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Exploring symptom-level associations between anxiety and depression across developmental stages of adolescence: a network analysis approach
He, Yunhan1,2; Wu, Chengrui3,4; LeMoult, Joelle5; Huang, Jiasheng6; Zhao, Yue1,2; Liang, Kaixin7; Chen, Shiyun4; Wang, Enna8; Huang, Liuyue7; Chi, Xinli1,2
2023-12
Source PublicationBMC Psychiatry
ISSN1471-244X
Volume23Issue:1Pages:941
Abstract

Background: Anxiety and depression often co-occur during adolescence, but the associations between symptoms of these two disorders in this developmental period are not yet fully understood. Network analysis provides a valuable approach to uncover meaningful associations among symptoms and offers insights for prevention and intervention strategies. This study aimed to investigate symptom-level associations between anxiety and depression using network analysis and to identify core symptoms, bridge symptoms, and differences in network structure across different stages of adolescence. Methods: The cross-sectional study was conducted in March 2022 in Shenzhen, China. Participants completed the Generalized Anxiety Disorder Scale-7 and Patient Health Questionnaire Depression Scale, along with demographic questionnaires assessing age and gender. Chinese adolescents aged 10 to 17 who were in Grades 5 or 6 of elementary school, Grades 1 or 2 of middle school, or Grades 1 or 2 of high school, and who could comprehensively understand and read Chinese were recruited as participants. Students in Grade 3 of middle and high schools were excluded due to their upcoming high school or college entrance examinations. Based on age, participants were categorized into early, middle, and late developmental stages of adolescence. Results: “Loss of control” was among the most central symptoms in the comorbidity network throughout all three developmental stages; “excessive worry” and “anhedonia” emerged as the core symptoms in early adolescence, and “restlessness” as the core symptom in late adolescence. “Anhedonia,” “sad mood,” and “fatigue” were identified as bridge symptoms between anxiety and depression across all three developmental stages of adolescence. The global strength of the network in middle adolescence was significantly higher compared to the other two stages. Conclusion: These findings highlight the core and bridge symptoms that require special attention and intervention at each stage of adolescence. Moreover, significantly higher network connectivity in middle adolescence suggests this is a critical period for intervention to prevent the development of comorbid mental disorders.

KeywordAdolescence Anxiety Comorbidity Depression Network Analysis
DOI10.1186/s12888-023-05449-6
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:001126305800003
PublisherBMC, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND
Scopus ID2-s2.0-85179689957
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Corresponding AuthorChi, Xinli
Affiliation1.School of psychology, Shenzhen University, Shenzhen, No. 3688, Nanhai Avenue, Nanshan District, Guangdong, 518060, China
2.The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen, China
3.Graduate School of Education, University of Pennsylvania, Philadelphia, United States
4.Department of Applied Social Science, The Hong Kong Polytechnic University, Hong Kong
5.Department of Psychology, University of British Columbia, Vancouver, Canada
6.Department of Psychology, Sun Yat-sen University, Guangzhou, China
7.Department of Psychology, Faculty of Social Sciences, University of Macau, Macao
8.School of Psychology, Northwest Normal University, Lanzhou, China
Recommended Citation
GB/T 7714
He, Yunhan,Wu, Chengrui,LeMoult, Joelle,et al. Exploring symptom-level associations between anxiety and depression across developmental stages of adolescence: a network analysis approach[J]. BMC Psychiatry, 2023, 23(1), 941.
APA He, Yunhan., Wu, Chengrui., LeMoult, Joelle., Huang, Jiasheng., Zhao, Yue., Liang, Kaixin., Chen, Shiyun., Wang, Enna., Huang, Liuyue., & Chi, Xinli (2023). Exploring symptom-level associations between anxiety and depression across developmental stages of adolescence: a network analysis approach. BMC Psychiatry, 23(1), 941.
MLA He, Yunhan,et al."Exploring symptom-level associations between anxiety and depression across developmental stages of adolescence: a network analysis approach".BMC Psychiatry 23.1(2023):941.
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