The Symptom Structure of Depression, Anxiety and Suicidal Ideation Among Chinese Shidu Parents — A Network Analysis

IF 2.7 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2025-01-29 DOI:10.1002/cpp.70042

Hongfei Ma, Shuang Zhao, Yang Wang

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Abstract

Background

In China, Shidu parents, who have experienced the pain of losing their only child, are more likely to suffer from mental health issues such as depression, anxiety, and suicidal ideation compared to other bereaved groups. Currently, the relationships between symptoms of depression, anxiety, and suicidal ideation among Shidu parents remain unclear, necessitating further research to elucidate these connections. Our study aims to estimate the network of depression and anxiety symptoms and identify the bridge symptoms between depression, anxiety and suicidal ideation based on network analysis.

Methods

This study was conducted in five urban districts and one rural district in Shenyang City, Liaoning Province, China. Data collection was conducted from March 2017 to February 2020. Network analysis was implemented by using the R packages qgraph and bootnet.

Results

‘Felt depressed’ and ‘felt sad’ were central symptoms of depression, while ‘feeling fainting and passing out’ and ‘afraid for no reason’ were central symptoms of anxiety. Two pairs of bridge symptoms and one overlapping symptom were found in the transdiagnostic network. In addition, one depressive symptom and one anxiety symptom were identified to be significantly associated with suicidal ideation.

Conclusions

The current study is the first to conduct a network analysis of depression, anxiety, and suicidal ideation among Chinese Shidu parents. The association among disease symptoms were found, and the most central symptoms were identified. Results of the present study can provide some new intervention and treatment ideas for corresponding diseases, which lays a theoretical foundation for the future longitudinal research.

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中国失独父母抑郁、焦虑和自杀意念的症状结构——网络分析。

背景：在中国，经历过失去独生子女的痛苦的失独父母比其他丧亲群体更容易出现抑郁、焦虑和自杀念头等心理健康问题。目前，失独父母抑郁、焦虑症状与自杀意念之间的关系尚不清楚，需要进一步的研究来阐明这些联系。本研究旨在评估抑郁和焦虑症状的网络，并基于网络分析识别抑郁、焦虑和自杀意念之间的桥梁症状。方法：本研究在中国辽宁省沈阳市的5个城区和1个农村进行。数据收集时间为2017年3月至2020年2月。使用R软件包qgraph和bootnet实现网络分析。结果：“感到沮丧”和“感到悲伤”是抑郁症的主要症状，而“感到昏厥和昏倒”和“无缘无故地害怕”是焦虑的主要症状。在跨诊断网络中发现了2对桥状症状和1对重叠症状。此外，一种抑郁症状和一种焦虑症状被确定与自杀意念显著相关。结论：本研究首次对中国失独父母的抑郁、焦虑和自杀意念进行网络分析。发现了疾病症状之间的关联，并确定了最核心的症状。本研究结果可为相应疾病提供一些新的干预和治疗思路，为今后的纵向研究奠定理论基础。

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

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.