Explorando los factores de riesgo de la depresión: un análisis de red

Q3 Medicine

Revista Colombiana de Psiquiatria Pub Date : 2024-07-01 DOI:10.1016/j.rcp.2023.01.005

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引用次数: 0

Abstract

Introduction

Depression is a frequent psychological problem in the general population. There are no single conclusive causes for its development; on the contrary, it arises from the interaction of other emotional disorders. Determining risk factors is a primary objective to identify vulnerable individuals and optimize prevention.

Objective

To analyze risk factors of the depression through network analysis in Peruvian adults from the general population.

Methods

Cross-sectional study with a quantitative approach. A total of 567 Peruvian adults who answered several instruments assessing depressive symptoms, insomnia, suicidal ideation and anxiety participated. An undirected network model with all psychological variables and a predictive path diagram was estimated to identify risk factors for depression. Measures of centrality, precision and stability were also analyzed.

Results

The network structure showed that depression, insomnia, suicidal ideation, and anxiety were mutually associated. In terms of expected influence and predictability, depression obtained the highest value, followed by anxiety. In the prediction plot, all psychological variables were directly connected with depression, with anxiety having the highest connection. The tests of accuracy and stability (CS = 0.75), were robust.

Conclusions

The results of the study suggest that problems with insomnia, suicidal ideation, and anxiety, are considerable risk factors for depression. Identifying and intervening early on those risk factors in adults in the general population could help to prevent the development of depressive symptoms.

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探索抑郁症的风险因素:网络分析

导言抑郁症是普通人群中经常出现的一种心理问题。抑郁症的发病原因并不单一，相反，它是由其他情绪障碍相互作用引起的。确定风险因素是识别易感人群和优化预防措施的首要目标。方法采用定量方法进行横断面研究。共有 567 名秘鲁成年人参加了研究，他们回答了几种评估抑郁症状、失眠、自杀意念和焦虑的工具。研究人员估算了一个包含所有心理变量和预测路径图的无定向网络模型，以确定抑郁症的风险因素。网络结构显示，抑郁、失眠、自杀意念和焦虑相互关联。在预期影响和可预测性方面，抑郁的影响值最高，其次是焦虑。在预测图中，所有心理变量都与抑郁直接相关，其中焦虑的关联度最高。研究结果表明，失眠问题、自杀意念和焦虑是抑郁症的重要危险因素。及早发现并干预普通人群中成年人的这些风险因素，有助于预防抑郁症状的出现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Colombiana de Psiquiatria Medicine-Psychiatry and Mental Health

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.