Suicidality is most centrally situated within network of depression symptom criteria in unipolar depression patients with mood stabilizer in Asia

Jin Woong Yoon, Eunkyung Kim, Narae Jeong, Minseok Kang, Han Seul Kim, Seonjae Lee, Hyung Jun Yoon, Seung Gon Kim, Euihyeon Na, Hyunju Yang, Joon Hyuk Park, Shu Yu Yang, Shih Ku Lin, Xiaomin Zhu, Yu Tao Xiang, Kang Sim, Chay Hoon Tan, Sandeep Grover, Ajit Avasthi, Roy Abraham KallivayalilMargarita M. Maramis, Kok Yoon Chee, Pornjira Pariwatcharakul, Tin Oo, Takahiro A. Kato, Afzal Javed, Mian Yoon Chong, Norman Sartorius, Naotaka Shinfuku, Jeongsoo Park, Seon Cheol Park

Research output: Contribution to journalArticlepeer-review

Abstract

Lithium and mood stabilizers are considered effective augmentation agents of antidepressants for treatment-resistant depression. Thus, this study aimed to estimate the network structure of depression symptom criteria among unipolar depression patients with mood stabilizers, using data from the Research on Asian Psychotropic Prescription Patterns for mood stabilizers (REAP-MS). We estimated a network of the 9 depression symptom criteria among 411 unipolar depression patients in Asia. Each of the depression symptom criteria was considered to be a dichotomous categorical variable. Suicidality (suicidal ideation or attempt) was the most centrally situated within the network of depression symptoms, followed by depressed mood, loss of energy, anhedonia and weight loss or gain. Contrastingly, concentration problem was the least interconnected. The depression symptom criteria were organized into 4 clusters by the community detection method. The findings suggest that suicidality may be one of the significant therapeutic target symptoms in unipolar depression patients with mood stabilizers.

Original languageEnglish
Article number104197
JournalAsian Journal of Psychiatry
Volume101
DOIs
Publication statusPublished - Nov 2024

Keywords

  • Asia
  • Lithium
  • Mood stabilizer
  • Network analysis
  • Suicidality
  • Unipolar depression

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