Residential College | false |
Status | 已發表Published |
Network analysis of anxiety and depressive symptoms among nursing students during the COVID-19 pandemic✰ | |
Bai, Wei1,2,3; Xi, Hai Tao4; Zhu, Qianqian5,6; Ji, Mengmeng7; Zhang, Hongyan8; Yang, Bing Xiang9; Cai, Hong1,2,3; Liu, Rui6; Zhao, Yan Jie1,2,3; Chen, Li4; Ge, Zong Mei4; Wang, Zhiwen7; Han, Lin8; Chen, Pan9; Liu, Shuo9; Cheung, Teris10; Tang, Yi Lang11,12; Jackson, Todd13; An, Fengrong6; Xiang, Yu Tao1,2,3 | |
2021-11-01 | |
Source Publication | Journal of Affective Disorders |
ISSN | 0165-0327 |
Volume | 294Pages:753-760 |
Abstract | Background: The 2019 coronavirus disease (COVID-19) pandemic has impacted the mental health and well-being of medical personnel, including nursing students. Network analysis provides a deeper characterization of symptom-symptom interactions in mental disorders. The aim of this study was to elucidate characteristics of anxiety and depressive symptom networks of Chinese nursing students during the COVID-19 pandemic. Method: A total of 932 nursing students were included. Anxiety and depressive symptom were measured using the seven-item Generalized Anxiety Disorder Scale (GAD-7) and two-item Patient Health Questionnaire (PHQ-2), respectively. Central symptoms and bridge symptoms were identified via centrality indices and bridge centrality indices, respectively. Network stability was examined using the case-dropping procedure. Results: Irritability, Uncontrollable worry, Trouble relaxing, and Depressed mood had the highest centrality values. Three bridge symptoms (Depressed mood, Nervousness, and Anhedonia) were also identified. Neither gender nor region of residence was associated with network global strength, distribution of edge weights or individual edge weights. Limitations: Data were collected in a cross-sectional study design, therefore, causal relations and dynamic changes between anxiety and depressive symptoms over time could not be inferred. Generalizability of findings may be limited to Chinese nursing students during a particular phase of the current pandemic. Conclusions: Irritability, Uncontrollable worry, Trouble relaxing, and Depressed mood constituted central symptoms maintaining the anxiety-depression network structure of Chinese nursing students during the pandemic. Timely, systemic multi-level interventions targeting central symptoms and bridge symptoms may be effective in alleviating co-occurring experiences of anxiety and depression in this population. |
Keyword | Anxiety Covid-19 Depression Network Analysis Nursing Students |
DOI | 10.1016/j.jad.2021.07.072 |
URL | View the original |
Indexed By | SCIE ; SSCI |
Language | 英語English |
WOS Research Area | Neurosciences & Neurology ; Psychiatry |
WOS Subject | Clinical Neurology ; Psychiatry |
WOS ID | WOS:000691678200016 |
Scopus ID | 2-s2.0-85111604849 |
Fulltext Access | |
Citation statistics | |
Document Type | Journal article |
Collection | INSTITUTE OF COLLABORATIVE INNOVATION INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES |
Corresponding Author | An, Fengrong; Xiang, Yu Tao |
Affiliation | 1.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 4.Jilin University Nursing College, Jilin province, China 5.School of Nursing, Capital Medical University, China 6.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, School of Mental Health, China 7.Peking University School of Nursing, China 8.Lanzhou University School of Nursing, Gansu province, China 9.Atlanta VA Medical Center, Decatur, Georgia, United States 10.School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China 11.Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, China 12.Atlanta VA Medical Center, Decatur, Georgia, United States 13.Department of Psychology, University of Macau, Taipa, China |
First Author Affilication | Faculty of Health Sciences; University of Macau |
Corresponding Author Affilication | Faculty of Health Sciences; University of Macau |
Recommended Citation GB/T 7714 | Bai, Wei,Xi, Hai Tao,Zhu, Qianqian,et al. Network analysis of anxiety and depressive symptoms among nursing students during the COVID-19 pandemic✰[J]. Journal of Affective Disorders, 2021, 294, 753-760. |
APA | Bai, Wei., Xi, Hai Tao., Zhu, Qianqian., Ji, Mengmeng., Zhang, Hongyan., Yang, Bing Xiang., Cai, Hong., Liu, Rui., Zhao, Yan Jie., Chen, Li., Ge, Zong Mei., Wang, Zhiwen., Han, Lin., Chen, Pan., Liu, Shuo., Cheung, Teris., Tang, Yi Lang., Jackson, Todd., An, Fengrong., & Xiang, Yu Tao (2021). Network analysis of anxiety and depressive symptoms among nursing students during the COVID-19 pandemic✰. Journal of Affective Disorders, 294, 753-760. |
MLA | Bai, Wei,et al."Network analysis of anxiety and depressive symptoms among nursing students during the COVID-19 pandemic✰".Journal of Affective Disorders 294(2021):753-760. |
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