Evidence map›Paper›PMID 42608675›Full record

ArticleBMC psychiatry2026

The transdiagnostic network of childhood trauma, anxiety, and depression in college students: centrality of emotional neglect and the bridging function of emotional abuse.

Yang He, Jian Yang, Yanjie Duan, Yaru Sun, Jinhui Hu, Ning Chen, Wei Liu

Abstract read
In one paragraph

Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yang HeSchool of Psychology, Shanghai Normal University, Shanghai, 200234, China.
Jian YangMental Health Education Center, Yiyang Normal College, Yiyang, Hunan, 413000, China.
Yanjie DuanSchool of Psychology, Shanghai Normal University, Shanghai, 200234, China.
Yaru SunSchool of Psychology, Shanghai Normal University, Shanghai, 200234, China.
Jinhui HuSchool of Psychology, Shanghai Normal University, Shanghai, 200234, China.
Ning ChenSchool of Psychology, Shanghai Normal University, Shanghai, 200234, China. chening@shnu.edu.cn.
Wei LiuSchool of Psychology, Shanghai Normal University, Shanghai, 200234, China. liuwei@shnu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCollege students are highly susceptible to anxiety and depression, for which childhood trauma (CT) is a major risk factor. However, the fine-grained pathways linking specific CT subtypes to these disorders remain unclear, limiting targeted intervention. This study aimed to use network analysis to investigate the associations between CT subtypes and symptoms of anxiety, depression, and their comorbidities among college students.

methodsA cross-sectional online survey was conducted among 2,864 students from nine Chinese universities. Participants completed the Childhood Trauma Questionnaire-Short Form (CTQ-SF), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9). Three regularized partial correlation networks (CT-anxiety, CT-depression, and CT-comorbidity) were constructed using the R package. Expected influence (EI) and bridge expected influence (BEI) indices were used to identify central and bridge nodes. Network stability was assessed via case-dropping bootstrapping.

resultsEmotional neglect consistently emerged as the most central node across all three networks. In the CT-anxiety network, emotional abuse and "afraid something will happen" were key bridging nodes. In the CT-depression network, emotional abuse and "thoughts of death" possessed the greatest degree of bridge centrality. Critically, in the CT-comorbidity network, this same pairing again exhibited the strongest bridge centrality, demonstrating its stable role as a transdiagnostic bridge linking CT to both anxiety and depression, even within comorbid presentations.

conclusionsEmotional neglect, emotional abuse, and the key symptoms "afraid something will happen" and "thoughts of death" emerge as the central and bridge nodes linking CT to anxiety, depression, and their comorbidity. These nodes represent precise targets for early intervention to reduce the mental health burden among college students.

trial registrationNot applicable.

Indexed as

Adult Survivors of Child AbuseAnxietyDepressionEmotional AbuseStudentsAdolescentAdultChinaComorbidityCross-Sectional StudiesFemaleGeneralized Anxiety DisorderHumansMaleSurveys and QuestionnairesUniversitiesAnxietyChildhood traumaCollege studentsComorbidityDepressionNetwork analysis

Identifiers

PMID42608675
PMCPMC13483618

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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.