The migrant-native difference in the relationship between anxiety and depression among the elderly in China: a comparative network analysis.

IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Qian Tang, Chi Zhang, Yuefan Zhao, Man Yang, Ruyue Deng, Shiyuan Yan, Jun Yao
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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.

中国老年人焦虑与抑郁关系的移民与本土差异:比较网络分析。
在2019冠状病毒病大流行持续的背景下,老年人面临着更高的心理困扰脆弱性。然而,移民和本地老年人在焦虑和抑郁表现上的差异尚未得到彻底的研究。本研究的目的是确定COVID-19大流行期间移民和本地老年人焦虑和抑郁的网络特征。采用横断面设计,我们调查了710名参与者,包括本地和移民老年人。分别采用医院焦虑抑郁量表-焦虑子量表(HADS-A)和患者健康问卷-9 (PHQ-9)评估焦虑和抑郁症状。使用R包构建网络。预期影响和桥梁预期影响被用来识别中心症状和桥梁症状。使用网络比较测试来检查网络之间的差异。本地老年人的焦虑和抑郁水平高于流动老年人。移民和本地老年人网络表现出相同的中心症状(“疑病症”、“不安”)和过渡症状(“担忧”、“悲伤情绪”)。“快感缺乏症”在老年移民群体中更为突出。全球强度和网络结构差异显著,流动老年人网络更加紧密。新冠肺炎大流行期间,移民和本土老年人焦虑抑郁网络存在共性和差异。这一发现指导医疗保健和心理健康专业人员对不同老年人群体的焦虑和抑郁采取有针对性的策略。
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来源期刊
Psychology Health & Medicine
Psychology Health & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.20
自引率
0.00%
发文量
200
审稿时长
6-12 weeks
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.
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