Evidence map›Paper›PMID 34372807›Full record

ArticleBMC psychiatry2021

Increased occurrence of PTSD symptoms in adolescents with major depressive disorder soon after the start of the COVID-19 outbreak in China: a cross-sectional survey.

Hang Zhang, Hanmei Xu, Lijuan Huang, Yanping Wang, Fang Deng, Xiaolan Wang, Xiaowei Tang, Wo Wang, Xia Fu, Yuanmei Tao and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Review
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  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Hang Zhang *Mental Health Center, West China Hospital, Sichuan University, No. 28 Dianxin South Street, Sichuan, 610041, Chengdu, China.
Hanmei Xu *Mental Health Center, West China Hospital, Sichuan University, No. 28 Dianxin South Street, Sichuan, 610041, Chengdu, China.
Lijuan HuangMental Health Center, West China Hospital, Sichuan University, No. 28 Dianxin South Street, Sichuan, 610041, Chengdu, China.
Yanping WangMental Health Center, West China Hospital, Sichuan University, No. 28 Dianxin South Street, Sichuan, 610041, Chengdu, China.
Fang DengThe Fourth People's Hospital of Chengdu, Chengdu, 610036, Sichuan, China.
Xiaolan WangMental Health Center, West China Hospital, Sichuan University, No. 28 Dianxin South Street, Sichuan, 610041, Chengdu, China.
Xiaowei TangMental Health Center, West China Hospital, Sichuan University, No. 28 Dianxin South Street, Sichuan, 610041, Chengdu, China.
Wo WangUniversity-Town Hospital of Chongqing Medical University, 55 University Town Middle Road, Shapingba District, Chongqing, 400000, China.
Xia FuMental Health Center, West China Hospital, Sichuan University, No. 28 Dianxin South Street, Sichuan, 610041, Chengdu, China.
Yuanmei TaoMental Health Center, West China Hospital, Sichuan University, No. 28 Dianxin South Street, Sichuan, 610041, Chengdu, China.
Li YinMental Health Center, West China Hospital, Sichuan University, No. 28 Dianxin South Street, Sichuan, 610041, Chengdu, China. yli009@163.com.ORCID 0000-0002-7448-0284
Sichuan University · CNChongqing Medical University · CNThe Fourth People's Hospital · CN

Funding

chengdu key technology r&d program 2019-YF05-00284-SNnational natural science foundation of china 81801357science and technology education program of the sichuan province 2020JDKP0013science and technology education program of the sichuan province 2020YFS0259
6 · The paper itself

Abstract

backgroundThe Coronavirus Disease 2019 (COVID-19) pandemic continues to threaten the physical and mental health of people across the world. This study aimed to understand the psychological impact of this disease on adolescents with major depressive disorder (MDD) at 1 month after the start of the outbreak in China.

methodsUsing the Children's Impact of Event Scale (CRIES-13) questionnaire, we investigated the occurrence of posttraumatic stress disorder (PTSD) in two groups of adolescents: MDD patients who were in continuous antidepressant therapy and healthy controls. Total scores and factor subscores were compared between the two groups and subgroups stratified by sex and school grade. Logistic regression was used to identify variables associated with high total CRIES-13 scores.

resultsCompared to controls (n = 107), the MDD group (n = 90) had higher total CRIES-13 scores and a higher proportion with a total score ≥ 30. They also had a lower intrusion subscore and a higher arousal subscore. In the MDD group, males and females did not differ significantly in total CRIES-13 scores or factor subscores, but junior high school students had higher avoidance subscores than senior high school students. Logistic regression showed high total CRIES-13 scores to be associated with MDD and the experience of "flashbacks" or avoidance of traumatic memories associated with COVID-19.

conclusionsIt is crucial to understand the psychological impact of COVID-19 on adolescents with MDD in China, especially females and junior high school students. Long-term monitoring of adolescents with a history of mental illness is required to further understand these impacts.

trial registrationChiCTR, ChiCTR2000033402 , Registered 31 May 2020.

Indexed as

COVID-19Major Depressive DisorderStress Disorders, Post-TraumaticAdolescentChildChinaCross-Sectional StudiesDepressionDisease OutbreaksFemaleHumansMaleSARS-CoV-2AdolescentsCOVID-19CRIES-13MDDPTSD

Identifiers

PMID34372807
PMCPMC8352150
OpenAlexW3127949428

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.