Network analysis of anxiety,depression,stress symptoms and psychological resilience among men who have sex with men
10.13406/j.cnki.cyxb.003787
- VernacularTitle:男男性行为者中焦虑、抑郁、压力症状与心理弹性的网络分析
- Author:
Guohui YANG
1
;
Wenbin GU
;
Guichuan LAI
;
Hui LIU
;
Wei WANG
;
Anchao SONG
;
Xiaoni ZHONG
Author Information
1. 重庆医科大学公共卫生学院流行病与卫生统计教研室,重庆 400016
- Keywords:
anxiety;
depression;
stress;
psychological resilience;
network analysis;
men who have sex with men
- From:
Journal of Chongqing Medical University
2025;50(9):1149-1155
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the characteristics of depression,anxiety,and stress symptoms among Chinese men who have sex with men(MSM),to determine the links of psychological resilience with these symptoms at the symptom level,and to provide insights for tailoring mental health intervention measures for MSM.Methods:A cross-sectional survey was conducted in southwestern China(Chongqing and Sichuan)from May to August 2022.The Depression,Anxiety,and Stress Scale-21 was used to assess mental health-related symptoms in MSM.Psychological resilience was evaluated using the brief version of the Connor-Davidson Resilience Scale.A regularized partial correlation network was constructed,and then a Bayesian network was established to identify potential causal rela-tionships in symptoms.A flow network was used to explore the link between psychological resilience and symptoms of anxiety,depres-sion,and stress.Results:A total of 938 MSM were included in the analysis.The proportion of MSM with depression,anxiety,and stress was 29.74%."Panic","scared","no relax",and"down-hearted"showed high expected influence.Bridging symptoms were"panic","down-hearted",and"agitated".Central and bridging symptoms also appeared at the top of the Bayesian network.Psychological resil-ience was negatively correlated with"no initiative","down-hearted","meaningless","panic",and"no relax".Conclusion:Central symptoms"panic","scared","no relax",and"down-hearted",as well as bridging symptoms"panic","down-hearted",and"agi-tated"are identified through network analysis.The potential causal priority of these symptoms is prominent.Interventions tailored to central and bridging symptoms may be effective,and interventions for enhancing psychological resilience may alleviate negative emotion-related symptoms,especially depressive symptoms in the MSM population.
