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Depression and anxiety among Macau residents during the COVID-19 outbreak: A network analysis perspective
Sun,He Li1,2; Chen,Pen1,2; Feng,Yuan3; Si,Tong Leong1,2; Lam,Mei Ieng4; Lok,Ka In5; Chow,Ines Hang Iao1,2; Su,Zhaohui6; Cheung,Teris7; Tang,Yi Lang8,9; Jackson,Todd10; Sha,Sha3; Xiang,Yu Tao1,2
2023
Source PublicationFrontiers in Psychiatry
ISSN1664-0640
Volume14
Abstract

Background: The 2019 novel coronavirus disease (COVID-19) outbreak affected people’s lifestyles and increased their risk for depressive and anxiety symptoms (depression and anxiety, respectively hereafter). We assessed depression and anxiety in residents of Macau during “the 6.18 COVID-19 outbreak” period and explored inter-connections of different symptoms from the perspective of network analysis. Methods: In this cross-sectional study, 1,008 Macau residents completed an online survey comprising the nine-item Patient Health Questionnaire (PHQ-9) and seven-item Generalized Anxiety Disorder Scale (GAD-7) to measure depression and anxiety, respectively. Central and bridge symptoms of the depression-anxiety network model were evaluated based on Expected Influence (EI) statistics, while a bootstrap procedure was used to test the stability and accuracy of the network model. Results: Descriptive analyses indicated the prevalence of depression was 62.5% [95% confidence interval (CI) = 59.47–65.44%], the prevalence of anxiety was 50.2% [95%CI = 47.12–53.28%], and 45.1% [95%CI = 42.09–48.22%] of participants experienced comorbid depression and anxiety. “Nervousness-Uncontrollable worry” (GADC) (EI = 1.15), “Irritability” (GAD6) (EI = 1.03), and “Excessive worry” (GAD3) (EI = 1.02) were the most central symptoms, while “Irritability” (GAD6) (bridge EI = 0.43), “restlessness” (GAD5) (bridge EI = 0.35), and “Sad Mood” (PHQ2) (bridge EI = 0.30) were key bridge symptoms that emerged in the network model. Conclusion: Nearly half of residents in Macau experienced comorbid depression and anxiety during the 6.18 COVID-19 outbreak. Central and bridge symptoms identified in this network analysis are plausible, specific targets for treatment and prevention of comorbid depression and anxiety related to this outbreak.

KeywordAnxiety Comorbidity Depression Macau Network Analysis
DOI10.3389/fpsyt.2023.1159542
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000983502300001
PublisherFrontiers Media S.A.
Scopus ID2-s2.0-85159004642
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Faculty of Health Sciences
DEPARTMENT OF PSYCHOLOGY
Corresponding AuthorXiang,Yu Tao
Affiliation1.Unit of Psychiatry,Department of Public Health and Medicinal Administration,Institute of Translational Medicine,Faculty of Health Sciences,University of Macau,Taipa,Macao
2.Centre for Cognitive and Brain Sciences,University of Macau,Taipa,Macao
3.The National Clinical Research Center for Mental Disorders and Beijing Key Laboratory of Mental Disorders,Beijing Anding Hospital,Advanced Innovation Center for Human Brain Protection,Capital Medical University,Beijing,China
4.Kiang Wu Nursing College of Macau,SAR,Macao
5.Faculty of Health Sciences and Sports,Macao Polytechnic University,Macao
6.School of Public Health,Southeast University,Nanjing,China
7.School of Nursing,Hong Kong Polytechnic University,Kowloon,Hong Kong
8.Department of Psychiatry and Behavioral Sciences,Emory University,Atlanta,United States
9.Atlanta VA Medical Center,Atlanta,United States
10.Department of Psychology,University of Macau,SAR,Macao
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,Chen,Pen,Feng,Yuan,et al. Depression and anxiety among Macau residents during the COVID-19 outbreak: A network analysis perspective[J]. Frontiers in Psychiatry, 2023, 14.
APA Sun,He Li., Chen,Pen., Feng,Yuan., Si,Tong Leong., Lam,Mei Ieng., Lok,Ka In., Chow,Ines Hang Iao., Su,Zhaohui., Cheung,Teris., Tang,Yi Lang., Jackson,Todd., Sha,Sha., & Xiang,Yu Tao (2023). Depression and anxiety among Macau residents during the COVID-19 outbreak: A network analysis perspective. Frontiers in Psychiatry, 14.
MLA Sun,He Li,et al."Depression and anxiety among Macau residents during the COVID-19 outbreak: A network analysis perspective".Frontiers in Psychiatry 14(2023).
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