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Anxiety and depressive symptoms in college students during the late stage of the COVID-19 outbreak: a network approach
Bai, Wei1,2,3; Cai, Hong1,2,3; Liu, Shou4; Chen, Xu5; Sha, Sha5; Cheung, Teris6; Lin, Jessie Jingxia7; Cui, Xiling8; Ng, Chee H.9; Xiang, Yu Tao1,2,3
2021-12-17
Source PublicationTranslational Psychiatry
ISSN2158-3188
Volume11Issue:1Pages:638
Abstract

Mental health problems are common in college students even in the late stage of the coronavirus disease 2019 (COVID-19) outbreak. Network analysis is a novel approach to explore interactions of mental disorders at the symptom level. The aim of this study was to elucidate characteristics of depressive and anxiety symptoms network in college students in the late stage of the COVID-19 outbreak. A total of 3062 college students were included. The seven-item Generalized Anxiety Disorder Scale (GAD-7) and nine-item Patient Health Questionnaire (PHQ-9) were used to measure anxiety and depressive symptoms, respectively. Central symptoms and bridge symptoms were identified based on centrality and bridge centrality indices, respectively. Network stability was examined using the case-dropping procedure. The strongest direct relation was between anxiety symptoms “Nervousness” and “Uncontrollable worry”. “Fatigue” has the highest node strength in the anxiety and depression network, followed by “Excessive worry”, “Trouble relaxing”, and “Uncontrollable worry”. “Motor” showed the highest bridge strength, followed by “Feeling afraid” and “Restlessness”. The whole network was robust in both stability and accuracy tests. Central symptoms “Fatigue”, “Excessive worry”, “Trouble relaxing” and “Uncontrollable worry”, and critical bridge symptoms “Motor”, “Feeling afraid” and “Restlessness” were highlighted in this study. Targeting interventions to these symptoms may be important to effectively alleviate the overall level of anxiety and depressive symptoms in college students.

DOI10.1038/s41398-021-01738-4
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000731253800002
Scopus ID2-s2.0-85121522049
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionInstitute of Translational Medicine
Faculty of Health Sciences
INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Co-First AuthorBai, Wei; Cai, Hong
Corresponding AuthorSha, Sha; 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, SAR, China
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao, SAR, China. 3 Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao, SAR, China
3.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao, SAR, China
4.Department of Public Health, Medical College, Qinghai University, Xining, Qinghai Province, China
5.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
6.School of Nursing, Hong Kong Polytechnic University, Hong Kong
7.Department of Rehabilitation Sciences, & Mental Health Research Centre, Hong Kong Polytechnic University, Hong Kong
8.Department of Business Administration, Hong Kong Shue Yan University, Hong Kong
9.Department of Psychiatry, The Melbourne Clinic and St Vincent’s Hospital, University of Melbourne, Richmond, Australia
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Bai, Wei,Cai, Hong,Liu, Shou,et al. Anxiety and depressive symptoms in college students during the late stage of the COVID-19 outbreak: a network approach[J]. Translational Psychiatry, 2021, 11(1), 638.
APA Bai, Wei., Cai, Hong., Liu, Shou., Chen, Xu., Sha, Sha., Cheung, Teris., Lin, Jessie Jingxia., Cui, Xiling., Ng, Chee H.., & Xiang, Yu Tao (2021). Anxiety and depressive symptoms in college students during the late stage of the COVID-19 outbreak: a network approach. Translational Psychiatry, 11(1), 638.
MLA Bai, Wei,et al."Anxiety and depressive symptoms in college students during the late stage of the COVID-19 outbreak: a network approach".Translational Psychiatry 11.1(2021):638.
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