Evidence map›Paper›PMID 42359148›Full record

ArticleFrontiers in public health2026

Network analysis of sleep disorders, anxiety, and loneliness among the community-dwelling older adults.

Xiaonan Li, Lin Mao

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Xiaonan LiSchool of Sociology, Guizhou Minzu University, Guiyang, China.
Lin MaoSchool of Management, North Sichuan Medical College, Nanchong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To explore the relationships among sleep disorders, loneliness, and anxiety in community-dwelling older adults, and to provide empirical evidence for developing targeted intervention strategies to improve their overall health. Methods: A total of 1,637 community-dwelling older adults were recruited from Nanchong through convenience sampling. Sleep disorders, anxiety, and loneliness were assessed using the Pittsburgh Sleep Quality Index (PSQI), the Generalized Anxiety Disorder 7-item Scale (GAD-7), and the short form of the UCLA Loneliness Scale (ULS-8), respectively. Network analysis was conducted using R 4.5.1 to examine the symptom-level associations among sleep disorders, anxiety, and loneliness. Results: Most symptoms of sleep disorders, anxiety, and loneliness were positively correlated, forming a highly interconnected Gaussian graphical model (GGM) comorbidity network. In the GGM network, PSQI4, GAD2, and PSQI2 were identified as core symptoms, while PSQI4, ULS5, and PSQI2 were identified as bridge symptoms. Bayesian network analysis showed that ULS3 was the upstream node in the directed acyclic graph and pointed to 10 nodes, while GAD1 did not point to any nodes. Network comparison analysis further revealed no significant gender differences in the comorbidity network among older adults. Conclusion: This study provides a deeper understanding of the symptom-level relationships among sleep disorders, loneliness, and anxiety in community-dwelling older adults. The core and bridge symptoms identified in the GGM network may serve as key targets for the prevention and treatment of this comorbidity. In addition, the upstream node identified in the Bayesian network may provide useful insights for future longitudinal research and the development of interventions aimed at improving the overall health of community-dwelling older adults.

Indexed as

AnxietyIndependent LivingLonelinessSleep Wake DisordersAgedAged, 80 and overChinaFemaleGeneralized Anxiety DisorderHumansMaleanxietycommunity-dwelling older adultslonelinessnetwork analysissleep disorderssymptom

Identifiers

PMID42359148
PMCPMC13290629

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.