Asia‐Pacific Psychiatry最新文献

{"title":"Prevalence and Incidence of Dementia for Schizophrenia and Other Primary Psychotic Disorders: A Systematic Review and Meta-Analysis","authors":"Mengyi Gao,&nbsp;Minxiu Ji,&nbsp;Caidi Zhang,&nbsp;Shuying Wang,&nbsp;Chun Wang,&nbsp;Yikang Zhu,&nbsp;Xiaochun Qiu,&nbsp;Raymond C. K. Chan,&nbsp;Stefan Leucht,&nbsp;Xinyi Cao,&nbsp;Chunbo Li","doi":"10.1111/appy.70033","DOIUrl":"https://doi.org/10.1111/appy.70033","url":null,"abstract":"<div>\u0000 \u0000 <p>People with psychotic disorders have higher dementia risk. This study aimed to investigate the prevalence and incidence of dementia in this population. Data were synthesized through meta-analysis (including subgroup and sensitivity analyses) and narrative synthesis. The pooled dementia prevalence was 24.3% (95% CI: 20.5%–28.5%, <i>I</i>^<i>2</i> = 84.7%, <i>p</i> &lt; 0.001) in older adults after excluding one outlier. Factors contributing to heterogeneity included prevalence types, settings, geographical regions, and age. The dementia incidence varied widely. This review identified elevated but heterogeneous dementia rates in psychotic disorders, calling for more population-based studies to provide evidence for integrated service planning.</p>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Prevalence of Cognitive Frailty in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis","authors":"Yi-Ran Huang,&nbsp;Shu-Ying Rao,&nbsp;Hui Li,&nbsp;Yi Zhang,&nbsp;Yu-Cheng Wang,&nbsp;Yue-Ying Wang,&nbsp;Zhaohui Su,&nbsp;Teris Cheung,&nbsp;Gabor S. Ungvari,&nbsp;Todd Jackson,&nbsp;Qinge Zhang,&nbsp;Gang Wang,&nbsp;Yu-Tao Xiang","doi":"10.1111/appy.70032","DOIUrl":"https://doi.org/10.1111/appy.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cognitive frailty, defined as the co-occurrence of physical frailty/prefrailty and cognitive impairment in the absence of dementia, is a potentially reversible condition that may signal high risk for disability and dementia. This systematic review and meta-analysis estimated the global prevalence of cognitive frailty among community-dwelling older adults and examined methodological and contextual moderators of prevalence differences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched for relevant studies published up to October 22, 2025 in international (PubMed, Web of Science, Embase, PsycINFO) and Chinese (CNKI, Wanfang) databases. Pooled prevalence rates and 95% confidence intervals (CIs) were calculated with random-effects models. Subgroup and meta-regression analyses examined possible sociodemographic, methodological, and clinical moderators. Study quality was assessed with the Joanna Briggs Institute checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixty-six studies of 127 556 participants were included. The pooled prevalence of cognitive frailty was 12.2% (95% CI: 9.4%–15.7%). Prevalence was higher in studies using the “Fatigue, Resistance, Ambulation, Illness, and Loss of weight” (FRAIL) scale or Fried phenotype and those using the Montreal Cognitive Assessment (MoCA) or composite cognitive criteria, in upper-middle-income countries, and in studies published after 2021. In meta-regression analyses, alcohol use status was significantly associated with cognitive frailty prevalence but most sociodemographic factors were not related to rates of cognitive frailty. Trim-and-fill analysis suggested that potential publication bias may have led to underestimation of prevalence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Cognitive frailty is common among community-dwelling older adults worldwide. Given its potential reversibility and strong links to adverse outcomes, systematic identification and targeted multi-domain interventions should be prioritized in aging societies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148783762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncovering Means Restriction Activities for Suicide Prevention That Have Been Undertaken in Australia: A Scoping Review","authors":"Julia Teng Jia Ru,&nbsp;David J. Castle,&nbsp;Myles N. Moore,&nbsp;Adriana G. Nevarez-Flores","doi":"10.1111/appy.70031","DOIUrl":"https://doi.org/10.1111/appy.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To map and summarize evidence on means restriction activities that have been implemented for the prevention of suicide across Australia. Further, to provide an overview of the impact of the activities on suicide rates and ascertain barriers/challenges, costs, and any other relevant associated information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a scoping review of the literature following JBI—formerly known as Joanna Briggs Institute—methodology for scoping reviews and recommendations by Cochrane Rapid Reviews. Four databases were searched for identifying all published material in English. Gray literature was searched through Google Scholar and state-based and national health commission websites.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified five publications addressing means restriction activities implemented for suicide prevention. All studies describe restriction of access to places where there had been suicides by jumping from a height. The studies concluded that mean restriction activities were valuable in the prevention of suicide by jumping. Further, we reviewed four additional publications describing activities that restricted access to means (e.g., firearms legislation) but where the intervention was not aimed at suicide prevention per se, albeit suicide rates were reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite there being few studies available, our review identifies evidence on means restriction activities for the prevention of suicide implemented within Australia and provides a summary of implemented interventions that have been reported to be associated with a decrease in suicide rates. In particular, the apparent benefit of structural interventions at jumping sites supports their broader adoption: any such future activities require careful evaluation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148754174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the Young-Onset Dementia Research in the Asia-Pacific Region: A Scoping Review","authors":"Gia Tan,&nbsp;Gary Cheung,&nbsp;Samantha M. Loi,&nbsp;Etuini Ma'u,&nbsp;Campbell Le Heron,&nbsp;Monica Cations,&nbsp;Nick Garrett,&nbsp;Megan Eustace,&nbsp;So Young Moon,&nbsp;Eun-Joo Kim,&nbsp;Kok Pin Ng,&nbsp;Adeline S. L. Ng,&nbsp;Huali Wang,&nbsp;Isabelle Burke,&nbsp;Kenny Ong,&nbsp;Brigid Ryan","doi":"10.1111/appy.70030","DOIUrl":"10.1111/appy.70030","url":null,"abstract":"<p>Young-onset dementia (YOD), with symptom onset before 65, is an area of increasing public health importance. YOD research in Asia-Pacific remains under-represented in the global YOD research landscape. This scoping review aimed to comprehensively map the existing YOD literature from Asia-Pacific and provide an overview of the research topics explored to date. We followed the PRISMA extension for scoping reviews guidelines and searched Scopus and PsycINFO, using predefined search terms, from their inception to December 31, 2024. Empirical studies involving participants with YOD, or family carers of people with YOD, living in Asia-Pacific, were included. 437 publications were identified. Fourteen of the 42 Asia-Pacific countries/territories have published YOD research, with Japan, Australia, South Korea, and China contributing 82.2% of YOD research in the region. The volume of YOD publications in the Asia-Pacific region increased steadily from the early 2010s. Most studies were case reports/series (34.8%) and quantitative (59.2%), with 5.9% using qualitative or mixed-methods. The YOD research landscape is mostly focused on disease biology such as genetics, neuroimaging, and neuropathology. Despite the impacts of YOD on individuals and their families, only 11.4% of publications, mainly from Australia, examined psychosocial impacts and support services. There is a need for research in the Asia–Pacific region to better understand the journey of YOD and to co-create interventions and services that address the needs of those affected. Potential policy implications include explicit inclusion of YOD within national and regional dementia policies, with acknowledgement that psychosocial impacts of YOD are insufficiently addressed by older age-based dementia frameworks.</p>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/appy.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Mental Health Care for Airline Pilots: Addressing Rare but Catastrophic Safety Outcomes","authors":"Zhaohui Su,&nbsp;Xue Yang,&nbsp;Chaojun Tong,&nbsp;Mehak Intizar,&nbsp;Junaid Ahmad,&nbsp;Dean McDonnell,&nbsp;Barry L. Bentley,&nbsp;Ali Cheshmehzangi,&nbsp;Jing-Bao Nie,&nbsp;Chee H. Ng,&nbsp;Yu-Tao Xiang","doi":"10.1111/appy.70028","DOIUrl":"10.1111/appy.70028","url":null,"abstract":"<div>\u0000 \u0000 <p>Current understanding of mental health problems among aviation pilots remains limited. Pilots are exposed to distinctive occupational stressors, and when psychological distress occurs, they may be reluctant to disclose symptoms or seek timely assistance because of concerns about stigma, loss of income, licensing restrictions, or medical disqualification from flying. Pilot mental health is therefore not only an occupational health issue, but also a critical component of aviation safety governance. Although the vast majority of mental health conditions do not lead to flight safety events, in rare circumstances, severe psychological crises that remain unidentified or unsupported may result in catastrophic outcomes, including aircraft-assisted pilot suicide. These tragic events underscore the potential safety implications of pilot mental health and highlight the urgent need for greater attention to this critical issue. This article argues that prevention should be centered on system-level measures, including confidential peer support, carefully governed digital tools, destigmatized safety cultures, and harmonized data infrastructures.</p>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148358969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dose Response Relationships of Loneliness and Insomnia With Subclinical Hikikomori Among College Students: A Multicentre Survey","authors":"Li-Ya A,&nbsp;Xiao-Li Zhang,&nbsp;Yuan-Yuan Jiang,&nbsp;Hui-Ting Huang,&nbsp;Shou Liu,&nbsp;Zhaohui Su,&nbsp;Teris Cheung,&nbsp;Chee H. Ng,&nbsp;Yu-Tao Xiang","doi":"10.1111/appy.70027","DOIUrl":"10.1111/appy.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hikikomori, particularly among young adults, has gained growing attention. This study explored the nonlinear associations of loneliness and insomnia with subclinical hikikomori among college students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 6514 college students were assessed in this study. The University of California Los Angeles Loneliness Scale (UCLA-LS), the seven-item Insomnia Severity Index questionnaire (ISI-7), and the 1-month version of the HQ-25 (HQ-25M) were used to measure loneliness, insomnia, and subclinical hikikomori, respectively. Restricted cubic spline (RCS) models were utilized to characterize the nonlinear relationships between different measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After adjusting for confounders, the RCS models revealed that loneliness and insomnia had significant nonlinear relationships with hikikomori, with both showing a dose–response pattern. A J-shaped relationship was observed between loneliness and subclinical hikikomori, with an inflection point at UCLA-LS = 50.15. Additionally, a significant nonlinear relationship between insomnia and subclinical hikikomori was also found, with an inflection point at ISI-7 = 4.08. Scores above these thresholds for UCLA-LS and ISI-7 were associated with increased risk of hikikomori. Subgroup analyzes did not reveal any significant moderating effects. Regarding the associations of loneliness and insomnia with the risk of subclinical hikikomori, the inflection points for participants with a history of psychiatric problems and perceived poor health status were lower than those in the other groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Given the adverse impacts of hikikomori on college students, it is important to develop appropriate preventive and treatment strategies to address loneliness and insomnia in this vulnerable population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148343801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advising on Antidepressant Use in Pregnancy: Are We All on the Same Page?","authors":"Lucy Charlotte Broughton,&nbsp;Natalie Hughes,&nbsp;Jiaxu Zeng,&nbsp;Alesha Smith","doi":"10.1111/appy.70029","DOIUrl":"https://doi.org/10.1111/appy.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Perinatal mood disorders are associated with adverse maternal and neonatal outcomes and affect 15%–20% of pregnant people. Guidelines recommend SSRIs when non-pharmacological therapies are ineffective, yet antenatal depression remains undertreated. This study aimed to assess the attitudes, knowledge, and practices of general practitioners (GPs) and midwives on SSRI use in pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A knowledge, attitudes, and practice survey was developed in QualtricsXM and distributed to New Zealand-registered GPs and midwives between May 2023 and October 2024 using convenience sampling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Responses from 119 GPs and 62 midwives were analyzed. Discomfort managing antenatal depression was reported by 11% of GPs and 36% of midwives. Knowledge of SSRI risks in pregnancy varied among respondents. Average concern regarding the use of SSRIs in pregnancy and the risk of adverse outcomes was low, but there was considerable variation. In the case vignette, recommended actions differed: 53% advised maintaining treatment, 13% suggested dose reduction, and 24% recommended switching antidepressants. Patient counseling was limited, and appropriate written patient information was rarely provided.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights variability in knowledge, attitudes, and practices among GP's and midwives regarding SSRIs during pregnancy. Further training, improved access to patient information, and decision aids could enhance patient-centered care and ensure pregnant people receive balanced, evidence-based guidance on SSRI use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/appy.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concerns About Self-Safety or Own Emotional Regulation in the Home are Both Associated With Suicidal Ideation: A Risk Factor Warranting Research and Policy Attention","authors":"James N. Peak,&nbsp;Christopher T. K. Yuen,&nbsp;Denny Meyer,&nbsp;Philip J. Sumner,&nbsp;Tamsyn E. van Rheenen,&nbsp;Andrea Phillipou,&nbsp;Erica Neill,&nbsp;Wei L. Toh,&nbsp;David J. Castle,&nbsp;Susan L. Rossell","doi":"10.1111/appy.70026","DOIUrl":"10.1111/appy.70026","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inter-Relationships Between Depressive Symptoms and Cognition Among Older Adults in India: A Network Analysis of a Nationally Representative Sample.","authors":"Meng-Yi Chen, He-Li Sun, Yuan Feng, Sha Sha, Xiao-Dan Wu, Zhaohui Su, Teris Cheung, Gabor S Ungvari, Todd Jackson, Qinge Zhang, Yu-Tao Xiang","doi":"10.1111/appy.70019","DOIUrl":"10.1111/appy.70019","url":null,"abstract":"<p><strong>Background: </strong>Depression and cognitive impairment frequently co-occur in older adults. Network analysis can elucidate inter-relationship between psychiatric disturbances at the symptom level. This study examined the network structure of depressive symptoms and impaired cognitive function among adults aged 60 years or older in India.</p><p><strong>Methods: </strong>Depressive symptoms were assessed using the 10-item Center for Epidemiological Studies Depression Scale (CESD-10). Cognitive function was evaluated across six domains: Memory, Orientation, Retrieval fluency, Arithmetic function, Executive function, and Object naming. Central symptoms and bridge symptoms were identified using Expected Influence (EI) and Bridge EI, respectively. A flow network was employed to identify symptoms directly associated with cognitive impairment.</p><p><strong>Results: </strong>In this study, 29 224 participants were included. The prevalence of depression (CESD-10 total score ≥ 4) was 27.46% (95% CI: 26.95%-27.97%), while the prevalence of cognitive impairment was 15.55% (95% CI: 15.13%-15.97%). CESD2 (\"Felt depressed\") emerged as the most central symptom, followed by Ari (\"Arithmetic function\") and Ori (\"Orientation\"). Moreover, CESD8 (\"Everything was an effort\"), CESD2 (\"Felt depressed\"), and CESD7 (\"Bothered by things\") served as bridge nodes linking the communities of depressive symptoms and cognitive functions. The flow network indicated that the strongest connections to cognitive impairment were observed for CESD1 (\"Trouble focusing\"), CESD3 (\"Could not get going\"), and CESD10 (\"Felt unhappy\").</p><p><strong>Conclusion: </strong>This study documented the inter-relationship between particular depressive symptoms and impaired cognition among older adults in India. The central symptoms and bridge symptoms identified in this study should be tested in intervention studies aiming to improve depression and cognition among older adults.</p>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 2","pages":"e70019"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inter-Relationships Between Depressive Symptoms And Sleep Problems Among Older Adults With Depression: Findings of a National Survey in the USA.","authors":"Hong Cai, Pan Chen, He-Li Sun, Qinge Zhang, Xiao-Hong Li, Zhaohui Su, Teris Cheung, Gabor S Ungvari, Chee H Ng, Ling Zhang, Yu-Tao Xiang","doi":"10.1111/appy.70023","DOIUrl":"10.1111/appy.70023","url":null,"abstract":"<p><strong>Background: </strong>Depressive symptoms and sleep problems are prevalent among older adults with depression. To reduce their adverse impact, it is important to understand the changes in symptom patterns as the Coronavirus disease 2019 (COVID-19) pandemic emerged. This longitudinal study examined the interactive changes between depressive symptoms and sleep problems among older adults with depression before and during the COVID-19 pandemic from a network perspective in the USA.</p><p><strong>Methods: </strong>This network analysis study was based on data from the three waves (2016, 2018, and 2020) of the Health and Retirement Study (HRS). Depressive symptoms were measured using the eight-item version of the Center for Epidemiologic Studies Depression Scale (CESD-8), and sleep problems were assessed with the four-item Jenkins Sleep Scale (JSS-4). The study examined central symptoms and bridge symptoms within the network model.</p><p><strong>Results: </strong>A total of 2905 older adults with depression were included in the analyses. The prevalence of depressive symptoms did not significantly change in the study wave during the COVID-19 compared to the pre-pandemic waves. \"Feeling Depressed\" was the most central symptom of the depression-sleep problems network in the 2016 wave, while \"Feeling Sad\" was the most central symptom in both the 2018 and 2020 waves. Additionally, \"Feeling Loneliness\" was the key bridge symptom of the depression-sleep problems network in the 2016 wave, while \"Not Enjoying Life\" was the key bridge symptom in the 2018 wave, and \"Feeling Rested in Morning\" was the key bridge symptom in the 2020 wave.</p><p><strong>Conclusion: </strong>The findings highlighted that central and bridge symptoms were potential targets in treating depressive symptoms and sleep problems among older adults with depression across the study period in the USA.</p>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 2","pages":"e70023"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}