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Associations between depressive symptoms and quality of life among residents of Wuhan, China during the later stage of the COVID-19 pandemic: A network analysis
Zhao, Yan Jie1,2,3; Zhang, Shu Fang4,5; Li, Wen6,7; Zhang, Ling1; Guo, Tong1; Cheung, Teris8; Jackson, Todd9; Yang, Bing Xiang10; Xiang, Yu Tao2,3
2022-09-02
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume318Pages:456-464
Abstract

Background: Various populations have experienced significant increases in depression and decreased quality of life (QOL) during the coronavirus disease 2019 (COVID-19) pandemic. This network analysis study was designed to elucidate interconnections between particular depressive symptoms and different aspects of QOL and identify the most clinically important symptoms in this network among adults in Wuhan China, the initial epicenter of the COVID-19 pandemic. Methods: This cross-sectional, convenience-sampling study (N = 2459) was conducted between May 25 to June 18, 2020, after the lockdown policy had been lifted in Wuhan. Depressive symptoms and QOL were measured with the Patient Health Questionnaire-9 (PHQ-9) and first two items of the World Health Organization Quality of Life Questionnaire - brief version (WHOQOL-BREF), respectively. A network structure was constructed from the extended Bayesian Information Criterion (EBIC) model. Network centrality strength and bridge strength were evaluated along with the stability of the derived network model. Results: Loss of energy (DEP-4) and Guilt feelings (DEP-6) were the two central symptoms with the highest strength as well as the two most prominent bridge symptoms connecting the clusters of depression and quality of life (QOL) in tandem with the two nodes from the QOL cluster. Network structure and bridge strengths remained stable after randomly dropping 75 % of the sample. Conclusion: Interventions targeting “Loss of energy” and “Guilt feelings” should be evaluated as strategies for reducing depressive symptoms and promoting improved QOL in COVID-19-affected populations.

KeywordDepression Later Stage Of Covid-19 Network Analysis Quality Of Life
DOI10.1016/j.jad.2022.08.104
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000888755200027
PublisherELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS
Scopus ID2-s2.0-85138043306
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Faculty of Health Sciences
DEPARTMENT OF PSYCHOLOGY
Institute of Translational Medicine
Co-First AuthorZhao, Yan Jie; Zhang, Shu Fang
Corresponding AuthorYang, Bing Xiang; Xiang, Yu Tao
Affiliation1.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
2.Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
3.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
4.Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, Hubei province, China
5.Department of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei province, China
6.Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, China
7.Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, China
8.School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, Hong Kong
9.Department of Psychology, University of Macau, Macao SAR, China
10.School of Nursing, Wuhan University, Wuhan, Hubei province, China
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Zhao, Yan Jie,Zhang, Shu Fang,Li, Wen,et al. Associations between depressive symptoms and quality of life among residents of Wuhan, China during the later stage of the COVID-19 pandemic: A network analysis[J]. Journal of Affective Disorders, 2022, 318, 456-464.
APA Zhao, Yan Jie., Zhang, Shu Fang., Li, Wen., Zhang, Ling., Guo, Tong., Cheung, Teris., Jackson, Todd., Yang, Bing Xiang., & Xiang, Yu Tao (2022). Associations between depressive symptoms and quality of life among residents of Wuhan, China during the later stage of the COVID-19 pandemic: A network analysis. Journal of Affective Disorders, 318, 456-464.
MLA Zhao, Yan Jie,et al."Associations between depressive symptoms and quality of life among residents of Wuhan, China during the later stage of the COVID-19 pandemic: A network analysis".Journal of Affective Disorders 318(2022):456-464.
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