Kim Sunhae, Lee Kounseok
Department of Psychiatry, Hanyang University Medical Center, Seoul 04763, Korea.
J Pers Med. 2022 May 18;12(5):821. doi: 10.3390/jpm12050821.
(1) Background: Subjective memory complaints (SMCs) are common among the elderly and are important because they can indicate early cognitive impairment. The factor with the greatest correlation with SMCs is depression. The purpose of this study is to examine depressive symptoms among elderly individuals with SMCs through a network analysis that can analyze disease models between symptoms; (2) Methods: A total of 3489 data collected from elderly individuals in the community were analyzed. The Subjective Memory Complaints Questionnaire and Patient Health Questionnaire-9 were evaluated. For statistical analysis, we investigated the features of the depressive symptoms network, including centrality and clustering; (3) Results: Network analysis of the SMC group showed strong associations in the order of Q1-Q2 (r = 0.499), Q7-Q8 (r = 0.330), and Q1-Q6 (r = 0.239). In terms of centrality index, Q2 was highest in strength and expected influence, followed by Q1 in all of betweenness, strength, and expected influence; (4) Conclusions: The network analysis confirmed that the most important factors in the subjective cognitive decline group were depressed mood and anhedonia, which also had a strong correlation in the network pattern.
(1) 背景:主观记忆主诉(SMCs)在老年人中很常见,且很重要,因为它们可能预示早期认知障碍。与主观记忆主诉相关性最大的因素是抑郁。本研究的目的是通过一种能够分析症状间疾病模型的网络分析方法,来研究有主观记忆主诉的老年人的抑郁症状;(2) 方法:对从社区老年人中收集的总共3489份数据进行分析。对主观记忆主诉问卷和患者健康问卷-9进行评估。对于统计分析,我们研究了抑郁症状网络的特征,包括中心性和聚类性;(3) 结果:主观记忆主诉组的网络分析显示,Q1-Q2(r = 0.499)、Q7-Q8(r = 0.330)和Q1-Q6(r = 0.239)之间存在强关联。在中心性指标方面,Q2在强度和预期影响力方面最高,其次是Q1在中介中心性、强度和预期影响力方面均较高;(4) 结论:网络分析证实,主观认知衰退组中最重要的因素是情绪低落和快感缺失,它们在网络模式中也有很强的相关性。