Evidence map›Paper›PMID 40713767›Full record

ArticleBMC psychology2025

Network analysis of comorbid depression and anxiety and their associations with academic engagement among medical students in the Post-Peak COVID-19 period in China.

Changqing Sun, Jiale Han, Zhengqi Zhu, Qiang Zhang, Panpan Wang, Peijia Zhang, Ying Qin, Yang Li, Wei Xue, Dequan Sun and 2 more

Abstract read
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Exploring the network structure and lived experiences of preoperative fear in patients with esophageal cancer: a convergent mixed-methods study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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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

12 authors.

Changqing SunSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Jiale HanSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Zhengqi ZhuSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Qiang ZhangSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Panpan WangSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Peijia ZhangDepartment of Nursing, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, Henan, China.
Ying QinSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Yang LiSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Wei XueSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Dequan SunSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Zizheng LiuSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China.
Lianke WangSchool of Nursing and Health, Zhengzhou University, 101 Kexue Avenue, Zhengzhou, Henan, 450001, PR China. lianke0109@163.com.

Funding

Henan Province Science and Technology Research Project 242102310234Henan Provincial Science and Technology Research Project 232102311023Henan Provincial Science and Technology Research Project 242102311135
6 · The paper itself

Abstract

backgroundMedical students frequently face mental health challenges, underscoring the need for prompt identification and intervention. This research is designed to explore the interconnections between depression, anxiety, and academic engagement among medical students in the Post-Peak COVID-19 in China, employing a network analysis approach.

methodIn this research, 928 medical students were enrolled. Depression, anxiety, and academic engagement were measured using the nine-item Patient Health Questionnaire, the seven-item Generalized Anxiety Disorder Scale, and the Utrecht Work Engagement Scale for Students, respectively. Central and bridge symptoms were evaluated by the Expected Influence (EI) and bridge EI. The Network Comparison Test was utilized to assess the variability in depression and anxiety symptom associations across gender and residency.

resultsIn the depression and anxiety network, “Fatigue”, “Guilt”, and “Difficulty relaxing” were the central symptoms. “Sad mood”, “Irritability”, and “Feeling afraid” served as the primary bridge symptoms. “Concentration”, “Anhedonia” and “Motor” exhibited the most robust correlations with academic engagement. Gender and residency did not correlate with global strength and edge weights.

conclusionThe findings showed the complex interplay between depression, anxiety, and academic engagement during the Post-Peak COVID-19 period among Chinese medical students. Future interventions should focus on addressing the central and bridge symptoms within medical students, aiming to improve their mental health outcomes.

Indexed as

AnxietyDepressionStudents, MedicalAcademiaAdultChinaComorbidityCOVID-19FemaleGeneralized Anxiety DisorderHumansMalePandemicsYoung AdultAcademic engagementAnxietyDepressionNetwork analysis

Identifiers

PMID40713767
PMCPMC12297837

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LicenceCC BY-NC-ND
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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.