,人们并没有达成共识。因此,研究使用了不同的截止年龄,这在理论上和经验上都没有很好的依据。网络树分析用于确定在荷兰被诊断为焦虑症、强迫症或创伤后应激障碍的患者样本(N = 27386)中,年龄的成年人在心理功能症状网络上的差异。网络树算法在30岁时发现了第一次最佳分割,在50岁时发现了第二次最佳分割。结果表明,症状网络的差异在30岁和50岁左右出现,但与焦虑相关的核心症状在整个年龄段保持稳定。如果我们的研究结果在未来的研究中得到重复,我们的研究可能会建议在旨在调查寿命差异的研究中使用30或50岁的年龄划分。此外,我们的研究可能表明,年龄相关的中心症状是治疗监测中的一个重要焦点。
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来源期刊
CiteScore
16.60
自引率
2.90%
发文量
95
期刊介绍: The Journal of Anxiety Disorders is an interdisciplinary journal that publishes research papers on all aspects of anxiety disorders for individuals of all age groups, including children, adolescents, adults, and the elderly. Manuscripts that focus on disorders previously classified as anxiety disorders such as obsessive-compulsive disorder and posttraumatic stress disorder, as well as the new category of illness anxiety disorder, are also within the scope of the journal. The research areas of focus include traditional, behavioral, cognitive, and biological assessment; diagnosis and classification; psychosocial and psychopharmacological treatment; genetics; epidemiology; and prevention. The journal welcomes theoretical and review articles that significantly contribute to current knowledge in the field. It is abstracted and indexed in various databases such as Elsevier, BIOBASE, PubMed/Medline, PsycINFO, BIOSIS Citation Index, BRS Data, Current Contents - Social & Behavioral Sciences, Pascal Francis, Scopus, and Google Scholar.
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