Journal of Psychosomatic Research最新文献

{"title":"Acceptance and commitment therapy for people with depressive and anxiety symptoms following acquired brain injury: Results of the BrainACT randomized controlled trial","authors":"Johanne C.C. Rauwenhoff ,&nbsp;Yvonne Bol ,&nbsp;Frenk Peeters ,&nbsp;Peter Smits ,&nbsp;Annelien Duits ,&nbsp;Melloney Wijenberg ,&nbsp;Astrid Blok ,&nbsp;Caroline M. van Heugten","doi":"10.1016/j.jpsychores.2024.111933","DOIUrl":"10.1016/j.jpsychores.2024.111933","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to investigate the effectiveness of an adapted ACT intervention (BrainACT) in people who experience anxiety and/or depressive symptoms following acquired brain injury.</p></div><div><h3>Methods</h3><p>The study is a multicentre randomized controlled two-arm parallel trial. In total, 72 people who survived a stroke or traumatic brain injury were randomized into an eight-session ACT or control (i.e. psycho-education and relaxation) intervention. The primary outcome measures were the Hospital Anxiety and Depression Scale (HADS) and the Depression Anxiety and Stress Scale (DASS). Secondary outcomes were ACT process measures, participation, and quality of life. Outcome assessments were performed by trained assessors, blinded to treatment condition, pre-treatment, during treatment, post-treatment, and at 7 and 12 months follow-up.</p></div><div><h3>Results</h3><p>There were no differences between groups on any outcome measure. Participants in both groups significantly improved on all outcome measures, except for participation frequency. More clinically relevant long-term improvements (i.e. recovered or reliable changes on the HADS) were found in favour of ACT for depressive and anxiety symptoms.</p></div><div><h3>Conclusion</h3><p>The study was negative on the primary outcome measures. On an individual level, this study showed that especially on the long term ACT seems to show a more clinically relevant decrease in anxiety and depressive symptoms compared to an active control intervention. However, ACT was not superior in improving ACT-related processes such as psychological flexibility, cognitive defusion, and valued living nor in increasing participation or quality of life. Further large-scale group studies are warranted.</p></div><div><h3>Trial registration</h3><p>The study was originally registered in the Dutch Trial Register (now Clinical Trial Registry Platform), NL-OMON50203. Registered on 18/07/2018 and now to be found under <span><span>https://trialsearch.who.int/Trial2.aspx?TrialID=NL-OMON50203</span><svg><path></path></svg></span>.</p></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111933"},"PeriodicalIF":3.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0022399924003453/pdfft?md5=04085dec3261cf4c0e98c0324dd28ce8&pid=1-s2.0-S0022399924003453-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the German Purpose in Life Questionnaire (PLQ) in a healthy population and patients with cardiovascular disease","authors":"Claudia Zuccarella-Hackl ,&nbsp;Mary Princip ,&nbsp;Rebecca E. Meister-Langraf ,&nbsp;Sonja Weilenmann ,&nbsp;Samuel Anzalone ,&nbsp;Sinthujan Sivakumar ,&nbsp;Lena Jellestad ,&nbsp;Roland von Känel","doi":"10.1016/j.jpsychores.2024.111928","DOIUrl":"10.1016/j.jpsychores.2024.111928","url":null,"abstract":"<div><p>In this cross-sectional study, a German translation of the subscale “Purpose in Life” (PLQ) from the Scales of Psychological Well-being (SPWB) was validated in a representative sample of participants from healthy and cardiovascular populations. The main objectives were to assess the reliability, convergent, and discriminant validity using a large and representative sample (<em>N</em> = 466 healthy sample, <em>N</em> = 247 patients with an implanted cardioverter-defibrillator (ICD), <em>N</em> = 70 patients with a cardiovascular disease (CVD)).</p><p>The findings indicated that the German PLQ is a reliable and valid measure of positive psychological well-being, showing a positive correlation with health-related quality of life, optimism, and positive affect. In turn, the PLQ score was significantly and negatively correlated with depressive symptom severity, anxiety, pessimism, and negative affect, while being distinct from these constructs. The comparability of the measurement properties of the German PLQ with the original English version further supports the validity of the translation. Additionally, the unidimensional structure of the German version mirrored that of the English PLQ.</p><p>As this study used a large and representative sample, it provides the most up-to-date normative population value for the subscale of the SPWB. Moreover, this study represents the first known exploration of the questionnaire in a cardiovascular sample, revealing relationships between health-related quality of life, optimism, positive affect, and the German PLQ. However, in patients with ICD, the positive correlation between the PLQ and the physical component of the SF-12 did not reach significance. Despite these valuable findings, future research to enhance the understanding of the PLQ and its implications is warranted.</p></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111928"},"PeriodicalIF":3.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0022399924003404/pdfft?md5=82ab7f654f4a8f833dd540796e0bc3bb&pid=1-s2.0-S0022399924003404-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal relationships among number of chronic diseases, depression, and anxiety: A cross-lagged model analyses","authors":"Yazhuo Qi ,&nbsp;Zhen Wei ,&nbsp;Meiqi Wang ,&nbsp;Wenyu Wang ,&nbsp;Long Sun","doi":"10.1016/j.jpsychores.2024.111930","DOIUrl":"10.1016/j.jpsychores.2024.111930","url":null,"abstract":"<div><h3>Background</h3><p>Research is increasingly highlighting the intricate relationship between mental and physical health. However, longitudinal studies investigating the interplay between chronic diseases (CDs), depression and anxiety are still relatively scarce. This study aimed to delve into the longitudinal connections among these variables.</p></div><div><h3>Methods</h3><p>This study conducted a 4-year prospective survey involving 486 participants from rural communities in Shandong Province, China. The relationships among these variables were analyzed using multiple linear regression, cross-lagged path analysis, and multiple-group analysis.</p></div><div><h3>Results</h3><p>Our analysis revealed that the number of CDs reported at wave 1 significantly predicted anxiety levels (β = 0.126, <em>p</em> &lt; .01) at wave 2, while depression symptoms also predicted anxiety (β = 0.220, p &lt; .01) at wave 2. Furthermore, anxiety levels at wave 1 significantly predicted both the number of CDs (β = 0.219, <em>p</em> &lt; .01) and depression symptoms (β = 0.160, <em>p</em> &lt; .05) at wave 2. However, the study did not find support for a relationship between CDs and depression.</p></div><div><h3>Conclusion</h3><p>The study uncovered a bidirectional association between CDs and anxiety, depression and anxiety, but found no direct longitudinal relationship between CDs and depression. Research has indicated that CDs indirectly affect depression through anxiety.</p></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111930"},"PeriodicalIF":3.5,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173374","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}

{"title":"Letter to the editor-Association between weekend catch-up sleep and the risk of prediabetes and diabetes: A cross-sectional study using KNHANES","authors":"Dongru Du ,&nbsp;Hui Zhu ,&nbsp;Suli Liu ,&nbsp;Yongchun Shen ,&nbsp;Fengming Luo","doi":"10.1016/j.jpsychores.2024.111925","DOIUrl":"10.1016/j.jpsychores.2024.111925","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111925"},"PeriodicalIF":3.5,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230730","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}

{"title":"From a general p to a transdiagnostic d and beyond: what is an underlying factor of youth mental and physical health comorbidities?","authors":"Dejan Stevanovic ,&nbsp;Nikola Cirovic","doi":"10.1016/j.jpsychores.2024.111926","DOIUrl":"10.1016/j.jpsychores.2024.111926","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111926"},"PeriodicalIF":3.5,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230729","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}

{"title":"Mental health landscape in Kosova from 2017 to 2022: A retrospective study of antidepressant and anxiolytic market trends and the impact of COVID-19","authors":"Ardian Rugova ,&nbsp;Manushaqe Kryeziu-Rrahmani ,&nbsp;Genta Jahiu ,&nbsp;Nazim Dakaj ,&nbsp;Fehmi Rrahmani ,&nbsp;Nderim Kryeziu","doi":"10.1016/j.jpsychores.2024.111927","DOIUrl":"10.1016/j.jpsychores.2024.111927","url":null,"abstract":"<div><h3>Objectives</h3><p>This study explores the mental health situation in Kosova and the impact of the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>Marketed quantities of antidepressants (N06A) and anxiolytics (N05B) from 2017 to 2022 were analyzed using the Anatomical Therapeutic Chemical/Defined Daily Doses (ATC/DDD) methodology. Caution is advised as these quantities may not directly reflect patient usage and could include uses for conditions outside their primary indications.</p></div><div><h3>Results</h3><p>Prior to the pandemic, antidepressant quantities remained relatively stable, but rose from 6.8 DDD/1000 inhabitants/day in 2019 to 9.7 in 2020 and 12.4 in 2021, before returning to pre-pandemic levels of 6.8 DDD in 2022. Over 80 % of these were selective serotonin reuptake inhibitors. Meanwhile, anxiolytic quantities initially decreased from 17.4 DDD in 2017 to 9.9 in 2019, then rebounded to 17.9 DDD in 2020. Notably, alprazolam usage surged from 2.9 in 2017 to 6.9 in 2021, subsequently dropping to 2.0 in 2022.</p></div><div><h3>Conclusions</h3><p>The volatile trends in medication quantities during the pandemic suggest a fragile mental health landscape in Kosova—a developing, post-conflict country with a youthful population—underscoring the need for proactive interventions in similar contexts globally.</p></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111927"},"PeriodicalIF":3.5,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167868","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}

{"title":"Mechanisms of a mindfulness psyCho-behAvioRal intErvention (MCARE) on depression and anxiety symptoms in patients with acute coronary syndrome: A longitudinal mediation analysis","authors":"Jiatong Cui ,&nbsp;Guiqin Zhang ,&nbsp;Yunyan Xianyu ,&nbsp;Xiaohong Zhang ,&nbsp;Yu Xin Cheng ,&nbsp;Yu Jia Liu ,&nbsp;Wei Xiong ,&nbsp;Wei Liu ,&nbsp;Qian Liu ,&nbsp;Bing Xiang Yang ,&nbsp;Huijing Zou","doi":"10.1016/j.jpsychores.2024.111913","DOIUrl":"10.1016/j.jpsychores.2024.111913","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to explore the mediating roles of mindfulness and illness perception in the effects of a social media-based Mindfulness psyCho-behAvioRal intErvention (MCARE) on depressive and anxiety symptoms among patients with ACS.</p></div><div><h3>Methods</h3><p>This study conducted a secondary longitudinal mediation analysis using data from a randomized controlled trial of the MCARE grogram in patients with ACS. Participants were recruited at two tertiary hospitals in Jinan, China. The MCARE program consisted of six weekly sessions addressing mindfulness training and disease management to facilitate understanding and management of emotions and illness. The analytical sample included participants who completed measures of the primary outcomes, i.e., depression (PHQ-9) and anxiety (GAD-7) and potential mediators, i.e., mindfulness (CAMS-R) and illness perception (Brief-IPQ) at baseline (T0), immediate post-intervention (T1), and 12-week after the commencement of the intervention (T2).</p></div><div><h3>Results</h3><p>This study included 146 participants (mean age 58.9 years (<em>SD</em> = 8.9), 69.2 % male), including both intervention and control groups. The mediation analysis revealed a significant mediating effect of T1 mindfulness in the relationship between the group and T2 depression symptoms (indirect effect: -0.109, 95 % <em>CI</em>: −0.191, −0.041; <em>P</em> = 0.004), accounting for 26 % of the effect. For T2 anxiety symptoms, T1 illness perception exhibited a significant mediating effect (indirect effect: -0.055, 95 % <em>CI</em>: −0.110, −0.005; <em>P</em> = 0.035), accounting for 22 % of the effect.</p></div><div><h3>Conclusions</h3><p>This study found that mindfulness and illness perception played a mediating role in the effects of the MCARE program on depressive and anxiety symptoms among patients with ACS.</p></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111913"},"PeriodicalIF":3.5,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163798","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}

{"title":"Prevalence of posttraumatic stress disorder after stroke: A systematic literature review","authors":"E.P.J. Janssen ,&nbsp;P.J.J. Spauwen ,&nbsp;B.A.A. Bus ,&nbsp;S.J.M. Rijnen ,&nbsp;R.W.H.M. Ponds","doi":"10.1016/j.jpsychores.2024.111914","DOIUrl":"10.1016/j.jpsychores.2024.111914","url":null,"abstract":"<div><h3>Background</h3><p>Posttraumatic stress disorder (PTSD) has shown to be related to worse functional outcome in individuals with stroke. This systematic literature review aimed to 1) provide a comprehensive overview of the evidence of prevalence of PTSD after stroke; 2) explore possible differences in prevalence between pathogenic origin of stroke and location of lesion; and 3) explore possible differences in prevalence between method of assessment of PTSD.</p></div><div><h3>Methods</h3><p>A systematic literature search was performed on studies reporting on PTSD post-stroke. Risk of bias was assessed using an adapted version of the Joanna Briggs Institute's critical appraisal tool.</p></div><div><h3>Results</h3><p>Thirty studies, reporting on 4320 individuals, were included. The weighted median PTSD prevalence overall was 17.5 % (2.9 %–71.4 %), in ischemic stroke 13.8 %, in transient ischemic attack 4.6 %, in intracerebral hemorrhage 6.5 %, and in subarachnoid hemorrhage 37.1 %. The weighted median prevalence based on self-report questionnaires was 17.8 % (3.7 %–71.4 %,) and based on PTSD interviews 4.0 % (2.9 %–32.8 %). At three and ≥ 12 months post-stroke the weighted median prevalence was respectively 24.7 % (0.0 %–37.1 %) and 17.8 % (6.5 %–71.4 %).</p></div><div><h3>Conclusion</h3><p>Results suggest that PTSD is common after stroke, and even more so after subarachnoid hemorrhage. This underlines the importance of awareness of and screening for PTSD post-stroke, even after the first year post-stroke.</p></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111914"},"PeriodicalIF":3.5,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S002239992400326X/pdfft?md5=35cf49a80780ea2db894644fcf48e68f&pid=1-s2.0-S002239992400326X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with psychological distress in patients with amyotrophic lateral sclerosis: A retrospective medical records study","authors":"Mami Nishiyama ,&nbsp;Akihiro Koreki ,&nbsp;Sagiri Isose ,&nbsp;Takahiro Takeda ,&nbsp;Ai Ishikawa ,&nbsp;Sayuri Kokubun ,&nbsp;Yumiko Saito ,&nbsp;Kimiko Ito ,&nbsp;Kimihito Arai ,&nbsp;Nao Takahashi ,&nbsp;Yuka Motoda ,&nbsp;Satoshi Kuwabara ,&nbsp;Kazuhiro Honda","doi":"10.1016/j.jpsychores.2024.111915","DOIUrl":"10.1016/j.jpsychores.2024.111915","url":null,"abstract":"<div><h3>Objective</h3><p>Although psychological distress is a prevalent issue among patients with amyotrophic lateral sclerosis (ALS) and can impact survival, the risk factors contributing to this distress remain insufficiently understood.</p></div><div><h3>Methods</h3><p>Patients with ALS who completed the Profile of Mood States (POMS) between June 2017 and March 2022 were included. Participants with moderate to severe cognitive decline were excluded, resulting in the recruitment of 121 patients. The associations between POMS profiles and clinical characteristics were analyzed. Physical motor symptoms were evaluated using the Revised ALS Functional Rating Scale (ALSFRS-R) for objective measurement and the 40-item ALS Assessment Questionnaire (ALSAQ-40) for subjective assessment.</p></div><div><h3>Results</h3><p>Our model, employing the ALSFRS-R, revealed significant factors associated with overall psychological distress, as assessed by the POMS, including upper limb symptoms, the presence of sleep apnea syndrome, older age at onset, and male sex, with an inverse association with tracheostomy. The POMS subscale scores revealed that anger and depression were significantly associated with upper limb symptoms. The second model, which employed subjective scales, yielded similar results, reinforcing the robustness of our findings. Moreover, subjective bulbar symptoms on the ALSAQ-40 were significantly associated with psychological distress, particularly in female patients.</p></div><div><h3>Conclusion</h3><p>This study identified the main clinical characteristics significantly associated with psychological distress in patients with ALS. Our findings may be useful in developing individualized psychological management strategies for these patients.</p></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111915"},"PeriodicalIF":3.5,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173375","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}

{"title":"Comparing network structures of depressive and anxiety symptoms between demographically-matched heart disease and heart disease free samples using propensity score matching: Findings from the Chinese Longitudinal Healthy Longevity Survey (CLHLS)","authors":"Mei Ieng Lam ,&nbsp;Wei Bai ,&nbsp;Yuan Feng ,&nbsp;Qinge Zhang ,&nbsp;Yanbo Zhang ,&nbsp;Todd Jackson ,&nbsp;Shu-Ying Rao ,&nbsp;Tin-Ian Ho ,&nbsp;Zhaohui Su ,&nbsp;Teris Cheung ,&nbsp;Edmundo Patricio Lopes Lao ,&nbsp;Sha Sha ,&nbsp;Yu-Tao Xiang","doi":"10.1016/j.jpsychores.2024.111910","DOIUrl":"10.1016/j.jpsychores.2024.111910","url":null,"abstract":"<div><h3>Background</h3><p>Older adults with heart disease often experience higher rates of comorbid anxiety and depression. This study examined depression and anxiety network structures among older adults with heart disease and their heart disease free peers.</p></div><div><h3>Methods</h3><p>Network analyses of secondary cross-sectional data from the 2017 to 2018 wave of CLHLS were used to construct groups of older adults with and without heart disease using propensity score matching. Depression and anxiety symptoms were assessed using Center for Epidemiological Studies Depression Scale and Generalized Anxiety Disorder Scale, respectively. Central symptoms and bridge symptoms were identified using expected influence.</p></div><div><h3>Results</h3><p>1689 older adults with heart disease and matched control sample of 1689 older adults without heart disease were included. The prevalence and severity of depression and anxiety were significantly higher in older adults with heart disease compared to the control group. There was no significant difference in overall structures of depression and anxiety network models between two the groups. Key central symptoms and bridge symptoms within these groups were highly similar; GAD 2 “Uncontrollable worrying” and GAD 4 “Trouble relaxing” were identified as the most central symptoms, while GAD 1 “Nervousness” and CESD 1 “Feeling bothered” were identified as key bridge symptoms across both network models.</p></div><div><h3>Conclusion</h3><p>Depression and anxiety are more prevalent in older adults with heart disease than demographically-matched heart disease free controls. However, network structures of these symptoms do not differ between two groups. Accordingly, depression and anxiety psychosocial interventions developed for older adults without heart disease may also benefit older adults with heart disease.</p></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111910"},"PeriodicalIF":3.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163797","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}