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A Network Analysis of the Association Between Depressive Symptoms and Patient Activation Among Those With Elevated Cardiovascular Risk. 对心血管风险升高人群中抑郁症状与患者积极性之间关系的网络分析。
Pub Date : 2022-04-04 eCollection Date: 2022-01-01 DOI: 10.1177/2164957X221086257
Chiyoung Lee, Ruth Q Wolever, Qing Yang, Allison Vorderstrasse, Se Hee Min, Xiao Hu

Background: Network analysis provides a new method for conceptualizing interconnections among psychological and behavioral constructs.

Objective: We used network analysis to investigate the complex associations between depressive symptoms and patient activation dimensions among patients at elevated risk of cardiovascular disease.

Methods: This secondary analysis included 200 patients seen in primary care clinics. Depressive symptoms were assessed using the 21-item Beck Depression Inventory. Patient activation was measured using the 13-item Patient Activation Measure. Glasso networks were constructed to identify symptoms/traits that bridge depressive symptoms and patient activation and those that are central within the network.

Results: "Self-dislike" and "confidence to maintain lifestyle changes during times of stress" were identified as important bridge pathways. In addition, depressive symptoms such as "punishment feelings," "loss of satisfaction," "self-dislike," and "loss of interest in people" were central in the depressive symptom-patient activation network, meaning that they were most strongly connected to all other symptoms.

Conclusions: Bridge pathways identified in the network may be reasonable targets for clinical intervention aimed at disrupting the association between depressive symptoms and patient activation. Further research is warranted to assess whether targeting interventions to these central symptoms may help resolve other symptoms within the network.

背景:网络分析为概念化心理和行为结构之间的相互联系提供了一种新方法:我们利用网络分析法研究了心血管疾病高危患者的抑郁症状与患者激活维度之间的复杂关联:这项二次分析包括 200 名在初级保健诊所就诊的患者。抑郁症状采用 21 项贝克抑郁量表进行评估。患者激活度采用 13 项患者激活度量表进行测量。构建格拉斯哥网络,以确定连接抑郁症状和患者激活的症状/特征,以及在网络中处于中心位置的症状/特征:结果:"自我厌恶 "和 "在压力下保持生活方式改变的信心 "被认为是重要的桥梁途径。此外,"惩罚感"、"失去满足感"、"自我厌恶 "和 "对人失去兴趣 "等抑郁症状在抑郁症状-患者激活网络中处于中心位置,这意味着它们与所有其他症状的联系最为紧密:结论:网络中发现的桥梁路径可能是临床干预的合理目标,旨在破坏抑郁症状与患者激活之间的关联。还需要进一步研究,以评估针对这些中心症状的干预措施是否有助于解决网络中的其他症状。
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引用次数: 0
Millenarian beliefs and state-confessional relations in Altai (turn of the XIX–XX centuries): continuity and contradictions 阿尔泰千年信仰与国教关系(十九至二十世纪之交):连续性与矛盾
Pub Date : 2022-01-01 DOI: 10.14258/nreur(2022)4-10
A. A. Nasonov
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引用次数: 0
Sociological study of the image of Russia in the population's representations of western and central Mongolia 蒙古西部和中部人口再现中的俄罗斯形象的社会学研究
Pub Date : 2022-01-01 DOI: 10.14258/nreur(2022)2-07
P. Dashkovskiy, E. Shershneva, N. Cedav
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引用次数: 0
Social and cultural and educational activities of religious organizations in Western Siberia at the end of the XX century (based on the materials of the Novosibirsk region) 20世纪末西西伯利亚宗教组织的社会、文化和教育活动(根据新西伯利亚地区的资料)
Pub Date : 2022-01-01 DOI: 10.14258/nreur(2022)2-09
P. Dashkovskiy, N. S. Dvoryanchikova
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引用次数: 0
Metal composition of inventory from the grave of the podgornovsky stage of the tagar culture of the Kosogol II burial ground in the northern forest-steppe (according to the materials of excavations by A. I. Martynov in 1985) 北部森林草原Kosogol II墓地塔加尔文化podgornovsky阶段墓葬的金属成分(根据A. I. Martynov 1985年的发掘资料)
Pub Date : 2022-01-01 DOI: 10.14258/nreur(2022)2-04
A. S. Saveleva
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引用次数: 0
Atheistic propaganda in Khakassia in the mid‑1960s — mid‑1970s 20世纪60年代中期至70年代中期哈卡斯的无神论宣传
Pub Date : 2022-01-01 DOI: 10.14258/nreur(2022)3-10
P. Dashkovskiy, A. N. Ozhiganov
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引用次数: 0
Materials of the middle late bronze age in the right-bank Barnaul Priob 巴纳尔河右岸青铜时代中晚期的材料
Pub Date : 2022-01-01 DOI: 10.14258/nreur(2022)4-06
D. Papin, V.L. Kobzev
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引用次数: 0
“All people are children of the great Korg”: the bear as the quintessence of archaic views on the animal in the worldview of the Selkups “所有的人都是伟大的熊的孩子”:熊是塞尔卡普人世界观中对动物的古老观点的精髓
Pub Date : 2022-01-01 DOI: 10.14258/nreur(2022)3-06
O. Stepanova
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引用次数: 0
About some elements of the temples of Central Asia 关于中亚寺庙的一些元素
Pub Date : 2022-01-01 DOI: 10.14258/nreur(2022)2-08
S. Kubaev
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引用次数: 0
"Regimental priests" of non-orthodox confessions in the Russian empire (on the example of the Siberian region) 俄罗斯帝国非正统教派的“团牧师”(以西伯利亚地区为例)
Pub Date : 2022-01-01 DOI: 10.14258/nreur(2022)2-10
T. Nedzelyuk
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引用次数: 0
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Narody i religii Evrazii
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