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Background <p>Previous research has overlooked the role of self-perceived aging in the psychological well-being of older adults with multiple chronic conditions, and few studies have analyzed specific symptom interactions from a symptom network perspective. Our study aimed to explore the structure of the network among self-perceived aging, depression, and anxiety in community-dwelling older adults with multiple chronic conditions.</p> Methods <p>This was a cross-sectional survey conducted using convenience sampling from four prefecture-level cities in Jiangsu Province, China, between November 2022 and May 2023. A total of 478 participants were included in the analysis. The Brief Ageing Perceptions Questionnaire (B-APQ) and the Depression Anxiety and Stress Scales-21 (DASS-21) were used to assess self-perceived aging, depression, and anxiety among older adults. Network analysis was performed using R to explore the interrelationships among symptoms in the network and identify the core symptoms and bridge symptoms.</p> Results <p>Network analysis revealed that, after controlling for covariates, the node S5 (‘Emotional-Representations’) had the highest strength, followed by D7 (‘Meaningless’), S2 (‘Consequences-Positive’), S1 (‘Consequences and Control Negative’), and D6 (‘Worthless’). Furthermore, based on the bridge strength values, A5 (‘Panic’), D7 (‘Meaningless’), and S5 (‘Emotional-Representations’) were identified as bridge symptoms connecting self-perceived aging, depression, and anxiety. The study also identified several strong edge weight, most of which were linked to core symptoms and bridge symptoms.</p> Conclusion <p>The study suggests that targeting “Emotional-Representations” as a core symptom can be effective in addressing psychological issues in older adults with multiple chronic conditions. Furthermore, preventing and inhibiting bridge symptoms such as “panic,” “Meaningless,” and “Emotional-Representations” could be potentially effective prevent widespread activation of symptoms (e.g., from self-perceived aging to depression).</p>

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Core and bridge symptoms in self-perceived aging, depression, and anxiety among the elderly with multiple chronic conditions in Chinese communities: a network analysis perspective

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月4日

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  • Bin Shang,
  • Yinan Wang,
  • Caifeng Luo,
  • Fei Lv,
  • Jing Wu,
  • Xiao Shao

摘要

Background

Previous research has overlooked the role of self-perceived aging in the psychological well-being of older adults with multiple chronic conditions, and few studies have analyzed specific symptom interactions from a symptom network perspective. Our study aimed to explore the structure of the network among self-perceived aging, depression, and anxiety in community-dwelling older adults with multiple chronic conditions.

Methods

This was a cross-sectional survey conducted using convenience sampling from four prefecture-level cities in Jiangsu Province, China, between November 2022 and May 2023. A total of 478 participants were included in the analysis. The Brief Ageing Perceptions Questionnaire (B-APQ) and the Depression Anxiety and Stress Scales-21 (DASS-21) were used to assess self-perceived aging, depression, and anxiety among older adults. Network analysis was performed using R to explore the interrelationships among symptoms in the network and identify the core symptoms and bridge symptoms.

Results

Network analysis revealed that, after controlling for covariates, the node S5 (‘Emotional-Representations’) had the highest strength, followed by D7 (‘Meaningless’), S2 (‘Consequences-Positive’), S1 (‘Consequences and Control Negative’), and D6 (‘Worthless’). Furthermore, based on the bridge strength values, A5 (‘Panic’), D7 (‘Meaningless’), and S5 (‘Emotional-Representations’) were identified as bridge symptoms connecting self-perceived aging, depression, and anxiety. The study also identified several strong edge weight, most of which were linked to core symptoms and bridge symptoms.

Conclusion

The study suggests that targeting “Emotional-Representations” as a core symptom can be effective in addressing psychological issues in older adults with multiple chronic conditions. Furthermore, preventing and inhibiting bridge symptoms such as “panic,” “Meaningless,” and “Emotional-Representations” could be potentially effective prevent widespread activation of symptoms (e.g., from self-perceived aging to depression).