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Network analysis of depressive and anxiety symptoms in adolescents during and after the COVID-19 outbreak peak
Liu, Rui1,2,3,4; Chen, Xu1; Qi, Han1; Feng, Yuan1; Su, Zhaohui5; Cheung, Teris6; Jackson, Todd7; Lei, Hui8; Zhang, Ling1; Xiang, Yu Tao2,3,4
2022-03-15
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume301Pages:463-471
Abstract

Background: This study examined the extent to which the network structure of anxiety and depression among adolescents identified during the peak of the COVID-19 pandemic could be cross-validated in a sample of adolescents assessed after the COVID-19 peak.

Methods: Two cross-sectional surveys were conducted between February 20 and 27, 2020 and between April 11 and 19, 2020, respectively. Depressive and anxiety symptoms were assessed using the 20-item Center for Epidemiological Studies-Depression and 7-item Generalized Anxiety Disorder, respectively. Anxiety-depression networks of the first and second assessments were estimated separately using a sparse Graphical Gaussian Model combined with the graphical least absolute shrinkage and selection operator method. A Network Comparison Test was conducted to assess differences between the two networks.

Results: The most central symptoms in the first and second survey networks were Depressed affect and Nervousness. Compared with connections in the first survey network, connections in the second survey network analysis between Relax-Nervousness-Depressed affect-Interpersonal problems (diff, contrast: second survey-first survey. diff=-0.04, P = 0.04; diff=-0.03, P = 0.03; diff=-0.03, P = 0.04), and Irritability-Somatic complaints (diff=-0.04, P = 0.02) were weaker while connections of Somatic complaints-Nervousness (diff=0.05, P<0.001), Somatic complaints-Depressed affect (diff=0.03, P = 0.009), and Irritability-Control worry-Restlessness (diff=0.02, P = 0.03; diff=0.05, P = 0.02) were stronger.

Conclusions: Depressed affect emerged as a robust central symptom and bridge symptom across Anxiety Depression networks. Considering the negative impact of depression and anxiety on daily life, timely interventions targeting depressed affect should be implemented to reduce the co-occurrence of anxious and depressive symptoms among adolescents during the COVID-19 pandemic.

KeywordAdolescent Anxiety Covid-19 Depression Network Analysis
DOI10.1016/j.jad.2021.12.137
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000748665000011
Scopus ID2-s2.0-85123203051
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Citation statistics
Cited Times [WOS]:4   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Faculty of Health Sciences
Corresponding AuthorZhang, Ling; Xiang, Yu Tao
Affiliation1.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
2.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
3.Center for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
4.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
5.Center on Smart and Connected Health Technologies, Mays Cancer Center, School of Nursing, UT Health San Antonio, San Antonio, United States
6.School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, Hong Kong
7.Department of Psychology, University of Macau, Macao SAR, China
8.College of Education, Hunan Agricultural University, Changsha, China
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Liu, Rui,Chen, Xu,Qi, Han,et al. Network analysis of depressive and anxiety symptoms in adolescents during and after the COVID-19 outbreak peak[J]. Journal of Affective Disorders,2022,301:463-471.
APA Liu, Rui,Chen, Xu,Qi, Han,Feng, Yuan,Su, Zhaohui,Cheung, Teris,Jackson, Todd,Lei, Hui,Zhang, Ling,&Xiang, Yu Tao.(2022).Network analysis of depressive and anxiety symptoms in adolescents during and after the COVID-19 outbreak peak.Journal of Affective Disorders,301,463-471.
MLA Liu, Rui,et al."Network analysis of depressive and anxiety symptoms in adolescents during and after the COVID-19 outbreak peak".Journal of Affective Disorders 301(2022):463-471.
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