Bi Xiaoyan, Liu Zihan, Su Wenxiu, Ou Kangting, Cui Hongbo, Gao Tao, Shi Keke, Ma Yankun
School of Education, Guangzhou University, Guangzhou, China.
Mental Health Education and Counseling Center, Guangzhou University, Guangzhou, China.
Sci Rep. 2025 May 10;15(1):16307. doi: 10.1038/s41598-025-00044-z.
This study used network analysis to explore the association between negative life events and emotional symptoms in Chinese adolescents, with a focus on depression, anxiety, and their comorbid mechanisms. The Adolescent Self-Reporting Life Events Scale (ASLES), the Center for Epidemiological Studies Depression Scale (CES-D), and the Self-Rating Anxiety Scale (SAS) were used to assess 1083 adolescents. Based on the data, three networks were constructed: the negative life events-depression network, the negative life events-anxiety network, and a integrated negative life events-depression-anxiety network. In the depression network, "Depressive mood," "Sadness," and "People dislike me" were core nodes, reflecting emotional and social sensitivity. In the anxiety network, "Panic," "Fear," and "Dizziness" emerged as core nodes, highlighting the role of physiological responses. The integrated network identified "Depressed mood" and "Panic" as key nodes, revealing the overlap and interaction between depression and anxiety. "Academic stress" and "Interpersonal relationships" were consistent bridge nodes across networks, linking negative life events to emotional symptoms and contributing to comorbid mechanisms. These findings suggest that targeting core symptoms and bridge nodes may reduce depression, anxiety, and their comorbidities. This study provides insights into adolescent emotional symptom networks, supporting targeted and comprehensive interventions.
本研究采用网络分析方法,探讨中国青少年负面生活事件与情绪症状之间的关联,重点关注抑郁、焦虑及其共病机制。采用青少年自陈生活事件量表(ASLES)、流行病学研究中心抑郁量表(CES-D)和自评焦虑量表(SAS)对1083名青少年进行评估。基于这些数据,构建了三个网络:负面生活事件-抑郁网络、负面生活事件-焦虑网络以及整合的负面生活事件-抑郁-焦虑网络。在抑郁网络中,“抑郁情绪”“悲伤”和“人们不喜欢我”是核心节点,反映了情绪和社交敏感性。在焦虑网络中,“恐慌”“恐惧”和“头晕”成为核心节点,突出了生理反应的作用。整合网络确定“抑郁情绪”和“恐慌”为关键节点,揭示了抑郁和焦虑之间的重叠与相互作用。“学业压力”和“人际关系”是跨网络一致的桥梁节点,将负面生活事件与情绪症状联系起来,并促成共病机制。这些发现表明,针对核心症状和桥梁节点可能会减少抑郁、焦虑及其共病情况。本研究为青少年情绪症状网络提供了见解,支持有针对性的综合干预措施。