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2023-10-01

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cc-by-nc-nd (c) Elsevier B.V., 2023
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/220304

Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis

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https://doi.org/10.1016/j.jad.2023.06.034

Abstract

Introduction: Psychological, socio-demographics, and clinical factors play an important role in patients with COVID-19, but their relationship is complex. The network approach might be used to disentangle complex interactions in different systems. Using data from a multicentre, cross-sectional, survey among patients with COVID-19 in Spain (July-November 2020), we investigated the network structure of mental disorders symptoms, social support, and psychological resilience, and changes in network structures according to the presence of a pre-existing mental disorder or hospitalization for COVID-19. Methods: Subjects completed a survey to evaluate sociodemographic characteristics, COVID-19 infection status, resilience, social support, and symptoms of depression, anxiety disorders, post traumatic stress disorder, panic attacks, and substance use disorder. 2084 patients with COVID-19 were included in the analysis. Network analysis was conducted to evaluate network and bridge centrality, and the network properties were compared between COVID-19 patients with and without a history of lifetime mental disorder, and between hospitalized and non-hospitalized patients. Limitations: Generalization of our findings may be difficult since differences in network connectivity may exist in different populations or samples. Results: Anxiety and depression showed high centrality in patients with COVID-19 and anxiety showed the highest bridge influence in the network. Resilience and social support showed a low influence on mental disorder symptoms. Global network estimations show no statistically significant changes between patients with and without pre-existing mental disorders or between hospitalized and non-hospitalized patients. Conclusions: Anxiety might be a key treatment target in patients with COVID-19 since its treatment might prevent other mental health adverse outcomes.

Subject

Resiliència (Tret de la personalitat), Ansietat, COVID-19, Salut mental, Depressió psíquica

Subject (English)

Resilience (Personality trait), Anxiety, COVID-19, Mental health, Mental depression

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FICO, Giovanna, et al. Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis. Journal of Affective Disorders. 2023. Vol. 338, num. 384-392. ISSN 0165-0327. [consulted: 17 of August of 2026]. Available at: https://hdl.handle.net/2445/220304

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