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Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis.

Publication ,  Journal Article
Wen, H; Zhu, Z; Hu, T; Li, C; Jiang, T; Li, L; Zhang, L; Fu, Y; Han, S; Wu, B; Hu, Y
Published in: Frontiers in public health
January 2022

People living with HIV (PLWH) experience multiple psychological symptoms. Few studies have provided information on central and bridge psychological symptoms among PLWH. This information has implications for improving the efficiency and efficacy of psychological interventions. Our study aimed to identify the central and bridge psychological symptoms of PLWH and to explore the interconnectedness among symptoms and clusters.Our study used data from the HIV-related Symptoms Monitoring Survey, a multisite, cross-sectional study conducted during 2017-2021. We used R to visualize the network of 16 symptoms and analyzed the centrality and predictability indices of the network. We further analyzed the bridge symptoms among the three symptom clusters.A total of 3,985 participants were included in the analysis. The results suggested that sadness had the highest strength (rS = 9.69) and predictability (70.7%) compared to other symptoms. Based on the values of bridge strength, feeling unsafe (rbs = 0.94), uncontrollable worry (rbs = 0.82), and self-abasement (rbs = 0.81) were identified as bridge symptoms. We also found a strong correlation between sadness and self-abasement (r = 0.753) and self-loathing and self-blame (r = 0.744).We found that sadness was the central psychological symptom of PLWH, indicating that sadness was the center of the psychological symptom network from a mechanistic perspective and could be a target for intervention. Deactivating bridge symptoms, including "feeling unsafe," "self-abasement," and "uncontrollable worry," could be more effective in preventing symptom activation from spreading (e.g., one symptom activating another).

Duke Scholars

Published In

Frontiers in public health

DOI

EISSN

2296-2565

ISSN

2296-2565

Publication Date

January 2022

Volume

10

Start / End Page

1024436

Related Subject Headings

  • Surveys and Questionnaires
  • Humans
  • HIV Infections
  • Emotions
  • Cross-Sectional Studies
  • Anxiety
  • 4206 Public health
  • 4203 Health services and systems
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
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Wen, H., Zhu, Z., Hu, T., Li, C., Jiang, T., Li, L., … Hu, Y. (2022). Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis. Frontiers in Public Health, 10, 1024436. https://doi.org/10.3389/fpubh.2022.1024436
Wen, Huan, Zheng Zhu, Tiantian Hu, Cheng Li, Tao Jiang, Ling Li, Lin Zhang, et al. “Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis.Frontiers in Public Health 10 (January 2022): 1024436. https://doi.org/10.3389/fpubh.2022.1024436.
Wen H, Zhu Z, Hu T, Li C, Jiang T, Li L, et al. Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis. Frontiers in public health. 2022 Jan;10:1024436.
Wen, Huan, et al. “Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis.Frontiers in Public Health, vol. 10, Jan. 2022, p. 1024436. Epmc, doi:10.3389/fpubh.2022.1024436.
Wen H, Zhu Z, Hu T, Li C, Jiang T, Li L, Zhang L, Fu Y, Han S, Wu B, Hu Y. Unraveling the central and bridge psychological symptoms of people living with HIV: A network analysis. Frontiers in public health. 2022 Jan;10:1024436.

Published In

Frontiers in public health

DOI

EISSN

2296-2565

ISSN

2296-2565

Publication Date

January 2022

Volume

10

Start / End Page

1024436

Related Subject Headings

  • Surveys and Questionnaires
  • Humans
  • HIV Infections
  • Emotions
  • Cross-Sectional Studies
  • Anxiety
  • 4206 Public health
  • 4203 Health services and systems
  • 1117 Public Health and Health Services