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14-09-2020 | Original Paper

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

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2021

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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The study was conducted on the data set made available on February 21st 2019, which was accessed on May 25th 2019.

Similar results were obtained when the full data set was analyzed (see the section “Comparison between the selected and the original samples”).

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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
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 1/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10153-w

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