Yang Fan, Huang Ning, Zhang Bo, Fu Mingqi, Guo Jing
School of Public Health, Peking University Health Science Center.
Department of Neurology, Boston Children's Hospital, Harvard Medical School.
Psychol Trauma. 2023 Mar;15(3):431-442. doi: 10.1037/tra0001434. Epub 2023 Jan 30.
Posttraumatic stress disorder (PTSD) and depressive symptoms are prevalent and highly correlated mental health outcomes of traumatic events, but their comorbidity in the COVID-19 pandemic has not been examined with evidence from Chinese culture.
With information from 2,858 Chinese adults, this study used a network analysis to investigate the relationship between PTSD and depressive symptoms along with their symptoms-structure associations.
Results indicated similar positive connections among similar cluster symptoms (i.e., positive affect) in both general and comorbidity-reported populations. Self-destructive/reckless behaviors were core symptoms in the general population, and interpersonal difficulties were core symptoms in the comorbidity subgroup. Finally, the very strong communication seen between "arousal and reactivity alterations" and "depressed affect" deserves more attention.
Our results indicated interpersonal symptoms can be important targets when intervening or treating PTSD and depressive symptoms related to COVID-19 in the clinical population. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
创伤后应激障碍（PTSD）和抑郁症状是创伤事件中普遍存在且高度相关的心理健康结果，但在新冠疫情背景下，二者的共病情况尚未基于中国文化背景的证据进行研究。
本研究依据2858名中国成年人的信息，采用网络分析方法探究创伤后应激障碍与抑郁症状之间的关系及其症状结构关联。
结果表明，在一般人群和报告共病的人群中，相似聚类症状（即积极情绪）之间存在相似的正向联系。自我毁灭/鲁莽行为是一般人群中的核心症状，人际关系困难是共病亚组中的核心症状。最后，“觉醒与反应性改变”和“抑郁情绪”之间的极强关联值得更多关注。
我们的结果表明，在临床人群中干预或治疗与新冠疫情相关的创伤后应激障碍和抑郁症状时，人际关系症状可能是重要的干预目标。（《心理学文摘数据库记录》（c）2023美国心理学会，保留所有权利）
