ArticleChild and adolescent psychiatry and mental health2023
A network analysis of difficulties in emotion regulation, anxiety, and depression for adolescents in clinical settings.
Article in Child and adolescent psychiatry and mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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35 citing papers in PubMed, 51 citations in OpenAlex.
- The network and core dimensions of individual emotion regulation competency in late adolescence: A study based on longitudinal network analysis.The British journal of developmental psychology · 2026Article
- Emotional Dysregulation as a Clinically Relevant Dimension of Adult ADHD: A Multidimensional Clinical Study.Brain sciences · 2026Article
- Statistical evidence in psychological networks.Nature human behaviour · 2026Article
- The Associations between Bullying Victimization, Self-Stigma, and Emotion Regulation Difficulties in Early Adolescence: A Cross-Lagged Panel Network Analysis.Journal of youth and adolescence · 2026Article
- Pathways to anhedonia in unmedicated major depressive disorder: the roles of insecure attachment and emotion dysregulation.Frontiers in psychiatry · 2026Article
- Beyond distress relief: the Anhedonic Subtype of nonsuicidal self-injury and the imperative for Positive Affect Treatment.Frontiers in psychiatry · 2026Article
- Sex-specific psychological mechanisms of cyber reactive aggression: evidence from Chinese college students.Frontiers in psychology · 2026Article
- Monthly dynamic associations between cost-of-living pressure and depressive and anxiety symptoms: a longitudinal study based on cross-lagged network analysis.Frontiers in psychiatry · 2026Article
- A cross-sectional network analysis of appearance-related anxiety and psychosocial protective factors in adolescent idiopathic scoliosis patients: core symptoms and bridging analysis.Frontiers in public health · 2026Article
- Presurgical Prognostic Factors for Chronic Postsurgical Pain Across Developmental Stages in Children, Adolescents, and Young Adults: A Systematic Review and Meta-Analysis.Journal of pain research · 2026Review
- Bridging Fear of Negative Evaluation and Cognitive Emotion Regulation Strategies: A Network Perspective on the Roles of Family Functioning and Self-Control.Depression and anxiety · 2026Article
- Predicting multiple mental health outcomes in adolescents using explainable machine learning models.Frontiers in psychiatry · 2026Article
- Understanding Anxiety Symptoms of Mood Disorders Across Bipolar and Major Depressive Disorder Using Network Analysis.Medicina (Kaunas, Lithuania) · 2025Article
- Ethnic Identity Profiles Among Adolescents in the ABCD Study: Associations with Resting State Functional Connectivity and Perceived Discrimination.bioRxiv : the preprint server for biology · 2025Article
- A cross-lagged network analysis of multisystemic factors influencing adolescent depressive symptoms: considering gender differences.Child and adolescent psychiatry and mental health · 2025Article
- Relationships between depression and difficulties in emotion regulation among first-year college students: a network analysis approach.BMC psychology · 2025Article
- The Mediation Role of Emotion Regulation in the Relationship Between Anxiety and Depression in University Students with Specific Learning Disorder.Healthcare (Basel, Switzerland) · 2025Article
- Linear self-acceptance and nonlinear social comparison: interacting influences on adolescent depression.BMC psychiatry · 2025Article
- Depression in left-behind adolescents from single-parent families: a nomogram based on multidimensional risk factors.Child and adolescent psychiatry and mental health · 2025Article
- Machine learning-driven development of a stratified CES-D screening system: optimizing depression assessment through adaptive item selection.BMC psychiatry · 2025Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDifficulties in emotion regulation (DER) are widely considered to underlie anxiety and depression. Given the prevalence of anxiety and depression in adolescents and the fact that adolescence is a key period for the development of emotion regulation ability, it is important to examine how DER is related to anxiety and depression in adolescents in clinical settings.
methodsIn the present study, we assessed 209 adolescents in clinical settings using the Difficulties in Emotion Regulation Scale (DERS) and the Hospital Anxiety and Depression Scale (HADS) and examined the associations between six components of DER and 14 symptoms of anxiety and depression. We used network analysis, constructed circular and multidimensional scaling (MDS) networks, and calculated network centrality, bridge centrality, and stability of centrality indices.
resultsThe results showed that: (1) The global centrality index shows that the Strategy component (i.e., lack of access to strategies) is the center in the whole network, ranking highest in strength, closeness, betweenness, and expected influence. (2) The MDS network showed a closeness of anxiety and depression symptoms, while Awareness component (i.e., lack of emotional awareness) stayed away from other DER components, but Awareness is close to some depression symptoms. (3) The bridge nodes of three groups, Strategy from DERS, Worry and Relax from anxiety symptoms, and Cheerful and Slow from depression symptoms, had the strongest relationships with the other groups.
conclusionLack of access to strategies remains in the center not only in DER but also in the DER-anxiety-depression network, while lack of awareness is close to depression but not to anxiety. Worrying thoughts and inability to relax are the bridging symptoms for anxiety, while lack of cheerful emotions and slowing down are the bridging symptoms for depression. These findings suggest that making emotion regulation strategies more accessible to patients and reducing these bridging symptoms may yield the greatest rewards for anxiety and depression therapy.
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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.