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ArticleEuropean archives of psychiatry and clinical neuroscience2026

Interpersonal sensitivity as a central hub: a network analysis of childhood trauma and psychological symptoms in adolescents with major depressive disorder.

Dandan Wang, Wei Wang, Yanlong Liao, Hanrui Zhang, Yuanxin Lu, Hongyang Liu, Yaoyao Zhang, Lingling Yuan, Mingxing Wu, Ying Gao and 2 more

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Article in European archives of psychiatry and clinical neuroscience, 2026. 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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1citing 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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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Dandan Wang *Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China.
Wei Wang *Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University of Medicine, Shanghai, PR China.
Yanlong Liao *The Second People's Hospital of Jiangning District, Nanjing, PR China.
Hanrui ZhangWannan Medical College, Wuhu, Anhui, PR China.
Yuanxin LuThe Third People's Hospital of Fuyang District, Hangzhou, PR China.
Hongyang LiuThe Affiliated Kangning Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, PR China.
Yaoyao ZhangThe Affiliated Kangning Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, PR China.
Lingling YuanRugao Mental Health Center, Nantong, PR China.
Mingxing WuQuyang Community Health Service Center of Hongkou District, Shanghai, PR China.
Ying GaoThe Affiliated Brain Hospital of Nanjing Medical University, Nanjing, PR China. 860064898@qq.com.
Xinyu FangThe Affiliated Brain Hospital of Nanjing Medical University, Nanjing, PR China. fxywilbur@163.com.ORCID http://orcid.org/0000-0002-3503-7765
Xiangrong ZhangThe Affiliated Brain Hospital of Nanjing Medical University, Nanjing, PR China. drxrz@hotmail.com.

Funding

Science and Technology Development Program of Nanjing Medical University NMUB2019107the Medical Science and Technology Development Foundation, Nanjing Department of Health YKK20090
6 · The paper itself

Abstract

backgroundChildhood trauma exhibits complex associations with adolescent mental health, however the interplay between specific trauma subtypes and psychological symptoms remains underexplored. This study employs network analysis to map symptom-trauma interactions, identify potential intervention targets, and explore gender differences in these interactions among adolescents with major depressive disorder (MDD).

methodsA total of 723 adolescents diagnosed with MDD were recruited from a psychiatric clinic in China. Psychological symptoms (SCL-90) and childhood trauma exposure (CTQ) were assessed. Regularized partial correlation networks (EBICglasso) were utilized to model interactions among 15 nodes (10 symptoms and 5 trauma types), compute centrality metrics, and test gender differences.

resultsThe results revealed that Interpersonal sensitivity (IPS) emerged as the most central node, demonstrating the highest expected influence (EI) (1.67), and formed the strongest edge with emotional abuse (weight = 0.41). A tightly coupled community linked emotional abuse/neglect, IPS, and depression. Moreover, IPS functioned as a bridge symptom, connecting trauma clusters to psychological symptoms (bridge strength = 0.98). Node invariance testing revealed significant gender differences in IPS, however, within their respective gender-specific networks, IPS demonstrated the highest strength and EI values in both males and females. Essentially, no obvious significant gender differences were observed in the network.

conclusionsThis pioneering network study of trauma-symptom associations in Chinese adolescents with MDD identifies IPS as a transdiagnostic factor through which childhood trauma is associated with mental health risks. The structural equivalence across genders suggests universal intervention targets during adolescence. Clinically, enhancing interpersonal skills in emotionally traumatized youth may disrupt pathogenic pathways to depression and other psychology symptoms.

Indexed as

Adverse Childhood ExperiencesInterpersonal RelationsMajor Depressive DisorderAdolescentChinaFemaleHumansMaleChildhood traumaGender differenceInterpersonal sensitivityNetwork analysisPsychological symptom

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