Symptoms of social anxiety disorder and major depressive disorder: A network perspective.
Anxiety disorders
Assessment
Depression
Diagnosis
Social anxiety disorder
Treatment
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
15 01 2019
15 01 2019
Historique:
received:
20
03
2018
revised:
05
09
2018
accepted:
21
09
2018
pubmed:
7
10
2018
medline:
28
2
2019
entrez:
7
10
2018
Statut:
ppublish
Résumé
We used network analyses to examine symptoms that may play a role in the co-occurrence of social anxiety disorder (SAD) and major depressive disorder (MDD). Whereas latent variable models examine relations among latent constructs, network analyses have the advantage of characterizing direct relations among the symptoms themselves. We conducted network modeling on symptoms of social anxiety and depression in a clinical sample of 130 women who met criteria for SAD, MDD, both disorders, or had no lifetime history of mental illness. In the resulting network, the core symptoms of social fear and depressed mood appeared at opposite ends of the network and were weakly related; so-called "bridges" between these symptoms appeared to occur via intervening variables. In particular, the worthless variable appeared to play a central role in the network. Because our data were cross-sectional, we are unable to draw conclusions about the direction of these effects or whether these variables are related to each other prospectively. Continued testing of these pathways using longitudinal data will help facilitate the development of more effective clinical interventions for these disorders.
Sections du résumé
BACKGROUND
We used network analyses to examine symptoms that may play a role in the co-occurrence of social anxiety disorder (SAD) and major depressive disorder (MDD). Whereas latent variable models examine relations among latent constructs, network analyses have the advantage of characterizing direct relations among the symptoms themselves.
METHOD
We conducted network modeling on symptoms of social anxiety and depression in a clinical sample of 130 women who met criteria for SAD, MDD, both disorders, or had no lifetime history of mental illness.
RESULTS
In the resulting network, the core symptoms of social fear and depressed mood appeared at opposite ends of the network and were weakly related; so-called "bridges" between these symptoms appeared to occur via intervening variables. In particular, the worthless variable appeared to play a central role in the network.
LIMITATIONS
Because our data were cross-sectional, we are unable to draw conclusions about the direction of these effects or whether these variables are related to each other prospectively.
CONCLUSIONS
Continued testing of these pathways using longitudinal data will help facilitate the development of more effective clinical interventions for these disorders.
Identifiants
pubmed: 30292147
pii: S0165-0327(18)30557-3
doi: 10.1016/j.jad.2018.09.078
pmc: PMC6202058
mid: NIHMS1508867
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
531-538Subventions
Organisme : NIMH NIH HHS
ID : F32 MH091831
Pays : United States
Organisme : NIMH NIH HHS
ID : R21 MH080683
Pays : United States
Informations de copyright
Copyright © 2018. Published by Elsevier B.V.
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