ArticleInternational journal of clinical and health psychology : IJCHP
Unravelling symptom interplay of depression, anxiety, insomnia and suicidality in adolescents: A network analysis.
Article in International journal of clinical and health psychology : IJCHP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- A Network Analysis of Smartphone Addiction, Depression, Anxiety, Fatigue, Sleep, and Learning Engagement in Nursing Students: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
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7 authors.
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Abstract
Background: Depression, anxiety, and insomnia have been identified as risk factors for suicidality. However, limited research has explored the interplay among these mental health problems at a symptom level and how they relate to suicidality, especially in adolescents - a group undergoing substantial developmental changes, such as intrinsic circadian delay. This study aimed to examine the symptom networks of depression, anxiety, and insomnia in relation to suicidality and chronotype, and to identify potential bridge symptoms linking these symptom clusters. Methods: A total of 3037 adolescents (Mean age = 14.56 ± 1.77; 35.40 % male) were recruited. Symptoms of depression, anxiety, and insomnia were assessed using the Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7) and Insomnia Severity Index (ISI). Network estimation methods were employed to identify central and bridge symptoms and to compare the network models across gender and chronotype groups. Results: The prevalence of probable depression (PHQ-9 ≥ 10), anxiety (GAD-7 ≥ 10), and insomnia (ISI ≥ 9) was 32.6 %, 23.1 %, and 30.5 %, respectively. About 27.7 % of adolescents reported suicidality within the past two weeks. Within the network, Conclusion: Our findings highlighted the potential transdiagnostic significance of sad mood, sleep disturbances, fatigue, guilt, and uncontrollable worry in the development and maintenance of the comorbidity of depression, anxiety, insomnia, and suicidality in adolescents. Targeting these symptoms may inform more effective intervention strategies to manage psychopathology and reduce suicidality in this population.
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