老年人抑郁症状的网络分析研究
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作者单位:

1.山西医科大学人文社会科学学院,2.学生工作部,山西 太原 030001

作者简介:

黑晓静(2001—),女,山西临汾人,硕士研究生在读,研究方向为老年心理健康;

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中图分类号:

C913.6

基金项目:

山西省高等学校教学改革创新项目“跨学科合作:大学生数字健康素养综合教育框架的构建策略研究”(J20240607)


Network analysis of depressive symptoms in older adults
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Affiliation:

1.School of Humanities and Social Sciences,2.Student Affairs Office,Shanxi Medical University,Taiyuan 030001 ,China

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    摘要:

    为探究我国老年人抑郁症状的网络结构及核心特征,并比较不同性别、抑郁程度老年人的抑郁症状网络,文章采用2020年中国健康与养老追踪调查数据进行研究,纳入有效样本8 445 例,使用R软件进行网络分析。结果显示,老年人抑郁症状的核心特征为情绪低落和感到无法继续生活;不同性别老年人的抑郁症状网络结构存在边缘显著差异,网络连接强度不存在显著差异,男性感到无法继续生活的中心性值显著高于女性,不同性别抑郁症状网络之间的部分边线权重存在显著差异;不同抑郁程度老年人的抑郁症状网络结构和网络连接强度均存在显著差异,无抑郁症状组的情绪低落和感到无法继续生活的中心性值均高于有抑郁症状组。研究提示,我国老年人抑郁症状的网络结构复杂,建议在预防和干预中,重点关注情绪低落等核心症状,并制定个性化的干预策略,以提升老年人的心理健康水平。

    Abstract:

    This study aimed to investigate the network structure and core features of depressive symptoms among older adults in China,and to compare the networks of depressive symptoms among older adults across different genders and severity levels of depression. Data from the 2020 China Health and Retirement Longitudinal Study (CHARLS) were used for the survey,which included 8 445 valid samples. Network analyses were conducted using R software. The results of the study showed that the core features of depressive symptoms in older adults were low mood and feeling unable to go on with their lives. There was a marginally significant difference in the network structure of depressive symptoms among older adults of different genders, while no significant differences in the strength of network connections. The centrality value of feeling unable to go on with their lives was significantly higher in men than in women. There were significant differences in certain edge weights between depressive symptom networks across genders. There were significant differences in the network structure and network strength of depressive symptoms among older adults with different severity levels of depression. The centrality values of feeling depressed and feeling unable to go on with their lives were higher in the group without depressive symptoms than in the group with depressive symptoms. These results suggest that the network structure of depressive symptoms among Chinese older adults is complex. It is recommended to prioritize core symptoms,such as feeling down,in the prevention and intervention of depressive symptoms among older adults,while developing personalized intervention strategies for gender differences to improve the mental health of older adults.

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黑晓静,彭松浩,张涛,唐艺玮,周旻.老年人抑郁症状的网络分析研究[J].南京医科大学学报(社会科学版),2025,25(5):460~466

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  • 收稿日期:2025-07-08
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  • 在线发布日期: 2025-10-31
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