Abstract
This study aims to explore the relationships and change patterns between depression and multiple chronic diseases using network analysis techniques applied to the China Health and Retirement Longitudinal Study (CHARLS) data. Depression and chronic diseases often coexist and have a significant impact on individuals’ health and well-being. However, the complex interplay and dynamic nature of these conditions remain poorly understood. By utilizing network analysis on longitudinal data, we aim to uncover the underlying network structure and identify key variables associated with depression and multiple chronic diseases. Specifically, we employed Mixed Graphical Model (MGM) networks to estimate the relationships among selected items and investigated network interconnectedness, stability, temporal differences, community structure, and bridge nodes. Our network analyses were conducted on a large cohort sample of middle-aged participants, revealing central items and strong associations. These findings contribute to a better understanding of the complex relationships between depression and chronic diseases, offering insights for the development of targeted interventions to improve health outcomes.
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References
Bibring, E.: The mechanism of depression. In: Greenacre, P. (ed.) Affective Disorders; Psychoanalytic Contributions to Their Study, pp. 13–48. International Universities Press, New York (1953)
Tinetti, M.E., Fried, T.R., Boyd, C.M.: Designing health care for the most common chronic condition multimorbidity. JAMA 307(23), 2493–2494 (2012). https://doi.org/10.1001/jama.2012.5265
Sinnige, J., Braspenning, J., Schellevis, F., Stirbu-Wagner, I., Westert, G., et al.: The prevalence of disease clusters in older adults with multiple chronic diseases – a systematic literature review. PLoS ONE 8(11), e79641 (2013). https://doi.org/10.1371/journal.pone.0079641
Hevey, D.: Network analysis: a brief overview and tutorial. Health Psychol. Behav. Med. 6(1), 301–328 (2018). https://doi.org/10.1080/21642850.2018.1521283
Zhao, Y., Hu, Y., Smith, J.P., John, S., Yang, G.: Cohort profile: the China health and retirement longitudinal study (CHARLS). Int. J. Epidemiol. (1), 61. https://doi.org/10.1093/ije/dys203
Shaffer, J.A., et al.: Depressive symptoms are not associated with leukocyte telomere length: findings from the Nova Scotia Health Survey (NSHS95), a population-based study. PLoS ONE 7(10), e48318 (2012)
Palinkas, L.A., Wingard, D.L., Barrett-Connor, E.: Chronic illness and depressive symptoms in the elderly: a population-based study 43(11), 1131–1141 (1990). https://doi.org/10.1016/0895-4356(90)90014-G
Zhang, S., Du, L., Jin, G., et al.: Investigation of depression status and cognitive situation of depressive mood among elderly patients with chronic diseases in the community. Chin. General Pract. Med. 2011(16). https://doi.org/10.3969/j.issn.1007-9572.2011.16.026
Chen, L., Wu, C., Peng, C., Li, W.: A study on the association between chronic diseases and depressive symptoms in Chinese middle-aged and elderly individuals over 45 years old. Med. Soc. 2021(10), 90–94+99
Heeringa, S.G., Connor, J.H.: Technical Description of the Health and Retirement Survey Sample Design. Institute for Social Research, University of Michigan, Ann Arbor (1999)
Schnittker, J.: Chronic illness and depressive symptoms in late life 60(1), 13–23 (2005). https://doi.org/10.1016/j.socscimed.2004.04.020
Birk, J.L., Kronish, I.M., Moise, N., Falzon, L., Yoon, S., Davidson, K.W.: Depression and multimorbidity: considering temporal characteristics of the associations between depression and multiple chronic diseases. Health Psychol. 38(9), 802–811 (2019). https://doi.org/10.1037/hea0000737
Meng, L., Chen, D., Yang, Y., Zheng, Y., Hui, R.: Depression increases the risk of hypertension incidence: a meta-analysis of prospective cohort studies. J. Hypertens. 30, 842–851 (2012). https://doi.org/10.1097/HJH.0b013e32835080b7
Patten, S.B., Williams, J.V., Lavorato, D.H., Modgill, G., Jetté, N., Eliasziw, M.: Major depression as a risk factor for chronic disease incidence: longitudinal analyses in a general population cohort. Gen. Hosp. Psychiatry 30, 407–413 (2008). https://doi.org/10.1016/j.genhosppsych.2008.05.001
Zhao, Y., Hu, Y., Smith, J.P., Strauss, J., Yang, G.: Cohort profile: the China health and retirement longitudinal study (CHARLS). Int. J. Epidemiol. 43(1), 61–68 (2014)
Zhao, Y., et al.: China Health and Retirement Longitudinal Study Wave 4 User’s Guide. National School of Development, Peking University, Beijing (2020)
Chen, H., Mui, A.C.: Factorial validity of the center for epidemiologic studies depression scale short form in older population in China. Int. Psychogeriatr. 26, 49–57 (2014)
Fruchterman, T.M., Reingold, E.M.: Graph drawing by force directed placement. Software 21, 1129–1164 (1991). https://doi.org/10.1002/spe.4380211102
Tibshirani, R.: Regression shrinkage and selection via the lasso. J. R. Stat. Soc. Ser. B (Methodol.) 58, 267–288 (1996)
Williams, D., Rhemtulla, M., Wysocki, A.C., Rast, P.: On nonregularized estimation of psychological networks. Multivar. Behav. Res. 54, 719–750 (2019)
Epskamp, S., Borsboom, D., Fried, E.I.: Estimating psychological networks and their accuracy: a tutorial paper. Behav. Res. 50, 195–212 (2018). https://doi.org/10.3758/s13428-017-0862-1
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Li, X., Li, S., Liu, Y. (2023). Network Analysis of Relationships and Change Patterns in Depression and Multiple Chronic Diseases Based on the China Health and Retirement Longitudinal Study. In: Li, Y., Huang, Z., Sharma, M., Chen, L., Zhou, R. (eds) Health Information Science. HIS 2023. Lecture Notes in Computer Science, vol 14305. Springer, Singapore. https://doi.org/10.1007/978-981-99-7108-4_3
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DOI: https://doi.org/10.1007/978-981-99-7108-4_3
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