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14-09-2020 | Original Paper | Uitgave 1/2021

Bridges over Troubled Waters: Mapping the Interplay Between Anxiety, Depression and Stress Through Network Analysis of the DASS-21

Tijdschrift:: Cognitive Therapy and Research > Uitgave 1/2021

Auteurs:: Nathan Van den Bergh, Igor Marchetti, Ernst H. W. Koster

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Electronic supplementary material

The online version of this article (https://doi.org/10.1007/s10608-020-10153-w) contains supplementary material, which is available to authorized users.

Nathan Van den Bergh and Igor Marchetti contributed equally to the manuscript and share first authorship.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Background

Symptoms of depression and anxiety often co-occur in the same individuals. In order to increase our understanding of concurrent depression and anxiety, it may be necessary to define and model psychopathology as a network of symptoms, that actively reinforce (or inhibit) one another. The current study set out to investigate how depression, anxiety and stress symptoms cluster together, and which symptoms act as bridges between these clusters.

Methods

Network analysis was used to investigate the symptom structure of the DASS-21 in a large international sample (N = 11,647). After checking whether the original symptom structure was replicated, the network was further investigated at multiple levels: individual symptoms that are central in the network (1) or function as bridges between clusters (2); symptom pairs that show especially strong associations (3), and the overall structure that may or may not differ between gender groups (4).

Results

Items referring to panic, worry, worthlessness, hopelessness and meaninglessness of life emerged as potentially crucial symptoms in the interplay between depression and anxiety. When comparing female and male networks, the results suggest that the network structures are similar, but not identical.

Conclusions

Specific symptoms can function as bridges between depression, anxiety and stress, which is clinically relevant on top of being theoretically important.

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Titel: Bridges over Troubled Waters: Mapping the Interplay Between Anxiety, Depression and Stress Through Network Analysis of the DASS-21
Auteurs:: Nathan Van den Bergh
Igor Marchetti
Ernst H. W. Koster
Publicatiedatum: 14-09-2020
DOI: https://doi.org/10.1007/s10608-020-10153-w
Uitgeverij: Springer US
Tijdschrift: Cognitive Therapy and Research
Uitgave 1/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819

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Bridges over Troubled Waters: Mapping the Interplay Between Anxiety, Depression and Stress Through Network Analysis of the DASS-21

Electronic supplementary material

Publisher's Note

Abstract

Background

Methods

Results

Conclusions

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Conclusions

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BSL Psychologie Totaal

Andere artikelen Uitgave 1/2021

Emotion-in-Motion: An ABM Approach that Modifies Attentional Disengagement from, Rather than Attentional Engagement with, Negative Information

Cognitive Predictors of Depressive Symptoms: Cognitive Reactivity, Mood Reactivity, and Dysfunctional Attitudes

Development of the A-DISS Rejection Task to Demonstrate the Unique and Overlapping Affective Features of Social Anxiety and Depression

Residual Anxiety in Patients with Bipolar Disorder in Full or Partial Remission: Metacognitive Beliefs and Neurocognitive Function

Brief Training to Modify the Breadth of Attention Influences the Generalisation of Fear

Frontal tDCS and Emotional Reactivity to Negative Content: Examining the Roles of Biased Interpretation and Emotion Regulation