Mapping network connection and direction among symptoms of depression and anxiety in patients with chronic gastritis

Author:

Tang Qihui12ORCID,Wang Rui3ORCID,Niu Haiqun4ORCID,Li Yifang5ORCID,Li Yuting56ORCID,Hu Zichao3ORCID,Liu Xiangping12ORCID,Tao Yanqiang12ORCID

Affiliation:

1. Faculty of Psychology Beijing Normal University Beijing China

2. Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education Beijing Normal University Beijing China

3. Department of Gastroenterology The First Affiliated Hospital of Anhui University of Chinese Medicine Hefei China

4. School of Psychology Nanjing Normal University Nanjing China

5. Department of Chinese Medicine Nursing, School of Nursing Anhui University of Chinese Medicine Hefei China

6. School of Psychology Shanghai University of Sport Shanghai China

Abstract

AbstractRegarding neurophysiological and developmental findings, anxiety and depression are usual comorbidities of gastritis patients. However, research related to anxiety and depression among chronic gastritis patients was conducted on the disease level while ignoring symptoms. Hence, we rendered the network approach to reveal the symptoms of anxiety and depression among chronic gastritis patients. Three hundred and sixty‐nine chronic gastritis patients (female = 139, Mage= 55.87 years) were asked to complete the Self‐Rating Anxiety Scale and Self‐Rating Depression Scale. Three symptom networks and one directed acyclic graph (DAG) network were formed. First, in the anxiety network of chronic gastritis patients, dizziness was the most influential symptom. In the depression network of chronic gastritis patients, depressed affect and psychomotor retardation were the influential symptoms. Second, panic, easy fatiguability, weakness, palpitation, depressed affect, tachycardia, fatigue, and psychomotor agitation bridged the anxiety–depression network of chronic gastritis patients. Third, DAG networks showed that anxiousness and hopelessness could trigger other symptoms in the anxiety–depression networks of chronic gastritis patients. The current study provided insightful information on patients with chronic gastritis by examining the structures of symptoms.

Publisher

Wiley

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