A Network Analysis of Depression Symptoms Among Adults in Peru: Insights From the 2019 to 2022 Peruvian Demographic Health Survey.

IF 2.7 4区 医学 Q2 PSYCHIATRY
Pablo D Valencia, José Ventura-León, Daniel Fernández-Guzman, Brenda Caira-Chuquineyra, Tomás Caycho-Rodríguez
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Abstract

Background: Depression is a major public health concern, and understanding its symptom structure can improve assessment and treatment. Network analysis offers a novel approach to examine the relationships between depressive symptoms and identify core symptoms.

Aim: this study aimed to evaluate the structure and dynamics of the depressive symptom network in the Peruvian population using network analysis methodologies and to assess its evolution across different years.

Methods: This study utilized data from 119,909 Peruvian adults collected between 2019 and 2022. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). Network analysis was employed to examine symptom interconnections and their evolution over time.

Results: The depressive symptom network showed high stability across the 4 years, with "feeling down, depressed, or hopeless" (PHQ-9 item 2) consistently emerging as the most central and interconnected symptom.

Conclusion: The stability of the depression network and the centrality of specific symptoms suggest potential targets for interventions aimed at improving the assessment and treatment of depression in Peruvian adults.

秘鲁成年人抑郁症状的网络分析:来自2019年至2022年秘鲁人口健康调查的见解。
背景:抑郁症是一个主要的公共卫生问题,了解其症状结构可以改善评估和治疗。网络分析提供了一种新的方法来检查抑郁症状之间的关系,并确定核心症状。目的:本研究旨在利用网络分析方法评估秘鲁人群抑郁症状网络的结构和动态,并评估其在不同年份的演变。方法:本研究利用了2019年至2022年期间收集的119,909名秘鲁成年人的数据。使用患者健康问卷-9 (PHQ-9)评估抑郁症状。网络分析用于检查症状的相互联系及其随时间的演变。结果:抑郁症状网络在4年间表现出高度的稳定性,“情绪低落、抑郁或绝望”(PHQ-9第2项)始终是最核心和相互关联的症状。结论:抑郁症网络的稳定性和特定症状的中心性提示了旨在改善秘鲁成人抑郁症评估和治疗的干预措施的潜在目标。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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