Qian Tang, Chi Zhang, Yuefan Zhao, Man Yang, Ruyue Deng, Shiyuan Yan, Jun Yao
{"title":"The migrant-native difference in the relationship between anxiety and depression among the elderly in China: a comparative network analysis.","authors":"Qian Tang, Chi Zhang, Yuefan Zhao, Man Yang, Ruyue Deng, Shiyuan Yan, Jun Yao","doi":"10.1080/13548506.2025.2491038","DOIUrl":null,"url":null,"abstract":"<p><p>In the context of the ongoing COVID-19 pandemic, elderly individuals are confronted with an elevated vulnerability to psychological distress. However, disparities in the manifestation of anxiety and depression between migrant and native elderly populations have yet to be thoroughly examined. The purpose of this study was to identify the network characteristics of anxiety and depression among migrant and native elderly during the COVID-19 pandemic. Employing a cross-sectional design, we surveyed a total of 710 participants, encompassing both native and migrant elders. The Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) and the Patient Health Questionnaire-9 (PHQ-9) were utilized to assess anxiety and depression symptoms, respectively. R packages were used to construct the network. Expected influence and bridge expected influence were utilized to identify central and bridge symptoms. Network comparison tests were applied to examine the differences between networks. The anxiety and depression levels of native elderly are higher than those of migrant elderly. Migrant and native elderly networks exhibited identical central symptoms ('hypochondria', 'restless') and bridge symptoms ('worry', 'sad mood'). The 'anhedonia' was only more central in the migrant elderly network. Global strength and network structure differed significantly, with the migrant elderly network being more tightly knit. There are commonalities and differences in anxiety and depression networks among immigrant and native elders during the COVID-19 pandemic. This finding guides healthcare and mental health professionals to adopt targeted strategies for anxiety and depression in different populations of older adults.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.3000,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Health & Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13548506.2025.2491038","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
In the context of the ongoing COVID-19 pandemic, elderly individuals are confronted with an elevated vulnerability to psychological distress. However, disparities in the manifestation of anxiety and depression between migrant and native elderly populations have yet to be thoroughly examined. The purpose of this study was to identify the network characteristics of anxiety and depression among migrant and native elderly during the COVID-19 pandemic. Employing a cross-sectional design, we surveyed a total of 710 participants, encompassing both native and migrant elders. The Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) and the Patient Health Questionnaire-9 (PHQ-9) were utilized to assess anxiety and depression symptoms, respectively. R packages were used to construct the network. Expected influence and bridge expected influence were utilized to identify central and bridge symptoms. Network comparison tests were applied to examine the differences between networks. The anxiety and depression levels of native elderly are higher than those of migrant elderly. Migrant and native elderly networks exhibited identical central symptoms ('hypochondria', 'restless') and bridge symptoms ('worry', 'sad mood'). The 'anhedonia' was only more central in the migrant elderly network. Global strength and network structure differed significantly, with the migrant elderly network being more tightly knit. There are commonalities and differences in anxiety and depression networks among immigrant and native elders during the COVID-19 pandemic. This finding guides healthcare and mental health professionals to adopt targeted strategies for anxiety and depression in different populations of older adults.
期刊介绍:
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.