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Network analysis of depressive symptoms in Hong Kong residents during the COVID-19 pandemic
Cheung, Teris1; Jin, Yu2; Lam, Simon1; Su, Zhaohui3; Hall, Brian J.4,5; Xiang, Yu-Tao6,7,8
2021-09
Source PublicationTRANSLATIONAL PSYCHIATRY
ISSN2158-3188
Volume11Issue:1
Abstract

In network theory depression is conceptualized as a complex network of individual symptoms that influence each other, and central symptoms in the network have the greatest impact on other symptoms. Clinical features of depression are largely determined by sociocultural context. No previous study examined the network structure of depressive symptoms in Hong Kong residents. The aim of this study was to characterize the depressive symptom network structure in a community adult sample in Hong Kong during the COVID-19 pandemic. A total of 11,072 participants were recruited between 24 March and 20 April 2020. Depressive symptoms were measured using the Patient Health Questionnaire-9. The network structure of depressive symptoms was characterized, and indices of "strength", "betweenness", and "closeness" were used to identify symptoms central to the network. Network stability was examined using a case-dropping bootstrap procedure. Guilt, Sad Mood, and Energy symptoms had the highest centrality values. In contrast, Concentration, Suicide, and Sleep had lower centrality values. There were no significant differences in network global strength (p = 0.259), distribution of edge weights (p = 0.73) and individual edge weights (all p values > 0.05 after Holm-Bonferroni corrections) between males and females. Guilt, Sad Mood, and Energy symptoms were central in the depressive symptom network. These central symptoms may be targets for focused treatments and future psychological and neurobiological research to gain novel insight into depression.

DOI10.1038/s41398-021-01543-z
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000694225400002
Scopus ID2-s2.0-85114750044
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
Institute of Translational Medicine
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Corresponding AuthorCheung, Teris; Xiang, Yu-Tao
Affiliation1.Hong Kong Polytech Univ, Sch Nursing, Hong Kong, Peoples R China
2.Beijing Normal Univ, Coll Educ Future, Beijing, Peoples R China
3.UT Hlth San Antonio, Sch Nursing, Mays Canc Ctr, Ctr Smart & Connected Hlth Technol, San Antonio, TX USA
4.New York Univ Shanghai, Global & Community Mental Hlth Res Grp, Shanghai, Peoples R China
5.NYU, Sch Global Publ Hlth, New York, NY USA
6.Univ Macau, Fac Hlth Sci, Inst Translat Med, Dept Publ Hlth & Med Adm,Unit Psychiat, Macau, Peoples R China
7.Univ Macau, Ctr Cognit & Brain Sci, Macau, Peoples R China
8.Univ Macau, Inst Adv Studies Humanities & Social Sci, Macau, Peoples R China
Corresponding Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Cheung, Teris,Jin, Yu,Lam, Simon,et al. Network analysis of depressive symptoms in Hong Kong residents during the COVID-19 pandemic[J]. TRANSLATIONAL PSYCHIATRY, 2021, 11(1).
APA Cheung, Teris., Jin, Yu., Lam, Simon., Su, Zhaohui., Hall, Brian J.., & Xiang, Yu-Tao (2021). Network analysis of depressive symptoms in Hong Kong residents during the COVID-19 pandemic. TRANSLATIONAL PSYCHIATRY, 11(1).
MLA Cheung, Teris,et al."Network analysis of depressive symptoms in Hong Kong residents during the COVID-19 pandemic".TRANSLATIONAL PSYCHIATRY 11.1(2021).
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