ArticlePsychiatry research2021
Prospective prediction of PTSD and depressive symptoms during social unrest and COVID-19 using a brief online tool.
Article in Psychiatry research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04985422 (Ecological Momentary Intervention for Depressive Symptoms in a Community Sample in Hong Kong), which is not on this map. Cited by 13 papers.
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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.
Ecological Momentary Intervention for Depressive Symptoms in a Community Sample in Hong Kong: a Randomised Controlled Trial
Who cites it
13 citing papers in PubMed, 29 citations in OpenAlex.
- Determinants of enduring major depressive episodes in the youth population of Hong Kong: The roles of comorbid psychopathology and stressful life events.Psychological medicine · 2025Article
- The Evaluation of a Mindful Coaching Programme to Reduce Burnout in Social Workers in Hong Kong-A Pilot Study.Behavioral sciences (Basel, Switzerland) · 2024Article
- Effects of mindfulness-based cognitive therapy for Chinese adults with PTSD symptoms: protocol for a randomised controlled trial.BMC psychiatry · 2024Article
- Social Outbreak in Chile, and Its Association with the Effects Biological, Psychological, Social, and Quality of Life.International journal of environmental research and public health · 2023Article
- Prevalence, time trends, and correlates of major depressive episode and other psychiatric conditions among young people amid major social unrest and COVID-19 in Hong Kong: a representative epidemiological study from 2019 to 2022.The Lancet regional health. Western Pacific · 2023Article
- Significance of timely responses to mental health crises during unprecedented societal and global changes using an agile, empathic and user-centred digital approach: lessons from the Hong Kong experience.BMJ global health · 2023Article
- Rumination as a Transdiagnostic Phenomenon in the 21st Century: The Flow Model of Rumination.Brain sciences · 2023Review
- Increased psychological distress among young people before and during the fifth wave of COVID-19 after two years of pandemic in Hong Kong: a 6-month longitudinal study.BMC psychiatry · 2023Article
- Impact of restrictive COVID-19 measures on daily momentary affect in an epidemiological youth sample in Hong Kong: An experience sampling study.Current psychology (New Brunswick, N.J.) · 2022Article
- The relation of unrest-related distress with probable depression during and after widespread civil unrest.Global mental health (Cambridge, England) · 2022Article
- Vulnerable populations during COVID-19 response: Health-related quality of life among Chinese population and its influence due to socio-demographic factors and loneliness.Frontiers in public health · 2022Article
- Depression during the COVID-19 pandemic amongst residents of homeless shelters in France.Journal of affective disorders reports · 2021Article
- Resilience in the Storm: Impacts of Changed Daily Lifestyles on Mental Health in Persons with Chronic Illnesses under the COVID-19 Pandemic.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Large-scale protracted population stressors, such as social unrest and the coronavirus disease 2019 (COVID-19), are associated with increased symptoms of post-traumatic stress disorder (PTSD) and depression. Cost-effective mental health screening is prerequisite for timely intervention. We developed an online tool to identify prospective predictors of PTSD and depressive symptoms in the context of co-occurring social unrest and COVID-19 in Hong Kong. 150 participants completed baseline and follow-up assessments, with a median duration of 29 days. Three logistic regression models were constructed to assess its discriminative power in predicting PTSD and depressive symptoms at one month. Receiver-operating characteristic analysis was performed for each model to determine their optimal decision thresholds. Sensitivity and specificity of the models were 87.1% and 53.8% for probable PTSD, 77.5% and 63.3% for high-risk depressive symptoms, and 44.7% and 96.4% for no significant depressive symptoms. The models performed well in discriminating outcomes (AUCs range: 0.769-0.811). Probable PTSD was predicted by social unrest-related traumatic events, high rumination, and low resilience. Rumination and resilience also predicted high-risk and no significant depressive symptoms, with COVID-19-related events also predicting no significant depression risk. Accessible screening of probable mental health outcomes with good predictive capability may be important for early intervention opportunities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.