Investigating the Central and Bridge Symptoms of Depression and Anxiety in China Rural Children With and Without Non-Suicidal Self-Injury: A Network Analysis Approach.
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Abstract
Background: This study investigated the central and bridge symptoms of the comorbidity between depression and anxiety in rural Chinese children with and without non-suicidal self-injury (NSSI). The aim was to utilize psychological network analysis to identify distinct symptom patterns across these two groups.
Methods: Data were collected from 1,731 rural Chinese children. Symptoms of depression and anxiety were analyzed using psychological network analysis to determine central and bridge symptoms, and to identify differences between children with and without NSSI.
Results: The findings revealed that children with NSSI exhibited higher levels of depression and anxiety compared to those without NSSI. In the comorbidity network, "anhedonia" and "negative mood" emerged as central symptoms in both groups. Additionally, these two symptoms of depression were identified as bridge symptoms linking anxiety in both groups. Unique to children with NSSI, "negative self-esteem" was also a central symptom, while the central symptom for anxiety was "nervous". For children without NSSI, the central symptom of anxiety was "afraid". The bridge symptoms also differed: in children with NSSI, "nervous" and "irritable" linked depression and anxiety, whereas "afraid" served as the bridge symptom in children without NSSI.
Conclusion: This network analysis highlights critical differences in the comorbidity of depression and anxiety between children with and without NSSI. The findings provide valuable insights for developing targeted interventions to prevent mental health issues and NSSI in rural Chinese children.
期刊介绍：
The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities.
Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas.
The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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