Comorbidity between depression and anxiety: assessing the role of bridge mental states in dynamic psychological networks
| العنوان: | Comorbidity between depression and anxiety: assessing the role of bridge mental states in dynamic psychological networks |
|---|---|
| المؤلفون: | Groen, Robin N., Ryan, Oisín, Wigman, Johanna T.W., Riese, Harriëtte, Penninx, Brenda W.J.H., Giltay, Erik J., Wichers, Marieke, Hartman, Catharina A., Leerstoel Hamaker, Methodology and statistics for the behavioural and social sciences |
| المساهمون: | Leerstoel Hamaker, Methodology and statistics for the behavioural and social sciences, Psychiatry, APH - Mental Health, Amsterdam Neuroscience - Mood, Anxiety, Psychosis, Stress & Sleep, Internal medicine, APH - Digital Health, Clinical Cognitive Neuropsychiatry Research Program (CCNP), Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE) |
| المصدر: | BMC Medicine BMC Medicine, 18(1):308. BioMed Central BMC Medicine, Vol 18, Iss 1, Pp 1-17 (2020) Groen, R N, Ryan, O, Wigman, J T W, Riese, H, Penninx, B W J H, Giltay, E J, Wichers, M & Hartman, C A 2020, ' Comorbidity between depression and anxiety : Assessing the role of bridge mental states in dynamic psychological networks ', BMC Medicine, vol. 18, no. 1, 308 . https://doi.org/10.1186/s12916-020-01738-zTest BMC Medicine, 18(1):308. BMC BMC Medicine, 18(1). BioMed Central BMC Medicine, 18(1). BMC |
| بيانات النشر: | BioMed Central, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Intensive longitudinal data, Male, SYMPTOMS, lcsh:Medicine, EMOTION DYNAMICS, Comorbidity, Anxiety, 0302 clinical medicine, POSTTRAUMATIC-STRESS-DISORDER, 0504 sociology, Medicine, PERSPECTIVE, Ecological momentary assessment, Depression (differential diagnoses), media_common, RISK, Medicine(all), ISSUES, Depression, 05 social sciences, Social anxiety, PSYCHOPATHOLOGY, General Medicine, Middle Aged, Anxiety Disorders, Feeling, Network analysis, Female, medicine.symptom, Psychopathology, Clinical psychology, Research Article, Time series, media_common.quotation_subject, SOCIAL ANXIETY, MODELS, TIME-SERIES, Bridge (interpersonal), 03 medical and health sciences, Bridge symptoms, Humans, business.industry, Perspective (graphical), lcsh:R, 050401 social sciences methods, medicine.disease, Cross-Sectional Studies, business, 030217 neurology & neurosurgery |
| الوصف: | Background Comorbidity between depressive and anxiety disorders is common. A hypothesis of the network perspective on psychopathology is that comorbidity arises due to the interplay of symptoms shared by both disorders, with overlapping symptoms acting as so-called bridges, funneling symptom activation between symptom clusters of each disorder. This study investigated this hypothesis by testing whether (i) two overlapping mental states “worrying” and “feeling irritated” functioned as bridges in dynamic mental state networks of individuals with both depression and anxiety as compared to individuals with either disorder alone, and (ii) overlapping or non-overlapping mental states functioned as stronger bridges. Methods Data come from the Netherlands Study of Depression and Anxiety (NESDA). A total of 143 participants met criteria for comorbid depression and anxiety (65%), 40 participants for depression-only (18.2%), and 37 for anxiety-only (16.8%) during any NESDA wave. Participants completed momentary assessments of symptoms (i.e., mental states) of depression and anxiety, five times a day, for 2 weeks (14,185 assessments). First, dynamics between mental states were modeled with a multilevel vector autoregressive model, using Bayesian estimation. Summed average lagged indirect effects through the hypothesized bridge mental states were compared between groups. Second, we evaluated the role of all mental states as potential bridge mental states. Results While the summed indirect effect for the bridge mental state “worrying” was larger in the comorbid group compared to the single disorder groups, differences between groups were not statistically significant. The difference between groups became more pronounced when only examining individuals with recent diagnoses ( Conclusions This study empirically examined a prominent network-approach hypothesis for the first time using longitudinal data. No support was found for overlapping mental states “worrying” and “feeling irritable” functioning as bridge mental states in individuals vulnerable for comorbid depression and anxiety. Potentially, bridge mental state activity can only be observed during acute symptomatology. If so, these may present as interesting targets in treatment, but not prevention. This requires further investigation. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1741-7015 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::af14bc18f76a9231ab6b9f0f9b1f3d9aTest http://europepmc.org/articles/PMC7523307Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....af14bc18f76a9231ab6b9f0f9b1f3d9a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17417015 |
|---|