{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T13:28:26Z","timestamp":1781530106671,"version":"3.54.1"},"reference-count":90,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004829","name":"Science and Technology Department of Sichuan Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004829","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004377","name":"Hong Kong Polytechnic University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004377","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>The network theory of mental disorders offers a new perspective for the understanding of comorbidities, but the research on the comorbidities among depression, anxiety, and post-traumatic stress disorder (PTSD) is still insufficient. The aim of this study was to explore the internal relationship by establishing and analyzing the comorbidity networks, and to provide suggestions for the intervention after traumatic events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We utilized data from the second and third wave of the Chengdu Positive Child Development cohort (<jats:italic>N<\/jats:italic> =\u202f3,189, 47.79% female), we estimated to network models of depression, anxiety and PTSD. To assess difference in global connectivity between the two networks, we conducted invariance test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>K27 (Somatic 10), K37 (Generalized Anxiety 9), K15 (Somatic 5), K33 (Generalized Anxiety 7), K24 (Somatic 9) were the most central nodes in both networks, P13 (Sleep problem) had the highest Bridge Expected Influence value. The structural difference between the two networks was statistically significant (M\u202f=\u202f0.229, <jats:italic>p<\/jats:italic>\u202f=\u202f0.010), and the global strength of the network at wave 2 was higher than the network at wave 3 (35.1 vs. 33.9, S\u202f=\u202f1.20, <jats:italic>p<\/jats:italic>\u202f=\u202f0.010).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The correlation in symptoms of the three disorders underscores the need for more comprehensive treatment options for intervention after traumatic events. Central and bridge nodes could inform targeted interventions or policy decisions. Anxiety disorders, especially Som and Gen dimensions, should be the focus of intervention. The Arousal dimension in PTSD, especially sleep disorders, may contribute to the comorbidities. In addition, this study highlights the importance of staged post-traumatic interventions.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1522877","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T05:26:07Z","timestamp":1742189167000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Longitudinal network analysis of depression, anxiety, and post-traumatic stress disorder comorbidities among adolescents in regional China"],"prefix":"10.3389","volume":"13","author":[{"given":"Heting","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiahe","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yamin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenchao","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiwei","family":"Mei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zigang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linlin","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lihua","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,3,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/s2215-0366(18)30511-x","article-title":"Prevalence 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Dis"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1037\/1040-3590.2.2.122","article-title":"Assessment of depression in adolescents using the Center for Epidemiologic Studies Depression Scale","volume":"2","author":"Roberts","year":"1990","journal-title":"Psycholog Assess: J Consult Clin Psychol"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"106696","DOI":"10.1016\/j.eplepsyres.2021.106696","article-title":"Network of depression and anxiety symptoms in patients with epilepsy","volume":"175","author":"Wei","year":"2021","journal-title":"Epilepsy Res"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"2023","DOI":"10.1017\/s0033291711000407","article-title":"Co-morbidity between major depressive disorder and anxiety disorders: shared etiology or direct causation?","volume":"41","author":"Mathew","year":"2011","journal-title":"Psychol 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Am Acad Child Adolesc Psychiatry"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1097\/00004583-200503000-00013","article-title":"Psychometric properties of the screen for child anxiety related emotional disorders (SCARED) in the general adolescent population","volume":"44","author":"Hale","year":"2005","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1017\/s1352465805002419","article-title":"The Children's revised impact of event scale (CRIES): validity as a screening instrument for PTSD","volume":"33","author":"Perrin","year":"2005","journal-title":"Behav Cogn Psychother"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1002\/pchj.360","article-title":"Attentional bias effect on post-traumatic outcomes in children after earthquake: mediation role of rumination","volume":"9","author":"Alamdar","year":"2020","journal-title":"PsyCh 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Disord"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.3758\/brm.41.4.1149","article-title":"Statistical power analyses using G*power 3.1: tests for correlation and regression analyses","volume":"41","author":"Faul","year":"2009","journal-title":"Behav Res Methods"},{"key":"ref55","article-title":"Networktools: Tools for identifying important nodes in networks","volume-title":"R package version 1.5.2","author":"Jones","year":"2020"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1093\/biostatistics\/kxm045","article-title":"Sparse inverse covariance estimation with the graphical lasso","volume":"9","author":"Friedman","year":"2007","journal-title":"Biostatistics"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1111\/jcpp.12963","article-title":"Sex differences in global and local connectivity of adolescent posttraumatic stress disorder 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Psychol"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1002\/jts.22664","article-title":"A network analysis of DSM-5 posttraumatic stress disorder symptoms and event centrality","volume":"34","author":"Guineau","year":"2021","journal-title":"J Trauma Stress"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1080\/00273171.2019.1614898","article-title":"Bridge centrality: a network approach to understanding comorbidity","volume":"56","author":"Jones","year":"2019","journal-title":"Multivar Behav Res"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1037\/met0000167","article-title":"A tutorial on regularized partial correlation networks","volume":"23","author":"Epskamp","year":"2018","journal-title":"Psychol Methods"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"1273","DOI":"10.1037\/met0000476","article-title":"Comparing network structures on three aspects: a permutation 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in treatment seeking traumatized refugees","volume":"266","author":"Jongedijk","year":"2020","journal-title":"J Affect Disord"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1002\/jts.22916","article-title":"Associations among psychosis, mood, anxiety, and posttraumatic stress symptoms: a network analysis","volume":"36","author":"Astill Wright","year":"2023","journal-title":"J Trauma Stress"},{"key":"ref69","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.jpsychires.2022.03.036","article-title":"Psychiatric reactions among the non-exposed population who viewed disaster-related short videos: evidence from the 2021 Henan floods","volume":"150","author":"Liu","year":"2022","journal-title":"J Psychiatr Res"},{"key":"ref70","first-page":"313","article-title":"The factorial structure of the 41-item version of the screen for child anxiety related emotional disorders (SCARED) in a Spanish population of 8 to 12 years-old","volume":"92","author":"Vigil-Colet2","year":"2009","journal-title":"Int J Clin Health Psychol"},{"key":"ref71","doi-asserted-by":"publisher","first-page":"912","DOI":"10.3390\/foods9121898","article-title":"Conceptual models of food choice: influential factors related to foods, individual differences, and society","volume":"9","author":"Chen","year":"2020","journal-title":"Food Secur"},{"key":"ref72","doi-asserted-by":"publisher","first-page":"41","DOI":"10.3390\/nu17010041","article-title":"Beyond Borders: investigating the impact of COVID-19 anxiety and eating attitudes on psychological well-being and physical activity objectives in Poland and China","volume":"17","author":"Li","year":"2024","journal-title":"Nutrients"},{"key":"ref73","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1016\/j.jad.2023.10.101","article-title":"Discovery of depression-associated factors among childhood trauma victims from a large sample size: using machine learning and network 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