Longitudinal Associations Between Anxiety and Depressive Symptoms in Adolescence, Early Adulthood, and Old Age: Cross-Lagged Panel Network Analyses

IF 4.7 2区医学 Q1 PSYCHIATRY

Depression and Anxiety Pub Date : 2024-11-29 DOI:10.1155/da/6205475

Shoushi Wang, Zh Yeng Chong, Chunyang Zhang, Wei Xu

{"title":"Longitudinal Associations Between Anxiety and Depressive Symptoms in Adolescence, Early Adulthood, and Old Age: Cross-Lagged Panel Network Analyses","authors":"Shoushi Wang, Zh Yeng Chong, Chunyang Zhang, Wei Xu","doi":"10.1155/da/6205475","DOIUrl":null,"url":null,"abstract":"<div>\n Background: Depression and anxiety are among the most prevalent psychiatric disorders worldwide, affecting individuals of all ages. The co-occurrence of these disorders often exacerbates their negative health impacts, underscoring the necessity of understanding their comorbid mechanisms.\n Methods: This study employed cross-lagged panel networks (CLPNs) to explore the longitudinal associations between depression and anxiety symptoms across three age groups and to compare the respective symptom networks. CLPNs were constructed through cross-temporal associations between different symptoms, reflecting both the pattern of interaction and the significance of specific symptoms in comorbidity. The sample consisted of 1258 adolescents (aged 13–19 years, M = 15.98), 1118 college students (aged 17–24 years, M = 19.94), and 548 older adults (aged 60–101 years, M = 85.19) from China. Depression and anxiety symptoms were assessed using the subscales of the Depression, Anxiety, and Stress Scale Short Version (DASS-21) at two time points over a 6-month period during 2020–2021.\n Results: The findings revealed that the prevalence of depression and anxiety in adolescents, college students, and older adults was 25.9%/46.6%, 53.7%/61.5%, and 7.2%/22.5%, respectively. The network structure varied across age groups: adolescents and college students exhibiting a tight interconnection between depression and anxiety symptoms, while older adults showed stronger small-world network characteristics. A key finding across all age groups was the central role of irrational fear. In addition, somatic anxiety symptoms frequently emerged as outcomes of other psychological symptoms.\n Conclusion: Depression and anxiety are more pronounced in college students compared to adolescents and older adults. Comparisons of the overall network structure provide insights into the lifelong trajectories of depression and anxiety symptom networks. The centrality of irrational fears and somatization symptoms is emphasized. These results offer guidance for more targeted clinical interventions.\n </div>","PeriodicalId":55179,"journal":{"name":"Depression and Anxiety","volume":"2024 1","pages":""},"PeriodicalIF":4.7000,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/da/6205475","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Depression and Anxiety","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/da/6205475","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Depression and anxiety are among the most prevalent psychiatric disorders worldwide, affecting individuals of all ages. The co-occurrence of these disorders often exacerbates their negative health impacts, underscoring the necessity of understanding their comorbid mechanisms.

Methods: This study employed cross-lagged panel networks (CLPNs) to explore the longitudinal associations between depression and anxiety symptoms across three age groups and to compare the respective symptom networks. CLPNs were constructed through cross-temporal associations between different symptoms, reflecting both the pattern of interaction and the significance of specific symptoms in comorbidity. The sample consisted of 1258 adolescents (aged 13–19 years, M = 15.98), 1118 college students (aged 17–24 years, M = 19.94), and 548 older adults (aged 60–101 years, M = 85.19) from China. Depression and anxiety symptoms were assessed using the subscales of the Depression, Anxiety, and Stress Scale Short Version (DASS-21) at two time points over a 6-month period during 2020–2021.

Results: The findings revealed that the prevalence of depression and anxiety in adolescents, college students, and older adults was 25.9%/46.6%, 53.7%/61.5%, and 7.2%/22.5%, respectively. The network structure varied across age groups: adolescents and college students exhibiting a tight interconnection between depression and anxiety symptoms, while older adults showed stronger small-world network characteristics. A key finding across all age groups was the central role of irrational fear. In addition, somatic anxiety symptoms frequently emerged as outcomes of other psychological symptoms.

Conclusion: Depression and anxiety are more pronounced in college students compared to adolescents and older adults. Comparisons of the overall network structure provide insights into the lifelong trajectories of depression and anxiety symptom networks. The centrality of irrational fears and somatization symptoms is emphasized. These results offer guidance for more targeted clinical interventions.

Abstract Image

查看原文本刊更多论文

青春期、成年早期和老年焦虑和抑郁症状之间的纵向关联：交叉滞后面板网络分析

背景：抑郁和焦虑是世界范围内最普遍的精神疾病，影响所有年龄段的个体。这些疾病的共同发生往往加剧了其对健康的负面影响，强调了了解其合并症机制的必要性。方法：本研究采用交叉滞后面板网络（clpn）探讨抑郁和焦虑症状在三个年龄组之间的纵向关联，并比较各自的症状网络。clpn是通过不同症状之间的跨时间关联构建的，既反映了相互作用的模式，也反映了特定症状在合并症中的重要性。样本包括1258名青少年（13-19岁，M = 15.98）， 1118名大学生（17-24岁，M = 19.94）和548名老年人（60-101岁，M = 85.19）。在2020-2021年6个月期间的两个时间点，使用抑郁、焦虑和压力量表短版（DASS-21）的子量表评估抑郁和焦虑症状。结果：青少年、大学生和老年人的抑郁和焦虑患病率分别为25.9%/46.6%、53.7%/61.5%和7.2%/22.5%。网络结构在不同年龄组之间存在差异：青少年和大学生表现出抑郁和焦虑症状之间的紧密联系，而老年人则表现出更强的小世界网络特征。所有年龄组的一个重要发现是非理性恐惧的核心作用。此外，躯体焦虑症状经常作为其他心理症状的结果出现。结论：与青少年和老年人相比，大学生的抑郁和焦虑更为明显。整体网络结构的比较提供了对抑郁和焦虑症状网络的终身轨迹的见解。强调非理性恐惧和躯体化症状的中心地位。这些结果为更有针对性的临床干预提供了指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Depression and Anxiety 医学-精神病学

CiteScore

15.00

自引率

1.40%

发文量

审稿时长

4-8 weeks

期刊介绍： Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.