ArticleFrontiers in public health2022
Mapping network connection among symptoms of anxiety, depression, and sleep disturbance in Chinese high school students.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed, 32 citations in OpenAlex.
- The interplay between mental health, ecological factors, and problematic smartphone use: a network analysis in adolescents with major depressive disorder.European archives of psychiatry and clinical neuroscience · 2026Article
- Unveiling intervention targets: urban-rural disparities in depression-anxiety symptoms networks among Chinese older adults living alone.BMC geriatrics · 2026Article
- Grade-specific associations between insomnia and depressive symptoms in adolescents: a cross-lagged panel network analysis.Child and adolescent psychiatry and mental health · 2026Article
- Symptoms of anxiety and depression in informal caregivers of persons with dementia: a latent profile analysis and computer-simulated network analysis.BMC geriatrics · 2026Article
- A latent profile analysis and network analysis of comorbidity of depression and anxiety in left-behind adolescents.Frontiers in psychology · 2026Article
- Network Analysis and Mediation Effect Analysis of Anxiety Symptoms and Sleep Patterns for Adolescents.Actas espanolas de psiquiatria · 2025Article
- A network analysis of the depression and anxiety comorbidity: a nationwide survey among Chinese adolescents during the normalization phase of COVID-19 pandemic prevention and control.BMC psychiatry · 2025Article
- A simulation-based network analysis of intervention targets for comorbid symptoms of depression and anxiety in Chinese healthcare workers in the post-dynamic zero-COVID policy era.BMC psychiatry · 2025Article
- Changes in network centrality of anxiety and depression symptoms associated with childhood trauma among Chinese college students.BMC psychiatry · 2025Article
- Sex and age differences in depression and anxiety networks among adolescents with idiopathic scoliosis: A network analysis.World journal of psychiatry · 2025Article
- Uncovering unseen ties: a network analysis explores activities of daily living limitations and depression among Chinese older adults.Frontiers in aging neuroscience · 2025Article
- From East to West: Regional Disparities in Depressive and Anxious Symptoms Among Chinese Adolescents.Psychology research and behavior management · 2025Article
- Network characteristics of the youth's insomnia and emotional symptoms and their gender differences.Frontiers in psychiatry · 2025Article
- Perceived Stress Mediates the Relationship Between Childhood Trauma and Onset of Bruxism Among Adolescents.Nature and science of sleep · 2025Article
- Secondhand smoke exposure and sleep disturbances among Korean adolescents: A nationally representative cross-sectional study.Tobacco induced diseases · 2025Article
- Network analysis of anxiety and depressive symptoms among patients with heart failure.BMC psychiatry · 2024Article
- Prevalence and correlates of sleep disturbance among adolescents in the eastern seaboard of China.BMC public health · 2024Article
- The interrelationship between sleep disturbance symptoms and aggression before and after the campus closure of the COVID-19 pandemic: insight from a cross-lagged panel network model.Frontiers in public health · 2024Article
- The Symptom Structure and Causal Relationships of Comorbid Anxiety and Depression Among Chinese Primary and Middle School Teachers: A Network Analysis.Psychology research and behavior management · 2024Article
- Stress events and stress symptoms in Chinese secondary school students: gender and academic year characteristics of the relationship.Frontiers in public health · 2024Article
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Authors and funding
9 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Due to tremendous academic pressure, Chinese high school students suffer from severe depression, anxiety, and sleep disturbances. Moreover, senior high school students commonly face more serious mental health problems than junior high school students. However, the co-occurrence and internal relationships of depression, anxiety, and sleep disturbances clusters are scarcely examined among high students. Therefore, the current study inspected relationships between depression, anxiety, and sleep disturbance symptoms through network analysis and identified key symptoms bolstering the correlation and intensifying the syndromes. Methods: A total of 13,999 junior high school students ( Results: The networks of all students, junior high and senior high students, were stable and accurate. Among all networks, "Nervousness" (GAD1) had the highest strength, and "Nervousness"-"Excessive worry" (GAD1-GAD2) had the strongest correlation. "Nervousness" (GAD1) also functioned as the bridge symptom among junior high students, while "Sad mood" (PHQ2) among senior high students. Senior high students scored higher than junior high students on all items and had a tighter network structure. Conclusions: In networks consisting of anxiety, depression, and sleep disturbance, anxiety plays a conspicuous role in comorbidity among junior high school students, which transforms into depression among senior high school students. Treatments or interventions should be focused on these critical symptoms.
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