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A decade-long comparison of depressive symptom networks in Asian patients with depressive disorders: Findings from REAP studies in 2023 and 2013 - PubMed

4 hours ago
  • #Asian-population
  • #network-analysis
  • #depressive-disorders
  • Network analysis was used to compare depressive symptom structures in Asian patients from 2013 and 2023.
  • The study involved large-scale, multi-country surveys with 2298 patients in 2023 and 1303 in 2013.
  • Depressive symptoms were rated by clinicians following NICE guidelines, analyzing 10 symptom domains.
  • In 2023, the strongest symptom associations were between low self-confidence and guilt, and between disturbed sleep and appetite changes.
  • Low self-confidence was the most central symptom in 2023, whereas persistent sadness was central in 2013.
  • Network structures significantly differed between the two years, with 38 connections in 2023 vs. 36 in 2013.
  • Subgroup analyses revealed differences based on gender and geographic region.
  • Contextual influences like the COVID-19 pandemic may explain the observed changes in symptom networks.
  • Self-critical symptoms were identified as potential targets for clinical interventions.