Evidence map›Paper›PMID 40420960›Full record

ArticleNeuropsychiatric disease and treatment2025

Network Analysis of Anxiety, Insomnia, Depression, and Suicide Attempts in Chinese Outpatients with Somatic Symptom Disorder.

Junning Fang, Hong Tang, Huiyun Liao, Yunhui Zhong, Yibo Li, Yuanping Liao, Yihui Li

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Article in Neuropsychiatric disease and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Junning FangDepartment of Psychology, Gannan Medical University, Ganzhou, Jiangxi, People's Republic of China.
Hong TangDepartment of Psychology, Gannan Medical University, Ganzhou, Jiangxi, People's Republic of China.
Huiyun LiaoDepartment of Psychology, Gannan Medical University, Ganzhou, Jiangxi, People's Republic of China.
Yunhui ZhongThe Third People's Hospital of Ganzhou, Ganzhou, Jiangxi, People's Republic of China.
Yibo LiDepartment of Psychiatry and Psychology, College of Basic Medical Sciences, Tianjin Medical University, Tianjin, People's Republic of China.
Yuanping LiaoThe Third People's Hospital of Ganzhou, Ganzhou, Jiangxi, People's Republic of China.
Yihui LiDepartment of Psychology, Gannan Medical University, Ganzhou, Jiangxi, People's Republic of China.ORCID 0000-0002-0066-4152

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In clinical settings, somatic symptom disorder (SSD) has a significant impact on the psychological well-being of patients and is closely related to anxiety, sleeplessness, depression, and suicide. To provide novel insights into the management and rehabilitation of patients with SSD and the early detection of suicidal behavior, this study aimed to examine the relationship among anxiety, insomnia, and depression as well as that between these symptoms and suicide attempts in patients with SSD. Methods: A total of 899 individuals from Ganzhou People's Hospital, Gannan Medical University's First Affiliated Hospital, and Ganzhou Third People's Hospital were enrolled. The GAD-7, ISI-7, and PHQ-9 were used to evaluate the severity of anxiety, insomnia, and depression, respectively. The EBICglasso function was used to construct a network graph of the symptoms of anxiety, insomnia, and depression, and we investigated the relationship between the mental health status of the patients and whether they had attempted suicide in the past. Results: The strongest centrality was found for "Waking up early", followed by "Irritability", "Suicide ideation", "Nervousness", and "Uncontrollable worry." The five bridge symptoms included "Irritability", "Waking up early", "Suicide ideation", "Concentration", and "Guilt." In addition, a suicide attempt was directly positively correlated with "Suicide ideation", "Sleep dissatisfaction", and "Sleep maintenance." this indicated that the worse the sleep quality, the more likely it was to be associated with suicidal behavior. There was no significant difference in network analysis between male and female patients. Conclusion: Based on this result, we can provide psychological treatment for patients with depression and anxiety symptoms. For insomnia symptoms, appropriate clinical medicine interventions can be supplemented while adjusting sleep habits. Treatment strategies targeting specific mental symptoms are required to alleviate or prevent common and regularly recurring mental syndromes, decrease the frequency of suicide attempts, and improve treatment outcomes in patients with SSD in China.

Indexed as

anxietydepressioninsomnianetwork analysissuicide attempts

Identifiers

PMID40420960
PMCPMC12105630

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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.