探索西班牙语学龄儿童焦虑症与抑郁症的共病:网络分析方法

IF 2.9 4区 心理学 Q1 PSYCHOLOGY Spanish Journal of Psychology Pub Date : 2024-11-08 DOI:10.1017/SJP.2024.24
Iván Fernández-Martínez, Angélica Idrobo Gutiérrez, Mireia Orgilés Amorós
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引用次数: 0

摘要

焦虑症和抑郁症是儿童时期高发的并发症,应加深对这一问题的了解,以便有效预防和治疗。本研究的主要目的是利用网络分析法等新颖而有价值的合并症研究方法,探讨焦虑和抑郁症状之间的合并症。具体来说,研究人员通过合并症估计和最短路径网络,以及桥接症状,对症状与可能的相关症状之间的联系进行了研究。这项研究包括 281 名 8-12 岁讲西班牙语的儿童(45.2% 为女孩),他们的焦虑和抑郁症状通过特定的简短家长报告措施进行评估。分析表明,在合并症网络中,最主要的症状与抑郁("再也不好了"、"再也不能像以前那么好了"、"讨厌自己"、"什么都做错了"、"没人爱他/她")或焦虑("突然感到非常害怕")有关。此外,研究还发现,"上学有困难 "和 "突然感到非常害怕 "等焦虑症状以及 "再也不能像以前那么好 "和 "讨厌自己 "等抑郁症状是最核心的桥梁症状,它们的激活对其他领域症状的激活起着关键作用。此外,最短路径网络表明,焦虑和抑郁症状之间可能存在不同的联系路径。总之,这些发现有助于理解焦虑-抑郁合并症的复杂性。它表明存在中心症状和桥接症状,补充了以往的研究,这些症状可能是预防和治疗儿童焦虑症和抑郁症干预措施的潜在目标。
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Exploring Comorbidity Between Anxiety and Depression in Spanish-Speaking School-Aged Children: A Network Analysis Approach.

Anxiety and depression are highly prevalent and comorbid problems in childhood, which deserve greater understanding for effective prevention and treatment. The main aim of the present study was to explore the comorbidity between anxiety and depression symptoms using a novel and valuable approach to study comorbidity, such as network analysis. Specifically, the connectivity between symptoms and possible relevant symptoms was examined through comorbidity estimation and shortest pathway networks, as well as bridge symptoms. This study comprised 281 Spanish-speaking children aged 8-12 years (45.2% girls), whose anxiety and depression symptoms were assessed through specific brief parent-report measures. Analyses revealed that in the comorbidity network, the most central symptoms were related to depression ("No good anymore," "Could never be as good," "Hated self," "Did everything wrong," "Nobody loved him/her") or anxiety ("Suddenly feels really scared"). Furthermore, it was found that the most central bridge symptoms, whose activation would play a key role in the activation of other domain symptoms, were anxiety symptoms such as "Trouble going to school" and "Suddenly feels really scared" and depression symptoms, such as "Could never be as good" and "Hated self." Additionally, the shortest path network suggested the existence of different possible pathways of connection between anxiety and depression symptoms. Overall, these findings help to understand the complexity of the anxiety-depression comorbidity. It suggests the existence of central and bridge symptoms that complement previous studies, which may be potential targets for interventions to prevent and treat childhood anxiety and depression.

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来源期刊
Spanish Journal of Psychology
Spanish Journal of Psychology Arts and Humanities-Language and Linguistics
CiteScore
3.60
自引率
0.00%
发文量
44
期刊介绍: The Spanish Journal of Psychology is published with the aim of promoting the international dissemination of relevant empirical research and theoretical and methodological proposals in the various areas of specialization within psychology. The first Spanish journal with an international scope published entirely in English.
期刊最新文献
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