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Depression, anxiety and suicidality among Chinese mental health professionals immediately after China's dynamic zero-COVID policy: A network perspective
Chen, Meng Yi1,2; Chen, Pan1,2; An, Feng Rong3; Sha, Sha3; Feng, Yuan3; Su, Zhaohui4; Cheung, Teris5; Ungvari, Gabor S.6,7; Ng, Chee H.8; Zhang, Ling3; Xiang, Yu Tao1,2
2024-05-01
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume352Pages:153-162
Abstract

Background: Using network analysis, the interactions between mental health problems at the symptom level can be explored in depth. This study examined the network structure of depressive and anxiety symptoms and suicidality among mental health professionals after the end of China's Dynamic Zero-COVID Policy. Methods: A total of 10,647 mental health professionals were recruited nationwide from January to February 2023. Depression and anxiety were assessed using the 9-item Patient Health Questionnaire (PHQ-9) and 7-item Generalized Anxiety Disorder Scale (GAD-7), respectively, while suicidality was defined by a ‘yes’ response to any of the standard questions regarding suicidal ideation (SI), suicide plan (SP) and suicide attempt (SA). Expected Influence (EI) and Bridge Expected Influence (bEI) were used as centrality indices in the symptom network to characterize the structure of the symptoms. Results: The prevalence of depression, anxiety, and suicidality were 45.99 %, 28.40 %, and 7.71 %, respectively. The network analysis identified GAD5 (“Restlessness”) as the most central symptom, followed by PHQ4 (“Fatigue”) and GAD7 (“Feeling afraid”). Additionally, PHQ6 (“Guilt”), GAD5 (“Restlessness”), and PHQ8 (“Motor disturbance”) were bridge nodes linking depressive and anxiety symptoms with suicidality. The flow network indicated that the strongest connections of S (“Suicidality”) was with PHQ6 (“Guilt”), GAD7 (“Feeling afraid”), and PHQ2 (“Sad mood”). Conclusions: Depression, anxiety, and suicidality among mental health professionals were highly prevalent after China's Dynamic Zero-COVID Policy ended. Effective measures should target central and bridge symptoms identified in this network model to address the mental health problems in those at-risk.

KeywordAnxiety Covid-19 Depression Mental Health Professionals Suicidality
DOI10.1016/j.jad.2024.01.270
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:001199460300001
PublisherELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS
Scopus ID2-s2.0-85185574812
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionInstitute of Translational Medicine
Faculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Co-First AuthorChen, Meng Yi; Chen, Pan; An, Feng Rong
Corresponding AuthorNg, Chee H.; Zhang, Ling; 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.Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
4.School of Public Health, Southeast University, Nanjing, China
5.School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China
6.Psychiatry Section, University of Notre Dame Australia, Fremantle, Australia
7.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
8.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
Chen, Meng Yi,Chen, Pan,An, Feng Rong,et al. Depression, anxiety and suicidality among Chinese mental health professionals immediately after China's dynamic zero-COVID policy: A network perspective[J]. Journal of Affective Disorders, 2024, 352, 153-162.
APA Chen, Meng Yi., Chen, Pan., An, Feng Rong., Sha, Sha., Feng, Yuan., Su, Zhaohui., Cheung, Teris., Ungvari, Gabor S.., Ng, Chee H.., Zhang, Ling., & Xiang, Yu Tao (2024). Depression, anxiety and suicidality among Chinese mental health professionals immediately after China's dynamic zero-COVID policy: A network perspective. Journal of Affective Disorders, 352, 153-162.
MLA Chen, Meng Yi,et al."Depression, anxiety and suicidality among Chinese mental health professionals immediately after China's dynamic zero-COVID policy: A network perspective".Journal of Affective Disorders 352(2024):153-162.
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