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Depression and anxiety among caregivers of psychiatric patients during the late stage of the COVID-19 pandemic: A perspective from network analysis
Sun, He Li1,2; Zhao, Yan Jie3; Sha, Sha3; Li, Xiao Hong4; Si, Tong Leong1; Liu, Yu Fei1; Su, Zhaohui5; Cheung, Teris6; Chang, Angela7; Liu, Zhao Min8; Li, Xinyue9; Ng, Chee H.10; An, Feng Rong3; Xiang, Yu Tao1,2
2023-10
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume344Pages:33-40
Abstract

Background: Depressive and anxiety symptoms (depression and anxiety hereafter) are common among psychiatric patients and their caregivers during the COVID-19 pandemic. Network analysis is a novel method to assess the associations between psychiatric syndromes/disorders at the symptom level. This study examined depression and anxiety among caregivers of psychiatric inpatients during the late stage of the COVID-19 pandemic from the perspective of network analysis. Methods: A total of 1101 caregivers of psychiatric inpatients were included in this study. The severity of depression was assessed using the nine-item Patient Health Questionnaire (PHQ-9), while anxiety was assessed with the seven-item Generalized Anxiety Disorder Scale (GAD-7). The expected index (EI) and bridge EI index were used to identify the central and bridge symptoms, respectively. The stability of the network was evaluated via a case-dropping bootstrap procedure. Results: The prevalence of depression and anxiety were 32.4 % (95%CI: 29.7 %–35.3 %) and 28.0 % (95%CI: 25.4 %–30.7 %), respectively while the prevalence of comorbid depression and anxiety was 24.9 % (95%CI: 22.4 %–27.6 %). The most central symptom was “Fatigue”, followed by “Trouble Relaxing” and “Restlessness”. The highest bridge symptom was “Restlessness”, followed by “Uncontrollable worry” and “Suicide ideation”. The bootstrap test indicated that the whole network model was stable, and no network difference was detected between genders and between different education levels. Conclusions: Depression, anxiety, and comorbid depression and anxiety were common among caregivers of psychiatric inpatients during the late stage of the COVID-19 pandemic. Central and bridge symptoms identified in this network analysis should be considered key target symptoms to address in caregivers of patients.

KeywordAnxiety Caregivers Depression Network Analysis
DOI10.1016/j.jad.2023.09.034
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:001097602800001
Scopus ID2-s2.0-85173726225
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Document TypeJournal article
CollectionFaculty of Social Sciences
Faculty of Health Sciences
DEPARTMENT OF COMMUNICATION
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Corresponding AuthorNg, Chee H.; An, Feng Rong; Xiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
3.Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
4.Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China
5.School of Public Health, Southeast University, Nanjing, China
6.School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, Hong Kong
7.Department of Communication, Faculty of Social Sciences, University of Macau, Macau SAR, China
8.School of Public Health, Sun Yat-sen University, Guangzhou, China
9.School of Data Science, City University of Hong Kong, Hong Kong SAR, Hong Kong
10.Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, Australia
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Sun, He Li,Zhao, Yan Jie,Sha, Sha,et al. Depression and anxiety among caregivers of psychiatric patients during the late stage of the COVID-19 pandemic: A perspective from network analysis[J]. Journal of Affective Disorders, 2023, 344, 33-40.
APA Sun, He Li., Zhao, Yan Jie., Sha, Sha., Li, Xiao Hong., Si, Tong Leong., Liu, Yu Fei., Su, Zhaohui., Cheung, Teris., Chang, Angela., Liu, Zhao Min., Li, Xinyue., Ng, Chee H.., An, Feng Rong., & Xiang, Yu Tao (2023). Depression and anxiety among caregivers of psychiatric patients during the late stage of the COVID-19 pandemic: A perspective from network analysis. Journal of Affective Disorders, 344, 33-40.
MLA Sun, He Li,et al."Depression and anxiety among caregivers of psychiatric patients during the late stage of the COVID-19 pandemic: A perspective from network analysis".Journal of Affective Disorders 344(2023):33-40.
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