ArticleJournal of affective disorders2020
Anhedonia is central for the association between quality of life, metacognition, sleep, and affective symptoms in generalized anxiety disorder: A complex network analysis.
Article in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 39 citations in OpenAlex.
- Examining interrelations among trajectories of mindful awareness, acceptance, and values-consistent actions in acceptance-based behavioral therapy for generalized anxiety disorder.Cognitive behaviour therapy · 2025Trial
- Post-traumatic Reactions and Social-Emotional Competence Among Chinese High School Students Experiencing COVID-19 Lockdown: A Network Analysis.Child psychiatry and human development · 2026Article
- Anhedonia and altered reward responsiveness: Relations to psychosocial functioning.Journal of mood and anxiety disorders · 2026Article
- Insomnia in stimulant use disorders: Prevalence and associations with negative affect.Sleep medicine · 2026Article
- A transdiagnostic network analysis of psychosocial-clinical-cognitive functioning in young people with bipolar and major depressive disorders.Frontiers in psychiatry · 2026Article
- Sleep quality and sleep hygiene among medical undergraduates in Himachal Pradesh (North India): A questionnaire-based study.Journal of family medicine and primary care · 2025Article
- The Impact of Anhedonia on the Disease Burden of Major Depressive Disorder in the Asia-Pacific Region: A Cross-Sectional Real-World Study.Neuropsychopharmacology reports · 2025Article
- Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population.Journal of clinical medicine · 2025Article
- The role of hyperarousal for understanding the associations between sleep problems and emotional symptoms in family caregivers of people with dementia. A network analysis approach.Journal of sleep research · 2025Article
- Major Problems in Clinical Psychological Science and How to Address them. Introducing a Multimodal Dynamical Network Approach.Cognitive therapy and research · 2024Article
- Modulation of habenular and nucleus accumbens functional connectivity by ketamine in major depression.Brain and behavior · 2024Article
- Anhedonia in Acne Vulgaris: A Cross-Sectional Study of 104 Consecutive Acne Patients.Clinical, cosmetic and investigational dermatology · 2024Article
- A network analysis of the interrelationships between depression, anxiety, insomnia and quality of life among fire service recruits.Frontiers in public health · 2024Article
- How loneliness linked to anxiety and depression: a network analysis based on Chinese university students.BMC public health · 2023Article
- Investigating sleep quality and sleep hygiene awareness among Chinese adults: an association and network analysis study.Sleep & breathing = Schlaf & Atmung · 2023Article
- The role of anxiety and depression in suicidal thoughts for autistic and non-autistic people: A theory-driven network analysis.Suicide & life-threatening behavior · 2023Article
- The effect of ketamine on anhedonia: improvements in dimensions of anticipatory, consummatory, and motivation-related reward deficits.Psychopharmacology · 2022Review
- Network Analysis of Comorbid Anxiety and Insomnia Among Clinicians with Depressive Symptoms During the Late Stage of the COVID-19 Pandemic: A Cross-Sectional Study.Nature and science of sleep · 2022Article
- Arousal-Mediated Sleep Disturbance Persists During Cocaine Abstinence in Male Mice.Frontiers in neuroscience · 2022Article
- Correlates of Quality of Life in Anxiety Disorders: Review of Recent Research.Current psychiatry reports · 2021Review
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundPoor quality of life, sleep problems, anhedonia, and negative metacognitions are common in anxiety and depression. To examine the nature of the relationship between these features and the role of metacognitions, anhedonia, and quality of life in anxiety and depression, we conducted a complex network analysis with items of self-report measures assessing quality of life, sleep, negative thinking styles, anxiety, and depression.
methodsParticipants were 226 treatment seeking individuals with a primary DSM-5 diagnosis of generalized anxiety disorder. Node centrality, strength, expected influence, community, and bridge estimation were calculated using partial correlation coefficients and glasso regularization.
resultsResults revealed that anhedonia was the most central node followed by quality of life nodes. Moreover, anhedonia exhibited the highest strength and expected influence, which were both stable, reliable metrics within the network. Metacognitions were not central nodes in the network, but were strong bridge symptoms between communities. LIMITATIONS: The results are limited by the cross-sectional nature of the data and the administration of self-report scales at one time-point, despite different rating anchors.
conclusionThese findings suggest that anhedonia is a crucial element for the association between quality of life, sleep problems, and negative cognitions.
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