Evidence map›Paper›PMID 40731394›Full record

ArticleBMC psychiatry2025

Depression and anxiety symptoms associated with internet addiction and non-suicidal self-injury in Chinese adolescent students - a network analysis.

Mohan Ma, Chuman Xiao, Wenwen Ou, Xiaoshu Li, Yumeng Yang, Yafei Chen, Chunxi Ke, Jin Liu, Bangshan Liu, Yunjing Li and 10 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. [Network analysis of insomnia, anxiety, depression, and non-suicidal self-injury in adolescents].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences
    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

20 authors.

Mohan Ma *Department of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Chuman Xiao *Department of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Wenwen Ou *Department of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Xiaoshu LiDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Yumeng YangDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Yafei ChenXiangya Medical School, The Second Xiangya Hospital, Central South University, Hunan, Changsha, China.
Chunxi KeXiangya Medical School, The Second Xiangya Hospital, Central South University, Hunan, Changsha, China.
Jin LiuDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Bangshan LiuDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Yunjing LiDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Siqi YangDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Yimei LuDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Liang LiDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Guanyi LvDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Xiaotian ZhaoDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Yaqi QinDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Mi WangDepartment of Mental Health Center, Xiangya Hospital, Central South University, Changsha, China.
Qiyuan WangDepartment of Emergency Medicine, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China. 544290828@qq.com.
Yan ZhangDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China.
Yumeng JuDepartment of Psychiatry, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Hunan, 410011, Changsha, China. yumeng.ju@csu.edu.cn.

Funding

Fundamental Research Funds for the Central Universities of Central South University 1053320211441National Natural Science Foundation of China 82101612National Natural Science Foundation of China 82301738Natural Science Foundation of Hunan Province 2022JJ40692Science and Technology Innovation Program of Hunan Province 2021RC2040STI2030-Major Projects 2021ZD0202001
6 · The paper itself

Abstract

backgroundNon-suicidal self-injury (NSSI) and Internet addiction (IA) are adolescent maladaptive behaviors that are receiving increasing attention and exerting a significant impact on both adolescent development and public health, and depressive and anxiety symptoms are two of the most associated risk factors of NSSI and IA. This study aimed to use network analysis to explore the associations between NSSI, IA, and depression-anxiety symptoms.

methodsA total of 1799 adolescents aged 12-16 completed self-report questionnaires. We conducted a conditional independence test on NSSI and IA controlling for depression and anxiety, and constructed a partial correlation network and a direct acyclic graph incorporating NSSI, IA, nine depressive symptoms (from PHQ-9), and seven anxiety symptoms (from GAD-7).

resultsResults suggested that there was no significant correlation between NSSI and IA after controlling for depression (P = 0.25) and anxiety (P = 0.14) symptoms. IA was mainly associated with Anxiety symptoms, and NSSI was associated with both anxiety and depressive symptoms. Suicidal ideation and afraid were causally related to NSSI, and restlessness was causally related to IA.

conclusionsThis study suggests that NSSI and IA are conditionally independent of depression and anxiety. Specific symptoms including suicidal ideation, afraid, and restlessness are the key intervention targets of NSSI and IA behaviors.

Indexed as

AnxietyDepressionInternet Addiction DisorderSelf-Injurious BehaviorAdolescentAdolescent BehaviorChildChinaEast Asian PeopleFemaleHumansInternetMaleRisk FactorsSelf ReportStudentsAnxietyBayesian networkDepressionInternet addictionNetwork analysisNon-suicidal self-injury

Identifiers

PMID40731394
PMCPMC12309014

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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.