Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (12): 49-58.doi: 10.6040/j.issn.1671-7554.0.2024.0641

• Mechanism and Treatment of Adolescent Psychiatric and Psychological Disorders • Previous Articles    

A network analysis of adolescent depressive disorders and multiple psycho-behavioural problems

XIE Xinran1, ZHUO Feng1, YANG Ying2,3, KONG Linghua1   

  1. 1. School of Nursing and Rehabilitation, Shandong University, Jinan 250012, Shandong, China;
    2. Child and Adolescent Psycho-behavioral Medicine Center, Shandong Mental Health Center, Jinan 250014, Shandong, China;
    3. Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China
  • Published:2024-12-09

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Abstract: Objective To construct a network of depressive disorders and multiple psycho-behavioural problems in adolescents, so as to identify core symptoms and infer potential causal associations. Methods A total of 320 adolescents diagnosed with depressive disorders were assessed using the childrens depression inventory, the young internet addiction scale, the social avoidance and distress questionnaire, and the pittsburgh sleep quality index. Undirected network analysis was used to identify the most relevant connections between symptoms. Bayesian network analysis was used to estimate a directed acyclic graph and infer the likely direction of causal associations. Results The network analysis revealed that withdrawal & social problems and negative mood were central symptoms in adolescent depressive disorders and psycho-behavioural problems. Sleep disorders were recognized as having the highest bridging effect between symptoms. The strongest associations were found between depressive symptoms, particularly anhedonia and sleep disturbances. In the Bayesian network model, negative mood serves as a pivotal symptom, significantly influencing a range of psycho-behavioural problems. Symptoms such as ineffectiveness and interpersonal problems were more reactive, positioned at the networks periphery, and influenced by other central symptoms. Conclusion Negative mood is a key symptom in adolescent depressive disorders and psycho-behavioural problems, and it can easily trigger various psychological and behavioural problems in adolescents. Targeting negative mood in interventions may help mitigate the development of these related issues.

Key words: Depressive disorder, Internet addiction, Sleep disorder, Network analysis, Adolescent

CLC Number: 

  • R574
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