School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China.
Beijing Key Laboratory of Applied Experimental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, China.
Asian J Psychiatr. 2022 Jul;73:103137. doi: 10.1016/j.ajp.2022.103137. Epub 2022 Apr 26.
Previous studies have found a negative effect of depression and insomnia on the psychological health domain of quality of life (QOL) among earthquake survivors. However, little is known about the symptom-to-symptom interactions among the above psychological outcomes. This study thus aimed to assess the interplay among the above three variables in survivors 10 years after the Wenchuan earthquake at the symptom level.
A total of 744 survivors completed the questionnaire at 10 years post-earthquake, reporting depressive symptoms, insomnia symptoms, and the psychological health domain of QOL. All network structures were estimated and compared using the network analysis approach in R version 4.1.1.
Among the 744 survivors, 593 individuals did not have significant depressive and insomnia symptoms, while 151 individuals reported depressive and/or insomnia symptoms. "Little energy", "Suicidal ideation", and "Spirituality" were the key highest bridge symptoms in the three networks, respectively. Additionally, there were significant differences in network global strength, network structure, and individual edge weights between individuals with and without depression and/or insomnia.
Intervention programs aimed at treating symptoms, such as exercise therapy, cognitive behavioural therapy, and spirituality education, may improve the QOL of survivors following an earthquake.
先前的研究发现，抑郁症和失眠症会对地震幸存者的生活质量（QOL）的心理健康领域产生负面影响。然而，对于上述心理结果之间的症状-症状相互作用知之甚少。因此，本研究旨在在汶川地震 10 年后评估上述三个变量在幸存者中的症状水平上的相互作用。
共有 744 名幸存者在地震后 10 年完成了问卷调查，报告了抑郁症状、失眠症状和 QOL 的心理健康领域。使用 R 版本 4.1.1 中的网络分析方法评估和比较了所有网络结构。
在 744 名幸存者中，有 593 人没有明显的抑郁和失眠症状，而有 151 人报告了抑郁和/或失眠症状。“精力不足”、“自杀意念”和“精神性”分别是三个网络中的关键最高桥梁症状。此外，在有和没有抑郁和/或失眠的个体之间，网络全局强度、网络结构和个体边缘权重存在显著差异。
针对治疗症状的干预计划，如运动疗法、认知行为疗法和精神教育，可能会提高地震幸存者的生活质量。
