Trial reportJournal of consulting and clinical psychology2017
Applying network analysis to psychological comorbidity and health behavior: Depression, PTSD, and sexual risk in sexual minority men with trauma histories.
Trial report in Journal of consulting and clinical psychology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Individual Participant Data Meta-Analysis Identifies Risk Factors for Acute and Persistent Posttraumatic Stress Disorder and Depression Symptoms Following Trauma.Depression and anxiety · 2026Pooled it
- Prevalence and associated factors of post-traumatic stress disorders among LGBTQI+ adults: a systematic literature review.BMC public health · 2025Pooled it
- Gender-Specific Network Structures of Depression and PTSD Symptoms in Chinese Firefighters.Psychology research and behavior management · 2026Article
- The associations between PTSD symptoms, intolerance of uncertainty and personal growth initiative in trauma-exposed children and adolescents: undirected and Bayesian network analyses.European child & adolescent psychiatry · 2025Article
- Longitudinal Association Between Posttraumatic Stress Symptoms and Depression Symptoms Among Chinese Adolescents During COVID-19: Evidence from Network Perspective.Child psychiatry and human development · 2025Article
- Posttraumatic stress disorder symptomology among gay, bisexual, and other sexually minoritized cisgender men in the United States: A latent class analysis.SSM. Mental health · 2025Article
- A systematic comparison of additive and interaction approaches to modeling the effects of syndemic problems on HIV outcomes in South Africa.Journal of behavioral medicine · 2024Article
- Mapping a psychosocial syndemic among methamphetamine-using sexual minority men living with HIV.Drug and alcohol review · 2024Article
- A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV.AIDS care · 2024Article
- Posttraumatic Stress Disorder Symptoms and Incarceration: The Impact on Sexual Risk-Taking, Sexually Transmitted Infections, and Depression Among Black Sexual Minority Men in HIV Prevention Trials Network (HPTN) 061.Psychology of men & masculinity · 2024Article
- On maximization of the modularity index in network psychometrics.Behavior research methods · 2023Article
- Intersecting Relationships of Psychosocial and Structural Syndemic Problems Among People with HIV in South Africa: Using Network Analysis to Identify Influential Problems.AIDS and behavior · 2023Article
- Critical Perspectives on Expanding Racial/Ethnic Diversity in the HIV Research Workforce: Comorbidities and Mentoring.Health education & behavior : the official publication of the Society for Public Health Education · 2023Article
- Comorbidity Patterns of Posttraumatic Stress Disorder and Depression Symptoms: Cross-Validation in Two Postearthquake Child and Adolescent Samples.Depression and anxiety · 2023Article
- Article
- Exploring core mental health symptoms among persons living with HIV: A network analysis.Frontiers in psychiatry · 2023Article
- Utilizing network analysis to understand the structure of depression in Chinese adolescents: Replication with three depression scales.Current psychology (New Brunswick, N.J.) · 2022Article
- Mechanisms of Mental-Health Disparities Among Minoritized Groups: How Well Are the Top Journals in Clinical Psychology Representing This Work?Clinical psychological science : a journal of the Association for Psychological Science · 2022Article
- Disentangling relationships in symptom networks using matrix permutation methods.Psychometrika · 2022Article
- Posttraumatic stress disorder symptoms associated with protective and risky behaviors for coronavirus disease 2019.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveHigh rates of depression and posttraumatic stress disorder (PTSD) contribute to sexual risk, particularly in men who have sex with men (MSM) who have experienced childhood sexual abuse. The comorbidity between depression and PTSD and mechanisms by which they contribute to sexual risk in MSM remain unclear. This study sought to demonstrate the feasibility and utility of a network approach to (a) characterize symptom interconnections between depression and PTSD in MSM, (b) identify specific symptoms related to sexual risk behavior, and (c) compare symptom networks across groups at different levels of risk.
methodCross-sectional baseline data were collected from 296 HIV-negative urban MSM as part of a multisite randomized intervention trial. Symptoms of depression and PTSD were self-reported along with sexual risk behavior. Analyses were performed in R using regularized partial correlation network modeling.
resultsNetwork analyses revealed complex associations between depression and PTSD symptoms and in relation to sexual risk behavior. While symptoms clustered within their respective disorders, depression and PTSD were connected at key symptom nodes (e.g., sleep, concentration). Specific symptoms (e.g., avoiding thoughts and feelings) were linked to sexual risk behavior. Network comparisons across risk groups suggested avoidant processes could be more readily activated in higher-risk individuals, whereas hyperarousal symptoms may be more salient and protective for lower-risk individuals.
conclusionsThis study is one of the earliest network analyses of depression and PTSD, and first to extend this inquiry to health behavior. Symptom-level investigations may clarify mechanisms underlying psychological comorbidity and behavioral risk in MSM and refine targets for intervention/prevention. (PsycINFO Database Record
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