ArticleJournal of affective disorders2018
The centrality of DSM and non-DSM depressive symptoms in Han Chinese women with major depression.
Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Loneliness and depressive symptoms in institutionally isolated Polish adolescents explored through network psychometrics.Scientific reports · 2025Article
- Sex differences in the network structures of depressive symptom profiles in Asian patients with depressive disorders: findings from the Research on Asian Psychotropic Patterns for Antidepressants, Phase 3.Acta neuropsychiatrica · 2025Article
- Symptom networks of common mental disorders in public versus private healthcare settings in India.Global mental health (Cambridge, England) · 2025Article
- On maximization of the modularity index in network psychometrics.Behavior research methods · 2023Article
- The Longitudinal Features of Depressive Symptoms During the COVID-19 Pandemic Among Chinese College Students: A Network Perspective.Journal of youth and adolescence · 2023Article
- The genetic basis of major depressive disorder.Molecular psychiatry · 2023Review
- Adolescent depression beyond DSM definition: a network analysis.European child & adolescent psychiatry · 2023Article
- Exploring the ability of vocal biomarkers in distinguishing depression from bipolar disorder, schizophrenia, and healthy controls.Frontiers in psychiatry · 2023Article
- The structure of the symptoms of major depression: Factor analysis of a lifetime worst episode of depressive symptoms in a large general population sample.Journal of affective disorders · 2022Article
- Disentangling relationships in symptom networks using matrix permutation methods.Psychometrika · 2022Article
- A network analysis of anxiety and depression symptoms among Chinese nurses in the late stage of the COVID-19 pandemic.Frontiers in public health · 2022Article
- Comparison of depression and anxiety symptom networks in reporters and non-reporters of lifetime trauma in two samples of differing severity.Journal of affective disorders reports · 2021Article
- An Answer to "So What?" Implications of Network Theory for Research and Practice.Focus (American Psychiatric Publishing) · 2021Article
- Phenotype Network and Brain Structural Covariance Network of Major Depression.Advances in experimental medicine and biology · 2021Article
- A Narrative Review of Network Studies in Depression: What Different Methodological Approaches Tell Us About Depression.Frontiers in psychiatry · 2021Review
- Challenges and Strategies for Current Classifications of Depressive Disorders: Proposal for Future Diagnostic Standards.Advances in experimental medicine and biology · 2021Review
- Network Analysis of the Symptoms of Depressive Disorders Over the Course of Therapy: Changes in Centrality Measures.Psychiatry investigation · 2021Article
- Network structure of depression symptomology in participants with and without depressive disorder: the population-based Health 2000-2011 study.Social psychiatry and psychiatric epidemiology · 2020Article
- Network analysis of the depressive symptom profiles in Asian patients with depressive disorders: Findings from the Research on Asian Psychotropic Prescription Patterns for Antidepressants (REAP-AD).Psychiatry and clinical neurosciences · 2020Article
- The network approach to psychopathology: a review of the literature 2008-2018 and an agenda for future research.Psychological medicine · 2020Review
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5 authors.
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Abstract
introductionWe compared DSM-IV criteria for major depression (MD) with clinically selected non-DSM criteria in their ability to represent clinical features of depression.
methodWe conducted network analyses of 19 DSM and non-DSM symptoms of MD assessed at personal interview in 5952 Han Chinese women meeting DSM-IV criteria for recurrent MD. We estimated an Ising model (the state-of-the-art network model for binary data), compared the centrality (interconnectedness) of DSM-IV and non-DSM symptoms, and investigated the community structure (symptoms strongly clustered together).
resultsThe DSM and non-DSM criteria were intermingled within the same symptom network. In both the DSM-IV and non-DSM criteria sets, some symptoms were central (highly interconnected) while others were more peripheral. The mean centrality of the DSM and non-DSM criteria sets did not significantly differ. In at least two cases, non-DSM criteria were more central than symptomatically related DSM criteria: lowered libido vs. sleep and appetite changes, and hopelessness versus worthlessness. The overall network had three sub-clusters reflecting neurovegetative/mood symptoms, cognitive changes and anxiety/irritability. LIMITATIONS: The sample were severely ill Han Chinese females limiting generalizability.
conclusionsConsistent with prior historical reviews, our results suggest that the DSM-IV criteria for MD reflect one possible sub-set of a larger pool of plausible depressive symptoms and signs. While the DSM criteria on average perform well, they are not unique and may not be optimal in their ability to describe the depressive syndrome.
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