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Depressive symptoms and gender differences in older adults in Hong Kong during the COVID-19 pandemic: a network analysis approach

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机构: [1]Beijing Normal Univ, Coll Educ Future, Beijing, Peoples R China [2]Univ Macau, Unit Psychiat, Dept Publ Hlth & Med Adm, Fac Hlth Sci, Macau, Peoples R China [3]Univ Macau, Inst Translat Med, Fac Hlth Sci, Macau, Peoples R China [4]Univ Macau, Inst Adv Studies Humanities & Social Sci, Macau, Peoples R China [5]Univ Macau, Ctr Cognit & Brain Sci, Macau, Peoples R China [6]Tung Wah Coll, Sch Nursing, Hong Kong, Peoples R China [7]Southeast Univ, Sch Publ Hlth, Nanjing, Peoples R China [8]New York Univ Shanghai, Ctr Global Hlth Equ, Shanghai, Peoples R China [9]NYU, Sch Global Publ Hlth, New York, NY USA [10]Hong Kong Polytech Univ, Sch Nursing, Hong Kong, Peoples R China [11]Capital Med Univ, Beijing Tongren Hosp, Dept Geriatr Med, Beijing, Peoples R China [12]Univ Melbourne, Dept Psychiat, Melbourne Clin, Richmond, Vic, Australia [13]Univ Melbourne, St Vincents Hosp, Richmond, Vic, Australia
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关键词: older adults depression network analysis COVID-19 Hong Kong

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Background: The 2019 novel coronavirus disease (COVID-19) outbreak has had a detrimental impact on the mental health of older adults. This study evaluated the central symptoms and their associations in the network depressive symptoms and compare the network structure differences between male and female older adults in Hong Kong. Methods: Altogether, 4,464 older adults participated in this study. We evaluated the centrality indicators for network robustness using stability and accuracy tests, and examined the potential differences between the structure and connectivity of depression networks in male and female older adults. Results: The overall prevalence of depressive symptoms was 43.7% (95% CI=40.6-46.7%) in males, and 54.8% (95% CI=53.1-56.5%) in females (P<0.05). Sad Mood, Guilt, Motor problems and Lack of Energy were influential symptoms in the network model. Gender differences were found in the network global strength, especially in the following edges: Sad Mood--Guilt, Concentration--Guilt, Anhedonia--Motor, Lack of Energy--Suicide, Appetite--Suicide and Concentration--Suicide. Conclusions: Central symptoms in the depressive symptom network among male and female older adults may be prioritized in the treatment and prevention of depression during the pandemic.

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出版当年[2021]版:
大类 | 2 区 生物学
小类 | 2 区 生化与分子生物学
最新[2025]版:
大类 | 1 区 生物学
小类 | 2 区 生化与分子生物学
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出版当年[2020]版:
Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
最新[2023]版:
Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Beijing Normal Univ, Coll Educ Future, Beijing, Peoples R China
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通讯机构: [2]Univ Macau, Unit Psychiat, Dept Publ Hlth & Med Adm, Fac Hlth Sci, Macau, Peoples R China [3]Univ Macau, Inst Translat Med, Fac Hlth Sci, Macau, Peoples R China [4]Univ Macau, Inst Adv Studies Humanities & Social Sci, Macau, Peoples R China [5]Univ Macau, Ctr Cognit & Brain Sci, Macau, Peoples R China [10]Hong Kong Polytech Univ, Sch Nursing, Hong Kong, Peoples R China [12]Univ Melbourne, Dept Psychiat, Melbourne Clin, Richmond, Vic, Australia [13]Univ Melbourne, St Vincents Hosp, Richmond, Vic, Australia [*1]School of Nursing, The Hong Kong Polytechnic University, Hong Kong [*2]Univ Macau, Fac Hlth Sci, 3-F,Bldg E12,Ave Univ, Taipa, Macao, Peoples R China [*3]Univ Melbourne, Melbourne Clin, Richmond, Vic, Australia
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