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Network analysis is a novel approach to exploring interactions between mental disorders at the symptom level. This study aimed to elucidate the characteristics of post\u2010traumatic stress disorder (PTSD), anxiety, depression, and insomnia symptoms network among frontline nurses under sudden public health crisis. A cross\u2010sectional survey was conducted online among 556 frontline nurses through convenience sampling in Hubei Province, China, from 21 February 2020, to 10 March 2020. Symptoms of PTSD, anxiety, depression, and insomnia were assessed by the Post\u2010Traumatic Stress Disorder Checklist (PCL\u20105), Generalized Anxiety Disorder scale (GAD\u20107), Patient Health Questionnaire (PHQ\u20109) and Insomnia Severity Index, respectively. Central symptoms (the most important symptoms, activation has the strongest influence the other nodes) and bridge symptoms (nodes where deactivation can prevent activation from spreading from one disorder to another) were identified via centrality and bridge centrality indices, respectively. Network stability was examined using the case\u2010dropping procedure. We found that the correlation between PHQ\u20109 item 9 \u2018suicidal thoughts\u2019 and PCL\u20105 item 16 \u2018reckless or self\u2010destructive behaviour\u2019 was the strongest. Moreover, \u2018reckless or self\u2010destructive behaviour\u2019 was the strongest central symptom, and PHQ\u20109 item 3 \u2018sleep problems\u2019 was the most important bridge symptom. Other major symptoms included GAD\u20107 item 6 \u2018uncontrollable anxiety\u2019 and PHQ\u20109 item 2 \u2018depressed or sad mood\u2019. Timely, systemic targeting interventions on central symptoms and bridge symptoms may effectively alleviate co\u2010occurring experiences of psychopathological symptoms among frontline nurses.<\/jats:p>","DOI":"10.1002\/smi.3451","type":"journal-article","created":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T13:19:14Z","timestamp":1721827154000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Psychopathology symptoms of frontline nurses under sudden public health crisis: A network analysis"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0745-5310","authenticated-orcid":false,"given":"Mengyuan","family":"Dong","sequence":"first","affiliation":[{"name":"School of Nursing and Rehabilitation Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6292-6840","authenticated-orcid":false,"given":"Fenglin","family":"Cao","sequence":"additional","affiliation":[{"name":"School of Nursing and Rehabilitation Shandong University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630\u2010020\u201001650\u20103"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.2810"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325\u2010022\u201002746\u20104"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.11.008"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.07.072"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2022.05.061"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291716002300"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20375"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/nss.S367974"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.10.128"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0140525x09991567"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20021433"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12996"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/aitc201904020"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(20)31858\u20104"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3758\/s13428\u2010017\u20100862\u20101"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v048.i04"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11336\u2010017\u20109557\u2010x"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010015\u20100325\u20104"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/biostatistics\/kxm045"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20043666"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17217857"},{"key":"e_1_2_11_25_1","doi-asserted-by":"crossref","unstructured":"Haslbeck J. &Waldorp L. 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