Comorbidity among depression, anxiety and stress symptoms in naturalistic clinical samples: A cross-cultural network analysis.

Autor: Mihić L; Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia., Janičić B; Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia., Marchetti I; Department of Life Sciences, University of Trieste, Trieste, Italy., Novović Z; Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia., Sica C; Department of Health Sciences, University of Florence, Florence, Italy., Bottesi G; Department of General Psychology, University of Padova, Padova, Italy., Belopavlović R; Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia., Jakšić N; Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia.
Jazyk: angličtina
Zdroj: Clinical psychology & psychotherapy [Clin Psychol Psychother] 2023 Nov 08. Date of Electronic Publication: 2023 Nov 08.
DOI: 10.1002/cpp.2927
Abstrakt: Comorbidity between depression and anxiety is well-established across various settings and cultures. We approached comorbidity from the network psychopathology perspective and examined the depression, anxiety/autonomic arousal and stress/tension symptoms in naturalistic clinical samples from Serbia, Italy and Croatia. This was a multisite study in which regularized partial correlation networks of the symptoms, obtained via self-reports on the Depression Anxiety and Stress Scales-21 (DASS-21) in three cross-cultural, clinical samples (total N = 874), were compared with respect to centrality, edge weights, community structure and bridge centrality. A moderate degree of similarity in a number of network indices across the three networks was observed. While negative mood emerged to be the most central node, stress/tension nodes were the most likely bridge symptoms between depressive and anxiety/autonomic arousal symptoms. We demonstrated that the network structure and features in mixed clinical samples were similar across three different languages and cultures. The symptoms such as agitation, restlessness and inability to relax functioned as bridges across the three symptom communities explored in this study. Important theoretical and clinical implications were derived.
(© 2023 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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