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Network Analysis of Depressive Symptoms Among Residents of Wuhan in the Later Stage of the COVID-19 Pandemic
Zhao, Na1,2,3; Li, Wen4; Zhang, Shu Fang5,6; Yang, Bing Xiang7; Sha, Sha8; Cheung, Teris9; Jackson, Todd10; Zang, Yu Feng2,3; Xiang, Yu Tao1,11,12
2021-09-30
Source PublicationFrontiers in Psychiatry
ISSN1664-0640
Volume12Issue:735973
Other Abstract

Background: Depression has been a common mental health problem during the COVID-19 epidemic. From a network perspective, depression can be conceptualized as the result of mutual interactions among individual symptoms, an approach that may elucidate the structure and mechanisms underlying this disorder. This study aimed to examine the structure of depression among residents in Wuhan, the epicenter of the COVID-19 outbreak in China, in the later stage of the COVID-19 pandemic. Methods: A total of 2,515 participants were recruited from the community via snowball sampling. The Patient Health Questionnaire was used to assess self-reported depressive symptoms with the QuestionnaireStar program. The network structure and relevant centrality indices of depression were examined in this sample. Results: Network analysis revealed Fatigue, Sad mood, Guilt and Motor disturbances as the most central symptoms, while Suicide and Sleep problems had the lowest centrality. No significant differences were found between women and men regarding network structure (maximum difference = 0.11, p = 0.44) and global strength (global strength difference = 0.04; female vs. male: 3.78 vs. 3.83, p = 0.51), a finding that suggests there are no gender differences in the structure or centrality of depressive symptoms. Limitations: Due to the cross-sectional study design, causal relationships between these depressive symptoms or dynamic changes in networks over time could not be established. Conclusions: Fatigue, Sad mood, Guilt, and Motor disturbances should be prioritized as targets in interventions and prevention efforts to reduce depression among residents in Wuhan, in the later stage of the COVID-19 pandemic.

KeywordDepression Network Analysis Covid-19 Wuhan Mental Health
DOI10.3389/fpsyt.2021.735973
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000707505900001
PublisherFRONTIERS MEDIA SA, AVENUE DU TRIBUNAL FEDERAL 34, LAUSANNE CH-1015, SWITZERLAND
Scopus ID2-s2.0-85117092905
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
DEPARTMENT OF PSYCHOLOGY
INSTITUTE OF COLLABORATIVE INNOVATION
INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
Co-First AuthorZhao, Na; Li, Wen; Zhang, Shu Fang; Yang, Bing Xiang
Corresponding AuthorZang, Yu Feng; Xiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao
2.Center for Cognition and Brain Disorders, Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China
3.Institute of Psychological Sciences, Hangzhou Normal University, Hangzhou, China
4.Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, China
5.Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China
6.Department of Psychiatry, Wuhan Mental Health Center, Wuhan, China
7.School of Health Sciences, Wuhan University, Wuhan, China
8.The National Clinical Research Center for Mental Disorders Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
9.School of Nursing, Hong Kong Polytechnic University, Hong Kong, Hong Kong
10.Department of Psychology, University of Macau, Macao
11.Centre for Cognitive and Brain Sciences, University of Macau, Macao
12.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao
First Author AffilicationFaculty of Health Sciences
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Zhao, Na,Li, Wen,Zhang, Shu Fang,et al. Network Analysis of Depressive Symptoms Among Residents of Wuhan in the Later Stage of the COVID-19 Pandemic[J]. Frontiers in Psychiatry, 2021, 12(735973).
APA Zhao, Na., Li, Wen., Zhang, Shu Fang., Yang, Bing Xiang., Sha, Sha., Cheung, Teris., Jackson, Todd., Zang, Yu Feng., & Xiang, Yu Tao (2021). Network Analysis of Depressive Symptoms Among Residents of Wuhan in the Later Stage of the COVID-19 Pandemic. Frontiers in Psychiatry, 12(735973).
MLA Zhao, Na,et al."Network Analysis of Depressive Symptoms Among Residents of Wuhan in the Later Stage of the COVID-19 Pandemic".Frontiers in Psychiatry 12.735973(2021).
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