{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:32:44Z","timestamp":1776299564619,"version":"3.50.1"},"reference-count":67,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"unspecified","delay-in-days":313,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol Psychiatr Sci"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S2045796025100279_sec1a\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study employs a longitudinal network approach to investigate the dynamic relationships between COVID-19-related stressors and depressive symptoms among Canadian adults and to explore any sex and age differences in these associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796025100279_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study utilised data from the Canadian Longitudinal Study on Ageing (CLSA), a large, national, long-term study of Canadian adults aged 45 years and older. Depressive symptoms were measured using the Centre for Epidemiologic Studies Depression Scale (CES-D), and COVID-19-related stressors were evaluated using a standardised stress inventory adapted for the pandemic context. The cross-lagged panel network analysis (CLPN) was employed to examine the temporal relationships and dynamic interactions between depressive symptoms and COVID-19-related stressors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796025100279_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant variations in network structures and strengths were identified across demographic groups. Individuals aged between 45 and 65\u00a0years and females exhibited stronger connections between COVID-19-related stressors and depressive symptoms. Central symptoms such as \u201cfeeling unhappy\u201d were consistent across groups, while \u201cfeeling depressed\u201d was more central among males and \u201cincreased verbal or physical conflict\u201d among females. Additionally, health-related stressors and family separation emerged as critical bridge symptoms for males and individuals under 65 years, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796025100279_sec4d\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both cross-sectional and longitudinal relationships, and directionality between COVID-19-related stressors and depressive symptoms across sex and age groups were identified. The findings of the study highlight that dedicated mental health intervention and prevention efforts are warranted to ameliorate the negative impact of stressors on depressive symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s2045796025100279","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T09:02:33Z","timestamp":1762765353000},"source":"Crossref","is-referenced-by-count":1,"title":["Cross-sectional and longitudinal relationships between COVID-19 stressors and depressive symptoms across sex and age groups: findings from the Canadian longitudinal study on aging"],"prefix":"10.1017","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5788-0593","authenticated-orcid":false,"given":"Yingying","family":"Su","sequence":"first","affiliation":[{"name":"McGill University, Montreal"},{"name":"Douglas Research Centre, Montreal"},{"name":"Southern University of Science and Technology, 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