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Mapping Network Connectivity Among Symptoms of Depression and Pain in Wuhan Residents During the Late-Stage of the COVID-19 Pandemic
Yuan Yang1; Shu Fang Zhang2,3; Bing Xiang Yang4; Wen Li5; Sha Sha6; Fu Jun Jia1; Teris Cheung7; De Xing Zhang8; Chee H. Ng9; Yu Tao Xiang10,11,12
2022-03-17
Source PublicationFrontiers in Psychiatry
Volume13
Abstract

Background: Symptoms of depression and pain often overlap, and they negatively influence the prognosis and treatment outcome of both conditions. However, the comorbidity of depression and pain has not been examined using network analysis, especially in the context of a pandemic. Thus, we mapped out the network connectivity among the symptoms of depression and pain in Wuhan residents in China during the late stage of the COVID-19 pandemic. Methods: This cross-sectional study was conducted from May 25, 2020 to June 18, 2020 in Wuhan, China. Participants' depressive and pain symptoms were assessed using the 9-item Patient Health Questionnaire (PHQ9) and a pain numeric rating scale (NRS), respectively. Network analyses were performed. Results: In total, 2,598 participants completed all assessments. PHQ4 (fatigue) in the depression community showed the highest strength value, followed by PHQ6 (worthlessness) and PHQ2 (depressed or sad mood). PHQ4 (fatigue) was also the most key bridge symptom liking depression and pain, followed by PHQ3 (sleep difficulties). There were no significant differences in network global strength (females: 4.36 vs. males: 4.29; S = 0.075, P = 0.427), network structure-distribution of edge weights (M = 0.12, P = 0.541), and individual edge weights between male and female participants. Conclusion: Depressive and pain symptoms showed strong cross-association with each other. “Fatigue” was the strongest central and bridge symptom in the network model, while “sleep difficulties” was the second strongest bridge symptom. Targeting treatment of both fatigue and sleep problems may help improve depressive and pain symptoms in those affected.

KeywordChinese Covid-19 Depression Network Analysis Pain
DOI10.3389/fpsyt.2022.814790
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000777782000001
Scopus ID2-s2.0-85127924860
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Citation statistics
Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorChee H. Ng; Yu Tao Xiang
Affiliation1.Guangdong Mental Health Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
2.Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China
3.Department of Psychiatry, Wuhan Mental Health Center, Wuhan, China
4.School of Nursing, Wuhan University, Wuhan, China
5.Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, China
6.Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital, The National Clinical Research Center for Mental Disorders, The Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing, China
7.School of Nursing, Hong Kong Polytechnic University, Hong Kong
8.The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong
9.Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, Australia
10.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Faculty of Health Sciences, Institute of Translational Medicine, 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
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Yuan Yang,Shu Fang Zhang,Bing Xiang Yang,et al. Mapping Network Connectivity Among Symptoms of Depression and Pain in Wuhan Residents During the Late-Stage of the COVID-19 Pandemic[J]. Frontiers in Psychiatry, 2022, 13.
APA Yuan Yang., Shu Fang Zhang., Bing Xiang Yang., Wen Li., Sha Sha., Fu Jun Jia., Teris Cheung., De Xing Zhang., Chee H. Ng., & Yu Tao Xiang (2022). Mapping Network Connectivity Among Symptoms of Depression and Pain in Wuhan Residents During the Late-Stage of the COVID-19 Pandemic. Frontiers in Psychiatry, 13.
MLA Yuan Yang,et al."Mapping Network Connectivity Among Symptoms of Depression and Pain in Wuhan Residents During the Late-Stage of the COVID-19 Pandemic".Frontiers in Psychiatry 13(2022).
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