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Exploring comorbidity between anxiety and depression among migrant Filipino domestic workers: A network approach
Garabiles, Melissa R.1; Lao, Chao Kei2,3; Xiong, Yingxin3; Hall, Brian J.3,4
Source PublicationJournal of Affective Disorders
ISSN0165-0327
2019-05-01
Abstract

Background: : Depression and anxiety are comorbid. From the network model perspective, comorbidity is due to direct interactions between depression and anxiety symptoms. These interacting symptoms are called bridge symptoms, suppression of which is expected to halt other symptoms. This study investigates the network structure of depression, anxiety, and bridge symptoms in a sample of migrant domestic workers, who are among the most vulnerable and marginalized groups of workers. Method: : Data were collected from 1375 Filipino domestic workers in Macao Special Administrative Region, China. Data from a subsample of 355 consisting of participants who met criteria for depression and anxiety were used in analysis. R software was used to estimate the network. Results: : The eight strongest edges were between items from the same disorder. Six were between depression symptoms, like “concentration difficulties” and “psychomotor agitation/retardation,” and “psychomotor agitation/retardation” and “thoughts of death.” Two were between anxiety symptoms, including “worry too much” and “trouble relaxing.” For centrality indices, “fatigue” had highest strength and closeness, and “restlessness” had highest betweenness. Results revealed three bridge symptoms: “fatigue,” “depressed mood,” and “anhedonia.” Limitations: : The results may not generalize to the entire Filipino population. Further, while the centrality index of strength had adequate stability, it was not highly stable. Conclusions: : The current study highlighted critical transdiagnostic bridge symptoms as specific candidates for intervention. “Psychomotor agitation/retardation” was identified as key priority due to its association with suicidal ideation. Systemic multilevel interventions at the person-level (e.g., cognitive therapy and behavioral activation), and at the structural and policy-level to alleviate psychosocial stressors, could be applied to address disorder comorbidity in this population.

KeywordDepression Anxiety Comorbidity Network Analysis Domestic Workers
Language英語English
DOI10.1016/j.jad.2019.02.062
URLView the original
Volume250
Pages85-93
WOS IDWOS:000463865400013
WOS SubjectClinical Neurology ; Psychiatry
WOS Research AreaNeurosciences & Neurology ; Psychiatry
Indexed BySCIE ; SSCI
Scopus ID2-s2.0-85062292591
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Document TypeReview article
CollectionDEPARTMENT OF PSYCHOLOGY
Corresponding AuthorHall, Brian J.
Affiliation1.Department of Psychology, Ateneo de Manila University, Quezon, Philippines
2.Caritas Macau, Macao (SAR), China
3.Global and Community Mental Health Research Group, Department of Psychology, The University of Macau, E21-3040, Avenida da Universidade, Taipa, Macao (SAR), People's Republic of China
4.Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States
Corresponding Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Garabiles, Melissa R.,Lao, Chao Kei,Xiong, Yingxin,et al. Exploring comorbidity between anxiety and depression among migrant Filipino domestic workers: A network approach[J]. Journal of Affective Disorders, 2019, 250, 85-93.
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