Li Hua-Yu, Song Dong-Yu, Weng Yi-Qing, Tong Yuan-Hao, Wu Yi-Bo, Wang Hong-Mei
Department of Social Medicine of School of Public Health, and Department of Pharmacy of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310058, Zhejiang Province, China.
Intensive Care Unit of Cardiac Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong Province, China.
World J Psychiatry. 2025 Sep 19;15(9):109789. doi: 10.5498/wjp.v15.i9.109789.
The prevalence and severity of noncommunicable chronic diseases (NCDs) among Chinese residents have been increasing with mental health emerging as a critical challenge in disease management.
To examine the interactions between depression, anxiety symptoms, and related factors, and to identify key factors in the Chinese population with NCDs.
Data from the Psychology and Behavior Investigation of Chinese Residents were used in a cross-sectional survey of 6182 individuals with NCDs. This study measured depression and anxiety symptoms as well as their influencing factors including social environments, individual behaviors and lifestyles, and subjective indicators. A network analysis approach was used for data assessment.
Network analysis demonstrated that several central factors (media exposure, family health, problematic internet use, suboptimal health status, intimate relationship violence, tired or little energy, and nervousness/anxious/on edge) and bridge factors (media exposure, problematic internet use, intimate partner violence, health literacy, and suboptimal health status) that significantly influenced the co-occurrence and interconnectedness of depression and anxiety symptoms. Additionally, gender, ethnicity, residency, and living status did not significantly influence the overall network strength.
Depression and anxiety are prevalent among the Chinese population with NCDs. Effective interventions should focus on managing key symptoms, promoting correct media use for health information, and fostering healthier family relationships.
中国居民中非传染性慢性病（NCDs）的患病率和严重程度一直在上升，心理健康已成为疾病管理中的一项关键挑战。
研究抑郁、焦虑症状与相关因素之间的相互作用，并确定中国非传染性慢性病患者群体中的关键因素。
来自中国居民心理与行为调查的数据被用于对6182名非传染性慢性病患者进行的横断面调查。本研究测量了抑郁和焦虑症状及其影响因素，包括社会环境、个人行为和生活方式以及主观指标。采用网络分析方法进行数据评估。
网络分析表明，几个核心因素（媒体接触、家庭健康、网络使用问题、健康状况欠佳、亲密关系暴力、疲倦或精力不足、紧张/焦虑/烦躁不安）和桥梁因素（媒体接触、网络使用问题、亲密伴侣暴力、健康素养、健康状况欠佳）显著影响了抑郁和焦虑症状的共现和相互联系。此外，性别、民族、居住地和生活状况对整体网络强度没有显著影响。
抑郁和焦虑在中国非传染性慢性病患者群体中普遍存在。有效的干预措施应侧重于管理关键症状、促进正确使用媒体获取健康信息以及培养更健康的家庭关系。
