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022			_a 0279-3695
040			_cOCT
100			_aFord, Shannon
240			_aJournal of Psychological Nursing and mental health services _hJuly 2023
245			_aGut-brain axis perspective on negative symptoms and their neighbors in early adolescence / _cShannon H. Ford, Lorin Bruckner, Suzanne Thoyre, Maureen J. Baker, Robin Bartlet, Eric A. Hodges
260			_aThorofone, NJ _bSlack Inc. _c2023
300			_avol.61 (7): pages 29-38
500			_aAbstract: the current study investigated symptom network patterns in adolescents from a gut-brain axis (GBA) biopsychosocial perspective. Our secondary analysis of data from the Adolescent brain cognitive development study assessed symptom relationships using network analysis to provide information about multivariate structural dependencies among 41 signs and symptoms. Cross-sectional EBICglasso symptom networks were evaluated to assess patterns associated with anhedia and depressed mood. Significant differences were identified between symptom neighbors of anhedonia compared with depressed mood based on stratification by age. The GBA perspective revealed several symptom neighbors that ould expand clinical assessment, diagnosing criteria, education, and interventions for adolescents at risk for, or with, anhedonia or depressed mood. Results speak to the unique impact of symptoms on health that are not interchangeable with other symptoms and od not have equal effects. Mental health nurses should consider a holistic and proactive precision health approach to improving health and wellbeing through evidence-based assessment of symptom associations.
653			_a Early Adolescence
653			_aGut-brain axis
700			_aBruckner, Lorin
700			_aThoyre, suzanne
700			_aBaker, Maureen
700			_aBartlett, Robin
700			_aHodges, Eric A.
942			_2ddc _cCR _n0
999			_c9262 _d9262