ArticleStress and health : journal of the International Society for the Investigation of Stress2021
Connecting the dots: A network approach to post-traumatic stress symptoms in Chinese healthcare workers during the peak of the Coronavirus Disease 2019 outbreak.
Article in Stress and health : journal of the International Society for the Investigation of Stress, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Statistical evidence in psychological networks.Nature human behaviour · 2026Article
- Understanding PTSD in Portuguese Youth: Predictors and Risk Factors in a Multi-Clinic, Treatment-Engaged Sample.Brain and behavior · 2025Article
- Relationships between psychopathological symptoms, pandemic-related stress, perceived social support, and COVID-19 infection history: a network analysis in Chinese college students.Frontiers in psychiatry · 2024Article
- Identifying post-traumatic stress symptom typologies in clinical and non-clinical healthcare staff: a latent profile analysis.European journal of psychotraumatology · 2024Article
- Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China's Dynamic Zero-COVID Policy: a national survey.Translational psychiatry · 2023Article
- Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective.Journal of affective disorders · 2022Article
- Delayed antiviral medical treatment increased PTSD development among COVID-19 hospitalized patients: Greater impact in males.Asian journal of psychiatry · 2022Article
- Trauma exposure and the PTSD symptoms of college teachers during the peak of the COVID-19 outbreak.Stress and health : journal of the International Society for the Investigation of Stress · 2021Article
- Connecting the dots: A network approach to post-traumatic stress symptoms in Chinese healthcare workers during the peak of the Coronavirus Disease 2019 outbreak.Stress and health : journal of the International Society for the Investigation of Stress · 2021Article
Corrections and comments
- Erratum issuedCorrigendum.2022
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
Healthcare workers are at elevated risk to develop symptoms of post-traumatic stress disorder (PTSD) in response to an outbreak of a highly infectious disease. The current study set-out to model the complex interrelations between PTSD symptoms during the peak of the Coronavirus Disease 2019 outbreak in 291 Chinese healthcare workers and 291 matched control cases that were selected from the general population. For this purpose, we estimated regularized partial correlation networks. Within the network of healthcare workers, we observed a central role for avoidance of reminders of the traumatic event, physiological cue reactivity, anger/irritability, re-experiencing, and startle. We identified three clusters of closely interconnected PTSD symptoms in healthcare workers, consisting of (a) symptoms of re-experiencing and anxious arousal, (b) symptoms of avoidance and amnesia and (c) symptoms of emotional numbing and dysphoric arousal. Respectively, startle, avoidance of reminders and feeling detached emerged as bridging nodes in these communities. Although yielding highly similar network models, the PTSD symptom structure of healthcare workers showed several unique features compared to the matched control sample. This is informative for interventions aimed at targeting PTSD symptoms in healthcare workers in the context of a public health emergency.
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