Social Psychiatry and Psychiatric Epidemiology最新文献

The silent struggle of ageing with SMI: a narrative review of physical health disparities in older adults with serious mental illness. 与重度精神障碍的沉默斗争：对患有严重精神疾病的老年人身体健康差异的叙述回顾。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-25 DOI: 10.1007/s00127-025-02963-8

Jo Howe, Laura Lindsey

{"title":"The silent struggle of ageing with SMI: a narrative review of physical health disparities in older adults with serious mental illness.","authors":"Jo Howe, Laura Lindsey","doi":"10.1007/s00127-025-02963-8","DOIUrl":"https://doi.org/10.1007/s00127-025-02963-8","url":null,"abstract":"Purpose: Individuals with serious mental illness (SMI) experience a significantly reduced life expectancy compared to peoplewithout SMI, affecting millions worldwide. While cardiovascular disease, diabetes, and metabolic syndrome are well-recognisedphysical health conditions in this population, this article addresses the unique challenges in managing dementia, cancer,menopause, osteoporosis, and oral health in the context of SMI and ageing.Methods: This article presents a conceptually informed narrative review of ageing-related physical health disparities experiencedby people living with SMI. A narrative review approach was adopted to allow for a targeted and iterative synthesis of evidenceacross five underexplored domains: dementia, cancer, menopause, osteoporosis, and oral health. These domains were selecteddue to their public health significance, under-representation in the literature, and relevance to the lived experiences of older adultswith SMI.Results: Despite their substantial impact on the well-being of individuals with SMI, these areas often receive less attention.Diagnostic overshadowing, limited specialised knowledge among mental health staff about physical health, and the siloed nature ofhealthcare delivery contribute to delays in diagnosis and treatment.Conclusion: To improve health outcomes and life expectancy for people with SMI, there is an urgent need for integratedhealthcare approaches. Collaborative models that bridge the gap between mental and physical healthcare are essential to ensuretimely access to holistic care and address the unique needs of this vulnerable population as they age.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring gender disparities in the relationship between food insecurity and depression among older adults in India. 探讨印度老年人粮食不安全与抑郁症之间关系的性别差异。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-22 DOI: 10.1007/s00127-025-02966-5

Y Selvamani, Arokiasamy Perianayagam, Joelle H Fong, Gayatri Khanal

{"title":"Exploring gender disparities in the relationship between food insecurity and depression among older adults in India.","authors":"Y Selvamani, Arokiasamy Perianayagam, Joelle H Fong, Gayatri Khanal","doi":"10.1007/s00127-025-02966-5","DOIUrl":"https://doi.org/10.1007/s00127-025-02966-5","url":null,"abstract":"Purpose: Food insecurity is a significant global issue impacting public health and human rights, affecting millions worldwide. Older population in India are vulnerable to food insecurity due to age-related changes in socioeconomic status and insecurity. This study explores gender differences in the association between food insecurity and depression among older adults in India aged 50 and above.Methods: A cross-sectional analysis was performed using data from the first wave of the WHO's Study on Global AGEing and Adult Health (SAGE). Multivariable logistic regression was employed to assess the influence of gender on the relationship between food insecurity and depression. Additionally, the study explored how gender, marital status, and food insecurity interact in relation to depression.Results: The study found an overall depression prevalence of 19% in the population. Among men, the prevalence was 22.6% and 21.2% while among women, it was 26.4% and 38.9% among individuals reporting moderate and severe food insecurity, respectively. Regression analysis revealed a significant association between food insecurity and depression in women, with older women experiencing moderate (OR = 1.60, p < 0.001) and severe food insecurity (OR = 2.23, p < 0.001) being more likely to be diagnosed with depression. Additionally, older widowed adults facing severe food insecurity had an increased likelihood of depression (OR = 2.18, p < 0.001) and the association is statistically significant among women (OR = 1.79, p < 0.010).Conclusion: The study highlights pronounced gender disparities in the relationship between food insecurity and depression. Therefore, it is crucial for public policy initiatives to prioritize the needs of women.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The central role of negative emotional states, rejection sensitivity and negative self-beliefs in a complex non-clinical paranoia network model. 消极情绪状态、排斥敏感性和消极自我信念在复杂的非临床偏执网络模型中的核心作用。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-22 DOI: 10.1007/s00127-025-02964-7

Paulina Bagrowska, Barnaby Nelson, Łukasz Gawęda

{"title":"The central role of negative emotional states, rejection sensitivity and negative self-beliefs in a complex non-clinical paranoia network model.","authors":"Paulina Bagrowska, Barnaby Nelson, Łukasz Gawęda","doi":"10.1007/s00127-025-02964-7","DOIUrl":"https://doi.org/10.1007/s00127-025-02964-7","url":null,"abstract":"Purpose: Existing theoretical models suggest that paranoid thoughts develop against the background of increased interpersonal sensitivity, thus heightening feelings of vulnerability, social evaluative concerns, and fears of social rejection. However, the complex interrelatedness among the risk factors contributing to the development of paranoid thoughts remains poorly understood.Methods: A total of 1019 adults from the non-clinical population participated in a study that employed anetwork approach to explore the complex interactions between paranoid thoughts and severalrisk factors, including traumatic childhood experiences, sleep quality, rejection sensitivity, negative self-views, negative emotional states, and aberrant salience.Results: The results revealed that negative emotional states, mainly stress and anxiety, low self-esteem, negative body image, increased rejection sensitivity, and emotional neglect in childhood werethe most central nodes in the network. Furthermore, aside from the experience of emotionalneglect, these variables were also identified as the strongest bridge factors within the network.Conclusion: The findings offer new insights into the risk factors associated with the development ofparanoid thoughts, suggesting potential triggers that could propagate other symptoms withinthe paranoia network. The results indicate that interventions targeting self-esteem, negativebody image, anxiety, and rejection sensitivity may prevent the progression of paranoidthoughts into more severe forms.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in depressive symptoms in Germany's adult population 2008-2023. 2008-2023年德国成年人口抑郁症状趋势

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-22 DOI: 10.1007/s00127-025-02965-6

Lena Walther, Stephan Junker, Petra Rattay, Ronny Kuhnert, Heike Hölling, Elvira Mauz

{"title":"Trends in depressive symptoms in Germany's adult population 2008-2023.","authors":"Lena Walther, Stephan Junker, Petra Rattay, Ronny Kuhnert, Heike Hölling, Elvira Mauz","doi":"10.1007/s00127-025-02965-6","DOIUrl":"https://doi.org/10.1007/s00127-025-02965-6","url":null,"abstract":"Purpose: The present study examines trends in the prevalence of depressive symptoms among adults in Germany between 2008 and 2023 within the framework of mental health surveillance.Methods: We used survey data from seven observation periods from a total of N = 74,096 randomly sampled participants aged 18-79 living in Germany. Symptoms of depression were measured using the Patient Health Questionnaire-8. Time series consisting of prevalence estimates were calculated, also for subgroups by sex, age and education. Developments in the more severe symptom range and in individual symptoms were also examined. Joinpoint regression and logistic regressions including linear splines were used to assess trends.Results: Depressive symptom prevalence rose 2008-2023, with stagnation 2008-2020 followed by an increasing trend 2020-2023. While 7.5% of adults were at or above screening cutoff in 2020, 14.8% were affected in 2023. This development was found across subgroups. Both moderate and more severe symptoms increased, with a particular rise in severe symptoms among males. A clearly increasing trajectory was found across symptoms, although developments in low self-worth/guilt were less clear. Depressive symptoms were generally more prevalent among females than males, the youngest than the eldest adults and those with lower educational attainment. Young females and males with low educational attainment were particularly affected in the final observation period.Conclusions: The observed increases in depressive symptoms among adults in Germany in times of multiple collective crises call for efforts to promote and protect mental health as well as for continued observation.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The peer-led Honest, Open, Proud program to decrease the impact of mental illness stigma among German military personnel: randomized controlled trial. 以同行为主导的诚实、开放、自豪项目，旨在减少德国军人对精神疾病的耻辱感：随机对照试验。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-22 DOI: 10.1007/s00127-025-02960-x

Nicolas Rüsch, Christian Helms, Jana Hörger, Burkhard Höhle, Hendryk Bernert, Patric Muschner, Carolyn Rose, Patrick W Corrigan, Nadine Mulfinger, Peter Zimmermann, Gerd-Dieter Willmund

{"title":"The peer-led Honest, Open, Proud program to decrease the impact of mental illness stigma among German military personnel: randomized controlled trial.","authors":"Nicolas Rüsch, Christian Helms, Jana Hörger, Burkhard Höhle, Hendryk Bernert, Patric Muschner, Carolyn Rose, Patrick W Corrigan, Nadine Mulfinger, Peter Zimmermann, Gerd-Dieter Willmund","doi":"10.1007/s00127-025-02960-x","DOIUrl":"https://doi.org/10.1007/s00127-025-02960-x","url":null,"abstract":"Purpose: Due to widespread stigma in the military, many military servicemembers with mental illness struggle with discrimination, self-stigma and decisions whether to disclose their condition. This study had the aim to evaluate the efficacy of Honest, Open, Proud (HOP), a four-session peer-led group program adapted to support military personnel with disclosure decisions and to reduce stigma's impact, in the German military.Methods: Ninety-nine active servicemembers with mental illness were randomized to HOP and treatment as usual (TAU) or to TAU alone. The two primary endpoints were stigma stress three weeks after baseline (T1/after HOP for HOP participants) and psychological quality of life six weeks after baseline (T2/after the HOP booster session). This randomized-controlled trial was registered before recruitment onset at ClinicalTrials.gov (NCT03218748).Results: Compared to the control group, stigma stress decreased significantly among HOP participants at T1 (d = 0.64), while there was no significant effect of HOP on psychological quality of life at T2. HOP had significant positive effects on secondary outcomes at T2: overall quality of life, self-stigma, depressive symptoms, empowerment, well-being, attitudes to disclosure and to help-seeking, and secrecy. Reductions in stigma stress, secrecy, and marginally in overall quality of life (p = 0.055), remained significant twelve weeks after baseline (T3).Conclusion: This trial provides initial evidence that HOP for active military servicemembers is feasible and effective in terms of stigma stress, disclosure decisions, depressive symptoms, quality of life and well-being. HOP may be a valuable addition to mental health services and peer support in the military.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of the COVID-19 pandemic on antidepressant use in eleven European regions: a comparative time series analysis 2018-2022. 2019冠状病毒病大流行对11个欧洲地区抗抑郁药使用的影响：2018-2022年比较时间序列分析

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-22 DOI: 10.1007/s00127-025-02962-9

Iva Selke Krulichová, Adam Hallberg, Gisbert W Selke, Katri Aaltonen, Manuela Casula, Jurij Fürst, Katarina Gvozdanović, Mohammadhossein Hajiebrahimi, Amanj Kurdi, Fredrik Nyberg, Elena Olmastroni, Hanna Rättö, Juraj Slabý, Björn Wettermark, Tanja Mueller

{"title":"Impact of the COVID-19 pandemic on antidepressant use in eleven European regions: a comparative time series analysis 2018-2022.","authors":"Iva Selke Krulichová, Adam Hallberg, Gisbert W Selke, Katri Aaltonen, Manuela Casula, Jurij Fürst, Katarina Gvozdanović, Mohammadhossein Hajiebrahimi, Amanj Kurdi, Fredrik Nyberg, Elena Olmastroni, Hanna Rättö, Juraj Slabý, Björn Wettermark, Tanja Mueller","doi":"10.1007/s00127-025-02962-9","DOIUrl":"https://doi.org/10.1007/s00127-025-02962-9","url":null,"abstract":"Purpose: The COVID-19 pandemic had detrimental effects on the mental health of populations, with differing influences on different demographic groups. Varying national countermeasures to the pandemic may have further impacted these effects. This study aimed to explore the effects of the pandemic on dispensed volumes of antidepressants in outpatient settings in different regions of Europe and to assess potential age- and sex-related differences of its impact on incidence of antidepressant dispensing.Methods: We used descriptive and interrupted time series analyses of pharmacy dispensing data on volumes. For six regions, we analysed volume and incident use stratified by age and sex.Results: During the pandemic, the preexisting long-term trend in unstratified dispensed volumes significantly increased only in Slovenia and Germany and weakened in Scotland and Wales (estimated changes in slope + 0.16, + 0.10, - 0.23, and - 0.68 defined daily doses per thousand inhabitants per day, respectively, for each month). The stratified quarterly analysis revealed the greatest relative increase in females aged 0-17 (+ 64% in Sweden to + 167% in Croatia in the last quarter of 2022 compared with the last quarter of 2019). Both rate of change and difference between sexes were lower in higher age groups. Incidence increased most steeply in females aged 0-17, where the estimated pandemic-related increase explained 11% (Sweden) to 55% (Lombardy) of new patients receiving antidepressants.Conclusion: Our findings indicate the need to develop targeted mental health supporting measures to increase resilience, especially in young people, and mitigate the impact of potential future public health crises.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental health problems in children and young people in Dutch general practice: trends in incidence and consultation rates from 2016 to 2022. 荷兰全科医生中儿童和青少年的心理健康问题：2016年至2022年发病率和咨询率的趋势。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-18 DOI: 10.1007/s00127-025-02956-7

Vincent R 't Hart, Lukas B M Koet, Boris W V Schouten, Premysl Velek, Patrick J E Bindels, Heike Gerger

{"title":"Mental health problems in children and young people in Dutch general practice: trends in incidence and consultation rates from 2016 to 2022.","authors":"Vincent R 't Hart, Lukas B M Koet, Boris W V Schouten, Premysl Velek, Patrick J E Bindels, Heike Gerger","doi":"10.1007/s00127-025-02956-7","DOIUrl":"https://doi.org/10.1007/s00127-025-02956-7","url":null,"abstract":"Purpose: In recent decades, the prevalence of mental health problems among children and young people (CYP) has increased. It is unclear whether this increase in prevalence has also led to changes in health care utilization for these problems in general practice (GP). We therefore investigated time trends in incidence and consultation rates for eight mental health problems in CYP in Dutch general practice.Methods: We conducted a longitudinal population-based study using a GP-database (Rijnmond Primary Care Database) between 2016 and 2022. We extracted monthly data on mental health problems in CYP (0-24 years) in general practice. Using negative binomial models, we calculated trends for GP-registered incidence and consultation rates for different age and sex categories for the complete study period and for the period before the COVID-19 pandemic.Results: Consultation rates of all eight mental health problems increased significantly over time. Additionally, incidence rates for attention deficit hyperactivity disorder and depressive problems in both sexes, and anxiety problems in females increased significantly. Although we observed a decrease in incidence and consultations in the first months of the COVID-19 pandemic, overall trends did not differ from pre-pandemic trends.Conclusion: Our findings suggest an increasing workload for GPs for mental health problems in CYP. These observations imply the need for policymakers and GP-councils to develop new strategies which deal with these trends to ensure appropriate support and resources in the future.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health morbidities in carers with experience of domestic violence and abuse. 经历过家庭暴力和虐待的护理人员的健康发病率。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-16 DOI: 10.1007/s00127-025-02959-4

Emilie K Wildman, Hannah Dickson, Deirdre MacManus, Sally McManus, Elizabeth Kuipers, Juliana Onwumere

{"title":"Health morbidities in carers with experience of domestic violence and abuse.","authors":"Emilie K Wildman, Hannah Dickson, Deirdre MacManus, Sally McManus, Elizabeth Kuipers, Juliana Onwumere","doi":"10.1007/s00127-025-02959-4","DOIUrl":"https://doi.org/10.1007/s00127-025-02959-4","url":null,"abstract":"Background: The poor health of unpaid carers is well-documented. Evidence also highlights that carers can experience high levels of domestic violence and abuse (DVA). However, links between DVA victimisation and health outcomes in carers remains largely overlooked. We examined DVA prevalence in carers and non-carers, and the relationship between carers' DVA experience and health morbidities.Methods: We analysed data from a general population probability sample survey of 6,971 adults (aged ≥ 16 years) in England. Multivariable logistic regression models examined associations between caregiving, DVA experience, and mental and physical health morbidities (i.e., common mental disorders (CMD), probable post-traumatic stress disorder (PTSD), harmful alcohol use and chronic physical health conditions), adjusting for demographic and socioeconomic factors.Results: One person in five reported caring responsibilities. Caring was associated with higher odds of CMD and chronic physical health conditions. One in three carers reported experiencing DVA in adulthood, and carers were more likely to be victims of DVA than non-carers. In carers who experienced DVA, compared to carers reporting no DVA, adjusted odds of CMD (aOR 2.88, 95% CI 2.11-3.95); probable PTSD (aOR 5.67, 95% CI 3.12-10.30); hazardous alcohol use (aOR 1.53, 95% CI 1.09-2.15) and chronic physical health conditions (aOR 1.53, 95% CI 1.14-2.06), were significantly higher.Conclusions: The risk of DVA victimisation among carers and the associated vulnerability to poorer health outcomes were highlighted. The need for greater awareness and identification of carers' risk of DVA, and better provision of support for the negative health consequences are emphasised.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tracing trauma: a longitudinal study on PTSD, traumatic incidents, and social support among Icelandic adults. 追踪创伤：冰岛成人PTSD、创伤事件和社会支持的纵向研究。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-16 DOI: 10.1007/s00127-025-02955-8

Erla Katrín Jónsdóttir, Auðun Valborgarsson, Bryndís Björk Ásgeirsdóttir, Rannveig Sigurvinsdottir

引用次数: 0

Symptom-specific intervention targets for depression and anxiety among older adults by physical multimorbidity patterns: a simulation-based network analysis. 通过身体多病模式对老年人抑郁和焦虑的症状特异性干预目标：基于模拟的网络分析

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-16 DOI: 10.1007/s00127-025-02967-4

Xue Wang, Wendie Zhou, Qinqin Liu, Jiaqi Yu, Yanyan Li, Hejing Chen, Cuili Wang

{"title":"Symptom-specific intervention targets for depression and anxiety among older adults by physical multimorbidity patterns: a simulation-based network analysis.","authors":"Xue Wang, Wendie Zhou, Qinqin Liu, Jiaqi Yu, Yanyan Li, Hejing Chen, Cuili Wang","doi":"10.1007/s00127-025-02967-4","DOIUrl":"https://doi.org/10.1007/s00127-025-02967-4","url":null,"abstract":"Objectives: This study aimed to investigate the network structure of depressive anxiety symptoms among Chinese community-dwelling older adults with physical multimorbidity and to identify specific symptom targets for preventive and treatment interventions aimed at aggravating and alleviating symptoms by patterns of physical multimorbidity.Methods: Using data from the 2017/2018 wave of the Chinese Longitudinal Healthy Longevity Survey, latent class analysis (LCA) was conducted to identify physical multimorbidity patterns. Then, the NoeIdentifyR algorithm (NIRA) was employed to assess aggravating and alleviating specific symptoms by physical multimorbidity patterns.Results: The study encompassed 4859 older adults with physical multimorbidity, and identified 4 patterns of physical multimorbidity (multisystem disease, gastrointestinal-musculoskeletal-urogenital disease, minimal disease, and cardiometabolic disease). GAD4 (trouble relaxing) served as the common aggravating symptom for the multisystem disease, minimal disease, and cardiometabolic disease groups, but GAD2 (uncontrollable worry) for the gastrointestinal-musculoskeletal-urogenital disease group. CESD5 (hopeful about the future) served as the common alleviating symptom for gastrointestinal-musculoskeletal-urogenital disease, minimal disease, and cardiometabolic disease groups, but CESD4 (everything was an effort) as the unique alleviating symptom for the multisystem disease group.Conclusions: Aggravating and alleviating symptoms within the depressive-anxiety network differ by patterns of physical multimorbidity, which may imply that preventive and treatment targets should be tailored to patterns by physical multimorbidity for enhancing overall mental health among older adults.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0