Mapping network connection among symptoms of anxiety, depression, and sleep disturbance in Chinese high school students

Datos Bibliográficos

ID22079005
AutoresShujian Wang (0000-0003-2462-7468, Beijing Normal University), Wenxin Hou (0000-0001-7692-7484, Beijing Normal University), Yanqiang Tao (0000-0003-0301-3985, Beijing Normal University), Zijuan Ma (0000-0003-2260-1862, South China Normal University), Kai Li (0000-0001-6234-6806, The Second Affiliated Hospital of Bengbu Medical College), Yanling Wang (0000-0002-9448-7803), Zhaoyuan Xu (0000-0002-5756-729X), Xiangping Liu (0000-0002-9471-4789), Yichao Lv (0000-0001-8764-2038, Beijing Normal University), Liang Zhang (0000-0001-9041-1150, Northeast Agricultural University, autor de correspondencia)
Año2022
Volumen10
Páginas1015166-1015166
Fecha de publicación2022-09-23
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1015166
PMID36466464
OpenAlexW4296997694
IdiomaEN
Citas recibidas9
Referencias citadas61

Background: Due to tremendous academic pressure, Chinese high school students suffer from severe depression, anxiety, and sleep disturbances. Moreover, senior high school students commonly face more serious mental health problems than junior high school students. However, the co-occurrence and internal relationships of depression, anxiety, and sleep disturbances clusters are scarcely examined among high students. Therefore, the current study inspected relationships between depression, anxiety, and sleep disturbance symptoms through network analysis and identified key symptoms bolstering the correlation and intensifying the syndromes. Methods: = 1.67, 47% females) were recruited in Harbin. We constructed networks for all students, junior high group, and senior high group, including data from the Youth Self-rating Insomnia Scale-3 (YSIS-3), the Generalized Anxiety Disorder-2 (GAD-2), and the Patient Health Questionnaire-2 (PHQ-2). The indices of "strength" was used to identify symptoms' centrality, and "bridge strength" was used to find specific nodes that could bridge anxiety, depression, and sleep disturbance. Results: The networks of all students, junior high and senior high students, were stable and accurate. Among all networks, "Nervousness" (GAD1) had the highest strength, and "Nervousness"-"Excessive worry" (GAD1-GAD2) had the strongest correlation. "Nervousness" (GAD1) also functioned as the bridge symptom among junior high students, while "Sad mood" (PHQ2) among senior high students. Senior high students scored higher than junior high students on all items and had a tighter network structure. Conclusions: In networks consisting of anxiety, depression, and sleep disturbance, anxiety plays a conspicuous role in comorbidity among junior high school students, which transforms into depression among senior high school students. Treatments or interventions should be focused on these critical symptoms

Anxiety · Generalized anxiety disorder · Hamilton Anxiety Rating Scale · Insomnia · Mental health · Mood · Psychiatry · Sleep disorder · Worry · Clinical Psychology · Functional Brain Connectivity Studies · Health, Environment, Cognitive Aging · Medicine · Mental Health Research Topics · Psychology