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Network Analysis of Depression, Anxiety, Posttraumatic Stress Symptoms, Insomnia, Pain, and Fatigue in Clinically Stable Older Patients With Psychiatric Disorders During the COVID-19 Outbreak.
Li, Wen; Zhao, Na; Yan, Xiaona; Xu, Xiuying; Zou, Siyun; Wang, Huan; Li, Yulong; Du, Xiangdong; Zhang, Lan; Zhang, Qinge; Cheung, Teris; Ungvari, Gabor S; Ng, Chee H; Xiang, Yu-Tao.
  • Li W; Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.
  • Zhao N; Institute of Advanced Studies in Humanities and Social Sciences, 59193University of Macau, Macao SAR, China.
  • Yan X; Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.
  • Xu X; Center for Cognition and Brain Disorders, Institutes of Psychological Sciences, Hangzhou Normal University, Hangzhou, China.
  • Zou S; Department of Psychiatry, 117887Xiamen Xianyue Hospital, Xiamen, China.
  • Wang H; Department of Psychiatry, 117887Xiamen Xianyue Hospital, Xiamen, China.
  • Li Y; 150260Guangji Hospital Affiliated to Soochow University, Soochow, China.
  • Du X; Department of Psychiatry, 74713Lanzhou University Second Hospital, Lanzhou, China.
  • Zhang L; Department of Psychiatry, 74713Lanzhou University Second Hospital, Lanzhou, China.
  • Zhang Q; 150260Guangji Hospital Affiliated to Soochow University, Soochow, China.
  • Cheung T; Department of Psychiatry, 74713Lanzhou University Second Hospital, Lanzhou, China.
  • Ungvari GS; 159333The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
  • Ng CH; School of Nursing, 26680Hong Kong Polytechnic University, Hong Kong SAR, China.
  • Xiang YT; Division of Psychiatry, School of Medicine, University of Western Australia, Perth, WA, Australia.
J Geriatr Psychiatry Neurol ; 35(2): 196-205, 2022 03.
Article in English | MEDLINE | ID: covidwho-1731434
ABSTRACT

OBJECTIVES:

The Coronavirus Disease 2019 (COVID-19) pandemic has profound negative effects on the mental health of clinically stable older patients with psychiatric disorders. This study examined the influential nodes of psychiatric problems and their associations in this population using network analysis.

METHODS:

Clinically stable older patients with psychiatric disorders were consecutively recruited from four major psychiatric hospitals in China from May 22 to July 15, 2020. Depressive and anxiety syndromes (depression and anxiety hereafter), insomnia, posttraumatic stress symptoms (PTSS), pain, and fatigue were measured using the Patient Health Questionnaire, General Anxiety Disorder, Insomnia Severity Index, Posttraumatic Stress Disorder Checklist - Civilian Version, and Numeric Rating Scales for pain and fatigue, respectively.

RESULTS:

A total of 1063 participants were included. The network analysis revealed that depression was the most influential node followed by anxiety as indicated by the centrality index of strength. In contrast, the edge connecting depression and anxiety was the strongest edge, followed by the edge connecting depression and insomnia, and the edge connecting depression and fatigue as indicated by edge-weights. The network structure was invariant by gender based on the network structure invariance test (M = .14, P = .20) and global strength invariance tests (S = .08, P = .30).

CONCLUSIONS:

Attention should be paid to depression and its associations with anxiety, insomnia, and fatigue in the screening and treatment of mental health problems in clinically stable older psychiatric patients affected by the COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: J Geriatr Psychiatry Neurol Journal subject: Geriatrics / Neurology / Psychiatry Year: 2022 Document Type: Article Affiliation country: 08919887221078559

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: J Geriatr Psychiatry Neurol Journal subject: Geriatrics / Neurology / Psychiatry Year: 2022 Document Type: Article Affiliation country: 08919887221078559