Evidence map›Paper›PMID 34489416›Full record

ArticleTranslational psychiatry2021

Network analysis of depressive symptoms in Hong Kong residents during the COVID-19 pandemic.

Teris Cheung, Yu Jin, Simon Lam, Zhaohui Su, Brian J Hall, Yu-Tao Xiang, International Research Collaboration on COVID-19

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
12.0field-weighted citation impact, top 1% 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

53 citing papers in PubMed, 90 citations in OpenAlex.

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  3. Comparison of depressive symptoms between heterosexual and sexual minority university students: network analysis.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026
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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

7 authors at 15 institutions in 10 countries.

Teris Cheung *School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China. teris.cheung@polyu.edu.hk.
Yu Jin *College of Education for the Future, Beijing Normal University, Beijing, China.ORCID http://orcid.org/0000-0002-3290-3293
Simon LamSchool of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-2982-9192
Zhaohui SuCenter on Smart and Connected Health Technologies, Mays Cancer Center, School of Nursing, UT Health San Antonio, San Antonio, TX, USA.ORCID http://orcid.org/0000-0003-2005-9504
Brian J HallGlobal and Community Mental Health Research Group, New York University (Shanghai), Shanghai, China.
Yu-Tao XiangUnit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China. xyutly@gmail.com.
International Research Collaboration on COVID-19
Hong Kong Polytechnic University · HKUniversity of Macau · MOBeijing Normal University · CNCHA University Bundang Medical Center · KRDokuz Eylül University · TRMuğla University · TRNew York University Shanghai · CNSamsung Medical Center · KRThe University of Texas Health Science Center at San Antonio · USTung Wah College · CNUniversidade de Ribeirão Preto · BRUniversidade Federal Fluminense · BRUniversity of Oxford · GBUniversity of Turku · FIYork University · CA

Funding

Cancer Research UK 16896
6 · The paper itself

Abstract

In network theory depression is conceptualized as a complex network of individual symptoms that influence each other, and central symptoms in the network have the greatest impact on other symptoms. Clinical features of depression are largely determined by sociocultural context. No previous study examined the network structure of depressive symptoms in Hong Kong residents. The aim of this study was to characterize the depressive symptom network structure in a community adult sample in Hong Kong during the COVID-19 pandemic. A total of 11,072 participants were recruited between 24 March and 20 April 2020. Depressive symptoms were measured using the Patient Health Questionnaire-9. The network structure of depressive symptoms was characterized, and indices of "strength", "betweenness", and "closeness" were used to identify symptoms central to the network. Network stability was examined using a case-dropping bootstrap procedure. Guilt, Sad Mood, and Energy symptoms had the highest centrality values. In contrast, Concentration, Suicide, and Sleep had lower centrality values. There were no significant differences in network global strength (p = 0.259), distribution of edge weights (p = 0.73) and individual edge weights (all p values > 0.05 after Holm-Bonferroni corrections) between males and females. Guilt, Sad Mood, and Energy symptoms were central in the depressive symptom network. These central symptoms may be targets for focused treatments and future psychological and neurobiological research to gain novel insight into depression.

Indexed as

COVID-19DepressionAdultCross-Sectional StudiesFemaleHong KongHumansMalePandemicsSARS-CoV-2

Identifiers

PMID34489416
PMCPMC8419676
OpenAlexW3197691821

What OpenQuestion holds

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Registered trials

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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.