Evidence map›Paper›PMID 38609962›Full record

ArticleBMC psychiatry2024

Network analysis on psychopathological symptoms, psychological measures, quality of life and COVID-19 related factors in Chinese psychiatric patients in Hong Kong.

Vivian Shi Cheng Fung, Joe Kwun Nam Chan, Eileena Mo Ching Chui, Corine Sau Man Wong, Ryan Sai Ting Chu, Yuen Kiu So, Jacob Man Tik Chan, Albert Kar Kin Chung, Krystal Chi Kei Lee, Heidi Ka Ying Lo and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

14 authors at 3 institutions in 2 countries.

Vivian Shi Cheng FungDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Joe Kwun Nam ChanDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Eileena Mo Ching ChuiDepartment of Psychiatry, Queen Mary Hospital, Hospital Authority, Kowloon, Hong Kong.
Corine Sau Man WongSchool of Public Health, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Ryan Sai Ting ChuDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Yuen Kiu SoDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Jacob Man Tik ChanDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Albert Kar Kin ChungDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Krystal Chi Kei LeeDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Heidi Ka Ying LoDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Calvin Pak Wing ChengDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Chi Wing LawDepartment of Psychiatry, Queen Mary Hospital, Hospital Authority, Kowloon, Hong Kong.
Wai Chi ChanDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong.
Wing Chung ChangDepartment of Psychiatry, School of Clinical medicine, LKS Faculty of Medicine, the University of Hong Kong, Pok Fu Lam, Hong Kong. changwc@hku.hk.
University of Hong Kong · HKHospital Authority · CNQueen Mary Hospital · CN

Funding

Research Grants Council, University Grants Committee 10617014
6 · The paper itself

Abstract

backgroundPsychiatric patients are susceptible to adverse mental health impacts during COVID-19, but complex interplays between psychopathology and pandemic-related variables remain elusive. This study aimed to investigate concomitant associations between psychopathological symptoms, psychological measures and COVID-19 related variables in Chinese psychiatric patients during the peak of fifth pandemic wave in Hong Kong.

methodsWe employed network analysis to investigate inter-relationships among psychopathological symptoms (including depression, anxiety, post-traumatic stress disorder-like [PTSD-like] symptoms, insomnia, psychotic symptoms), cognitive complaints, health-related quality of life, loneliness, resilience and selected pandemic-related factors in 415 psychiatric outpatients between 28 March and 8 April, 2022. Network comparisons between genders, diagnosis (common mental disorders [CMD] vs. severe mental disorders [SMD]), and history of contracting COVID-19 at fifth wave were performed as exploratory analyses.

resultsOur results showed that anxiety represented the most central node in the network, as indicated by its highest node strength and expected influence, followed by depression and quality of life. Three comparatively strong connections between COVID-19 and psychopathological variables were observed including: fear of contagion and PTSD-like symptoms, COVID-19 stressor burden and PTSD-like symptoms, and COVID-19 stressor burden and insomnia. Network comparison tests revealed significant network structural difference between participants with history of contracting COVID-19 and those without, but showed no significant difference between genders as well as between CMD and SMD patients.

conclusionsOur findings suggest the pivotal role of anxiety in psychopathology network of psychiatric patients amidst COVID-19. Pandemic-related variables are critically associated with trauma/stress and insomnia symptoms. Future research is required to elucidate potential network structural changes between pandemic and post-COVID periods.

Indexed as

COVID-19Sleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticFemaleHong KongHumansMaleOutpatientsQuality of LifeAnxietyCOVID-19Mental disordersNetwork analysisPsychiatric patientsPsychopathology

Identifiers

PMID38609962
PMCPMC11010282
OpenAlexW4394764314

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LicenceCC BY
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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.