Gong Yue, Guo Zhihua, Lu Hongliang, Wang Xinlu, Zhang Yajuan, Ren Lei, Zhu Xia
School of Psychology, Shaanxi Normal University, Xi'an, China.
Department of Military Medical Psychology, Air Force Medical University, Xi'an, China.
Front Psychiatry. 2023 Aug 8;14:1082549. doi: 10.3389/fpsyt.2023.1082549. eCollection 2023.
Acute stress reaction (ASR) following a stressful event is associated with stress-related mental disorders. However, no studies have investigated the relationships between ASR symptom clusters. The present study aimed to provide a fine-grained understanding of the complex relationships among symptom clusters and identify the central symptom clusters of ASR using network analysis.
The Acute Stress Reaction Scale (ASRS) was used to investigate the network structure of ASR in 1792 Chinese male military college students who were about to participate in an important physical fitness test. We calculated the weights of the edges connecting different symptom clusters and the central indices of 25 symptom clusters in the final network.
There were five strongest edges with significantly higher weights than most other edge weights, including the edges between "Less communication" and "Isolated from others." The symptom clusters of "Somatic symptoms," "Hypoprosexia," and "Anxiety" were found to be the central nodes with the highest expected influences (primary centrality index).
The present study explored the network structure of ASR, revealed complex connections between symptom clusters, and identified central clusters. These findings have important clinical implications, and it is suggested that the three central symptom clusters may be potential targets for effective interventions for ASR.
应激事件后的急性应激反应（ASR）与应激相关的精神障碍有关。然而，尚无研究调查ASR症状群之间的关系。本研究旨在深入了解症状群之间的复杂关系，并使用网络分析确定ASR的核心症状群。
使用急性应激反应量表（ASRS）对1792名即将参加重要体能测试的中国男性军校学生的ASR网络结构进行调查。我们计算了连接不同症状群的边的权重以及最终网络中25个症状群的中心指标。
有五条最强的边，其权重明显高于大多数其他边的权重，包括“交流减少”和“与他人隔离”之间的边。发现“躯体症状”、“注意力减退”和“焦虑”症状群是预期影响最高的中心节点（主要中心性指标）。
本研究探索了ASR的网络结构，揭示了症状群之间的复杂联系，并确定了核心症状群。这些发现具有重要的临床意义，建议这三个核心症状群可能是ASR有效干预的潜在目标。
