干预目标的计算模拟:阐明社区人群焦虑和抑郁症状网络中的应对方式机制
Computational simulation of intervention targets: elucidating coping style mechanisms in anxiety and depressive symptom networks in community populations.
Computational simulation of intervention targets: elucidating coping style mechanisms in anxiety and depressive symptom networks in community populations.
背景:抑郁障碍和焦虑障碍是全球范围内重要的精神健康负担,对个人、社会及医疗基础设施造成重大影响。在中国,具有全国代表性的流行病学研究报告显示,焦虑障碍的终生患病率为7.6%,抑郁障碍为6.6%。这两种疾病均表现出年龄依赖性异质性,老年人群的易感性显著更高,且共病率升高。方法:该社区人群横断面研究针对不同年龄组构建了Ising网络模型,随后应用NodeIdentifyR算法(NIRA)识别双通路干预靶点——即预期可缓解(治疗)或加重(预防)症状的节点。结果:分析表明,应对方式与焦虑、抑郁之间存在异质性关联,并观察到显著的年龄差异。进一步模拟干预结果提示,年龄特异性的应对特征可作为临床干预的可行靶点。结论:本研究采用精神病理学网络建模,揭示了应对方式与焦虑-抑郁症状之间关联模式及相应干预靶点中与年龄相关的异质性。
BACKGROUND: Depressive and anxiety disorders represent globally significant mental health burdens, imposing substantial impacts on individuals, societies, and healthcare infrastructure. In China, nationally representative epidemiological studies report a lifetime prevalence of 7.6% for anxiety disorders and 6.6% for depressive disorders. Both conditions demonstrate age-dependent heterogeneity, with older populations exhibiting significantly higher susceptibility and elevated comorbidity. METHODS: The cross-sectional study of community populations constructed Ising network models for different age groups, and then applied the NodeIdentifyR algorithm (NIRA) to identify dual-pathway intervention targets — nodes projected to alleviate (treatment) or aggravate (prevention) symptoms. RESULTS: The analysis indicated a heterogeneous link between coping styles and anxiety and depression, with notable age differences observed. Further simulation of intervention outcomes suggested that age-specific coping profiles emerged as viable targets for clinical intervention. CONCLUSIONS: Using psychopathological network modeling, this study reveals age-related heterogeneity in the association patterns between coping styles and anxiety-depression symptoms, as well as in the corresponding intervention targets.
Zhenxuan Dong, Dingchao Wu, Xiujun Zhang, Haitao Wang, Hongge Luo. Computational simulation of intervention targets: elucidating coping style mechanisms in anxiety and depressive symptom networks in community populations.. BMC psychology. 2026; doi:10.1186/s40359-026-04442-4.
Zhenxuan Dong, Dingchao Wu, Xiujun Zhang, Haitao Wang, Hongge Luo (2026). Computational simulation of intervention targets: elucidating coping style mechanisms in anxiety and depressive symptom networks in community populations.. BMC psychology. https://doi.org/10.1186/s40359-026-04442-4
Zhenxuan Dong, Dingchao Wu, Xiujun Zhang, Haitao Wang, Hongge Luo. Computational simulation of intervention targets: elucidating coping style mechanisms in anxiety and depressive symptom networks in community populations.[J]. BMC psychology, 2026 doi:10.1186/s40359-026-04442-4.
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