Network analysis of the symptom structure and associated factors of subjective cognitive decline among middle-aged and older adults
10.3969/j.issn.1000-6729.2025.08.07
- VernacularTitle:中老年人群主观认知衰退症状及其影响因素的网络分析
- Author:
Yangziye GUO
1
;
Yu SUN
;
Xingmeng NIU
;
Yan QIN
;
Zhaorui LIU
;
Yueqin HUANG
;
Yan LIU
;
Fuqin MU
Author Information
1. 山东第一医科大学(山东省医学科学院),公共卫生与健康管理学院,济南 250117;济宁医学院公共卫生学院,山东济宁 272013
- Publication Type:Journal Article
- Keywords:
subjective cognitive decline;
middle-aged and older aldults;
network analysis;
influencing factor
- From:
Chinese Mental Health Journal
2025;39(8):705-712
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the symptom network structure of subjective cognitive decline(SCD)and its associated factors in middle-aged and older adults.Methods:A cross-sectional study was conducted among 8,262 community residents aged 45 years and over in Shandong Province(Jining,Weifang,and Zoucheng).SCD was assessed using the 8-item Ascertain Dementia(AD8)questionnaire,while mental health status was evaluated with Patient Health Questionnaire-9 and General Anxiety Disorder-7.SPSS and R were applied to construct the SCD symptom network model and examine its association with psychological factors.Results:The prevalence of SCD was 24.53％."Difficulty using household appliances"emerged as the core symptom,with the strongest connections to"forgetting appointments"(edge=2.13)and"declining daily memory and thinking ability".Additionally,"poor self-rated mental health"was most strongly linked to"loss of interest,change in hobbies and reduced activities"(edge=0.38).Conclusion:SCD symptoms in middle-aged and older adults exhibits strong interconnections and are closely linked to the individual's mental health condition.
