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自闭症与抑郁症有关联:两项互补性网络研究报告

Autism and depression are connected: A report of two complimentary network studies.

作者信息

van Heijst Barbara Fc, Deserno Marie K, Rhebergen Didi, Geurts Hilde M

机构信息

University of Amsterdam, The Netherlands.

Dr. Leo Kannerhuis, The Netherlands.

出版信息

Autism. 2020 Apr;24(3):680-692. doi: 10.1177/1362361319872373. Epub 2019 Nov 10.

Abstract

Autism and depression often co-occur. Through network analysis, we seek to gain a better understanding of this co-occurrence by investigating whether (1) autism and depression share overlapping groups of symptoms and/or (2) are connected through a bridge of mastery or worry symptoms. This is addressed in two complimentary studies: (1) Study 1 focusing on depressed ( = 258) and non-depressed adults ( = 117), aged 60-90 years; (2) Study 2 focusing on autistic ( = 173) and non-autistic adults ( = 70), aged 31-89 years. Self-report questionnaire data were collected on autistic traits (AQ-28), depression symptoms (Study 1: Inventory of Depressive Symptomatology Self Report; Study 2: Symptom Checklist 90-Revised depression subscale), worry (Worry Scale-R) and mastery (the Pearlin Mastery Scale). For both studies, data were analysed by creating glasso networks and subsequent centrality analyses to identify the most influential variables in the respective networks. Both depressed and autistic adults are highly similar in the perceived amount of worries and lack of control. While caution is needed when interpreting the pattern of findings given the bootstrapping results, findings from both studies indicate that overlapping symptoms do not fully explain the co-occurrence of autism and depression and the perception of having control over your life, that is, mastery seems a relevant factor in connecting autism and depression.

摘要

自闭症和抑郁症常常同时出现。通过网络分析,我们试图通过调查以下两点来更好地理解这种共现现象:(1)自闭症和抑郁症是否共享重叠的症状组,和/或(2)是否通过掌握感或担忧症状的桥梁相联系。这在两项互补研究中得到解决:(1)研究1聚焦于年龄在60至90岁之间的抑郁成年人(n = 258)和非抑郁成年人(n = 117);(2)研究2聚焦于年龄在31至89岁之间的自闭症成年人(n = 173)和非自闭症成年人(n = 70)。收集了关于自闭症特质(AQ - 28)、抑郁症状(研究1:抑郁症状自评量表;研究2:症状自评量表90修订版抑郁分量表)、担忧(担忧量表修订版)和掌握感(皮尔林掌握感量表)的自我报告问卷数据。对于这两项研究,通过创建图形拉索网络并随后进行中心性分析来分析数据,以识别各自网络中最具影响力的变量。抑郁成年人和自闭症成年人在感知到的担忧量和缺乏控制感方面高度相似。鉴于自抽样结果,在解释研究结果模式时需要谨慎,但两项研究的结果均表明,重叠症状并不能完全解释自闭症和抑郁症的共现现象,以及对自己生活有掌控感,也就是说,掌握感似乎是连接自闭症和抑郁症的一个相关因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13ae/7168804/d3281b1b7687/10.1177_1362361319872373-fig1.jpg

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