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青少年抑郁症状和广泛性焦虑症状之间的纵向关系:交叉滞后网络分析。

Longitudinal Relationships Between Depressive Symptoms and Generalized Anxiety Symptoms in Adolescents: A Cross-Lagged Network Analysis.

机构信息

Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, PR China.

出版信息

J Youth Adolesc. 2024 Aug;53(8):1918-1927. doi: 10.1007/s10964-024-01961-4. Epub 2024 Mar 7.


DOI:10.1007/s10964-024-01961-4
PMID:38451392
Abstract

The comorbidity of depression and generalized anxiety have raised questions about the existing classification system. Based on the perspective of network analysis, the developmental relationship between psychological symptoms can be explored more clearly. The current study aimed to explore the longitudinal network association of depressive symptoms and generalized anxiety symptoms in non-clinical adolescents. The sample contained 1,947 Chinese adolescents (M = 13.93, SD = 1.71; 48.5% girls). Their depression (PHQ-9) and generalized anxiety (GAD-7) symptoms were assessed at baseline (T1) and 6-month follow-up (T2). Data was analyzed using a cross-lagged network analysis. Depressive symptoms and generalized anxiety symptoms were closely related and did not appear to be distinct categories in adolescence. More generalized anxiety symptoms predicted depressive symptoms rather than vice versa. After controlling for gender, and age, "Difficulty relaxing" presented the highest out-expected influence (out-EI) in the network, while "trouble concentrating", and "suicidal ideation" showed the lowest in expected influence (in-EI). Findings suggested that interventions for generalized anxiety symptoms may help reduce depressive symptoms among Chinese adolescents. Specifically, alleviating "difficulty relaxing" may improve overall mental health.

摘要

抑郁和广泛性焦虑共病引发了对现有分类系统的质疑。基于网络分析的观点,可以更清楚地探讨心理症状之间的发展关系。本研究旨在探讨非临床青少年抑郁症状和广泛性焦虑症状的纵向网络关联。样本包括 1947 名中国青少年(M=13.93,SD=1.71;48.5%为女生)。他们在基线(T1)和 6 个月随访(T2)时评估了抑郁(PHQ-9)和广泛性焦虑(GAD-7)症状。使用交叉滞后网络分析对数据进行分析。抑郁症状和广泛性焦虑症状密切相关,在青少年中似乎不是两个截然不同的类别。更多的广泛性焦虑症状预示着抑郁症状,而不是相反。在控制性别和年龄后,网络中“难以放松”呈现出最高的超预期影响(out-EI),而“注意力难以集中”和“自杀意念”则表现出最低的预期影响(in-EI)。研究结果表明,针对广泛性焦虑症状的干预措施可能有助于减少中国青少年的抑郁症状。具体而言,缓解“难以放松”可能会改善整体心理健康。

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[1]
Longitudinal Relationships Between Depressive Symptoms and Generalized Anxiety Symptoms in Adolescents: A Cross-Lagged Network Analysis.

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[2]
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[3]
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[4]
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[5]
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Child Adolesc Psychiatry Ment Health. 2025-5-14

[6]
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[7]
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[8]
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[9]
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