恶性循环?心理健康变量个体内部动态的群体层面分析

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Cognitive Therapy and Research Pub Date : 2024-07-25 DOI:10.1007/s10608-024-10517-6
Jana Bommer, Brian Schwartz, Christine Klein, Jan Rupp, Alexander Katalinic, Nele Assmann, Max Borsche, Alexander Balck, Bandik Föh, Wolfgang Lutz, Jan P. Klein
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引用次数: 0

摘要

背景精神障碍的网络理论认为反馈回路在精神病理学中起着关键作用。我们研究了心理网络中的个体内动态和潜在反馈回路,以及它们与长期结果的关联。方法在 COVID-19 大流行之初,我们每三天收集一次基于人群的队列数据(N = 2029),为期 6 个月,内容包括幸福感、烦恼、疲劳、睡眠质量、社会融合和活动。采用分组-分组迭代多重模型估计法对个人、亚组和群体层面的时间序列数据网络进行估计。结果尽管个体之间存在很大的异质性,但还是发现了一个涉及睡眠质量、疲劳和幸福感的潜在反馈回路。此外,还发现了两个亚组,其中亚组 1 的潜在反馈回路边缘比亚组 2 更明显。亚组 1 的成员在基线时教育程度较低,家中 60 岁以上的老人较少,在随访时幸福感较差,烦恼较多,COVID-19 诊断更频繁、更早。然而,由于测量密度有限等局限性,很难发现时间上的关联,因此需要对结果进行谨慎的解释。
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A Vicious Cycle? Group-Level Analysis of Intra-Individual Dynamics in Mental Health Variables

Background

The network theory of mental disorders asserts the pivotal role of feedback loops in psychopathology. We investigated intra-individual dynamics and potential feedback loops in psychological networks and their association with long-term outcomes.

Methods

At the beginning of the COVID-19 pandemic, data from a population-based cohort (N = 2029) were collected every three days for six months on well-being, worries, fatigue, sleep quality, social integration, and activity. Subgrouping—Group Iterative Multiple Model Estimation -was used to estimate networks of time-series data on the individual, subgroup, and group levels. Subgroup networks were compared and associations of subgroup membership with sociodemographic and health status variables at baseline and outcomes at follow-up were examined.

Results

Despite the large heterogeneity between individuals, a potential feedback loop involving sleep quality, fatigue and well-being was identified. Furthermore, two subgroups were identified, whereby the edges of the potential feedback loop were more present in Subgroup 1 than in Subgroup 2. Membership to Subgroup 1 was associated with lower education and fewer people aged over 60 in their household at baseline as well as poorer well-being, more worries, and more frequent and earlier COVID-19 diagnoses at follow-up.

Conclusions

The identified feedback loop might indeed represent a vicious cycle and thus contribute to the development of psychopathology. However, limitations such as the limited measurement density made it difficult to find temporal associations and call for a cautious interpretation of results.

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来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
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