2022
DOI: 10.2147/nss.s367974
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Network Analysis of Comorbid Anxiety and Insomnia Among Clinicians with Depressive Symptoms During the Late Stage of the COVID-19 Pandemic: A Cross-Sectional Study

Abstract: Background A high proportion of clinicians experienced common anxiety, insomnia and depression during the COVID-19 pandemic. This study examined the item-level association of comorbid anxiety and insomnia symptoms among clinicians who suffered from depressive symptoms during the late stage of the COVID-19 pandemic using network analysis (NA). Methods Clinicians with depressive symptoms (with a Patients Health Questionnaire (PHQ-9) total score of 5 and above) were includ… Show more

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Cited by 16 publications
(11 citation statements)
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References 74 publications
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“…Therefore, it can be considered as a transdiagnostic symptom and of greater anxious impact produced by the first months of mandatory quarantine in older adults (90), which is more closely linked to difficulty relaxing (A4; higher expected influence and anxiety/depression overlap) in the first network. These findings are in line with previous studies pointing to the interaction of such symptoms in the network (26,87), even in network outcomes where such symptoms are central (72,91).…”
Section: Discussionsupporting
confidence: 92%
“…Therefore, it can be considered as a transdiagnostic symptom and of greater anxious impact produced by the first months of mandatory quarantine in older adults (90), which is more closely linked to difficulty relaxing (A4; higher expected influence and anxiety/depression overlap) in the first network. These findings are in line with previous studies pointing to the interaction of such symptoms in the network (26,87), even in network outcomes where such symptoms are central (72,91).…”
Section: Discussionsupporting
confidence: 92%
“…Furthermore, other ndings implicated depressed mood directly leading to fatigue [47] or indirectly impacting insomnia through fatigue [103]. In fact, fatigue has been reported as the highest bridge symptom linking depression and insomnia symptom communities [25,26,38,104].…”
Section: Discussionmentioning
confidence: 99%
“…Network analysis is an approach to describe the interactions among symptoms through the modeling of dynamic systems and is able to identify the central symptoms visually [ 17 ]. It has been widely used in psychological area to elucidate the complex connections among symptoms [ 18 , 19 ] and has showed good reliability [ 20 ]. Using the network analysis may provide us the opportunity to understand the interactions among the domains of sleep quality.…”
Section: Introductionmentioning
confidence: 99%