老年人抑郁症状的网络分析研究
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1.山西医科大学;2.山西医科大学人文社会科学学院;3.山西医科大学学生工作部

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R749.4

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2024年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);2024年度山西省高等学校哲学社会科学(思想政治教育专项)一般项目《大学生心理问题多维度感知系统研究》(2024zsszsx031)通讯作者:周旻,E-mail:zhoumin211cn@qq.com ,彭松浩1,张涛1,2,唐艺玮1,周旻1


Network Analysis of Depressive Symptoms in Older Adults
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School of Humanities and Social Sciences,Shanxi Medical University,Taiyuan

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    摘要:

    本研究旨在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、不同抑郁程度老年人的抑郁症状网络。研究采用2020年中国健康与养老追踪调查数据进行调查,纳入有效样本8445例,使用R软件进行网络分析。研究结果显示,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(P = 0.049),网络连接强度不存在显著差异(P = 0.265),男性感到无法继续生活的中心性值显著高于女性(P < 0.05),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(P < 0.05);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(P < 0.001),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(P < 0.001)。结果提示,我国老年人抑郁症状的网络结构复杂,建议在老年人抑郁的预防和干预中,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:

    The aim of this study was 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 of different genders and different levels of depression. Data from the 2020 China Health and Elderly Tracking Survey were used for the survey, and 8445 valid samples were included, and network analysis was performed 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 borderline significant difference in the structure of depressive symptom networks among older adults of different genders (P = 0.049), there was no significant difference in the strength of network connections (P = 0.265), and the centrality value of feeling unable to go on with their lives was significantly higher in men than women (P < 0.05), and the different genders of depressive symptom There were significant differences in the weights of some margins between networks (P < 0.05); there were significant differences in the network structure and network connection strength of depressive symptoms among elderly people with different degrees of depression (P < 0.001), and the centrality values of feeling depressed and feeling unable to go on with their lives were higher in the group without depressive symptoms than the group with depressive symptoms (P < 0.001). The results suggest that the network structure of depressive symptoms among the elderly in China is complex, and it is recommended to focus on core symptoms such as low mood in the prevention and intervention of depressive symptoms among the elderly, and to develop personalized intervention strategies for gender differences in order to enhance the mental health of the elderly.

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  • 收稿日期:2025-07-08
  • 最后修改日期:2025-08-01
  • 录用日期:2025-08-04
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