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

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, surv...

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Autores: Fico, Giovanna, Oliva, Vincenzo, De Prisco, Michele, Fortea, Laura, Fortea, Adriana, Giménez Palomo, Anna, Anmella, Gerard, Hidalgo Mazzei, Diego, Vazquez, Mireia, Gómez-Ramiro, Marta, Carreras Marcos, Bernat, Murru, Andrea, Radua, Joaquim, Mortier, Philippe, Vilagut Saiz, Gemma, Amigo, Franco, Ferrer Vinardell, Marc, García Mieres, Helena, Vieta i Pascual, Eduard, 1963-, Alonso, Jordi
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/220304
Acceso en línea:https://hdl.handle.net/2445/220304
Access Level:acceso abierto
Palabra clave:Resiliència (Tret de la personalitat)
Ansietat
COVID-19
Salut mental
Depressió psíquica
Resilience (Personality trait)
Anxiety
Mental health
Mental depression
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spelling Anxiety and depression played a central role in the COVID-19 mental distress: A network analysisFico, GiovannaOliva, VincenzoDe Prisco, MicheleFortea, LauraFortea, AdrianaGiménez Palomo, AnnaAnmella, GerardHidalgo Mazzei, DiegoVazquez, MireiaGómez-Ramiro, MartaCarreras Marcos, BernatMurru, AndreaRadua, JoaquimMortier, PhilippeVilagut Saiz, GemmaAmigo, FrancoFerrer Vinardell, MarcGarcía Mieres, HelenaVieta i Pascual, Eduard, 1963-Alonso, JordiResiliència (Tret de la personalitat)AnsietatCOVID-19Salut mentalDepressió psíquicaResilience (Personality trait)AnxietyCOVID-19Mental healthMental depressionIntroduction: 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.Elsevier B.V.2025202520232025info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion60 p.application/pdfhttps://hdl.handle.net/2445/220304Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://doi.org/10.1016/j.jad.2023.06.034Journal of Affective Disorders, 2023, vol. 338, p. 384-392https://doi.org/10.1016/j.jad.2023.06.034cc-by-nc-nd (c) Elsevier B.V., 2023http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2203042026-05-29T05:05:01Z
dc.title.none.fl_str_mv Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis
title Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis
spellingShingle Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis
Fico, Giovanna
Resiliència (Tret de la personalitat)
Ansietat
COVID-19
Salut mental
Depressió psíquica
Resilience (Personality trait)
Anxiety
COVID-19
Mental health
Mental depression
title_short Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis
title_full Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis
title_fullStr Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis
title_full_unstemmed Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis
title_sort Anxiety and depression played a central role in the COVID-19 mental distress: A network analysis
dc.creator.none.fl_str_mv Fico, Giovanna
Oliva, Vincenzo
De Prisco, Michele
Fortea, Laura
Fortea, Adriana
Giménez Palomo, Anna
Anmella, Gerard
Hidalgo Mazzei, Diego
Vazquez, Mireia
Gómez-Ramiro, Marta
Carreras Marcos, Bernat
Murru, Andrea
Radua, Joaquim
Mortier, Philippe
Vilagut Saiz, Gemma
Amigo, Franco
Ferrer Vinardell, Marc
García Mieres, Helena
Vieta i Pascual, Eduard, 1963-
Alonso, Jordi
author Fico, Giovanna
author_facet Fico, Giovanna
Oliva, Vincenzo
De Prisco, Michele
Fortea, Laura
Fortea, Adriana
Giménez Palomo, Anna
Anmella, Gerard
Hidalgo Mazzei, Diego
Vazquez, Mireia
Gómez-Ramiro, Marta
Carreras Marcos, Bernat
Murru, Andrea
Radua, Joaquim
Mortier, Philippe
Vilagut Saiz, Gemma
Amigo, Franco
Ferrer Vinardell, Marc
García Mieres, Helena
Vieta i Pascual, Eduard, 1963-
Alonso, Jordi
author_role author
author2 Oliva, Vincenzo
De Prisco, Michele
Fortea, Laura
Fortea, Adriana
Giménez Palomo, Anna
Anmella, Gerard
Hidalgo Mazzei, Diego
Vazquez, Mireia
Gómez-Ramiro, Marta
Carreras Marcos, Bernat
Murru, Andrea
Radua, Joaquim
Mortier, Philippe
Vilagut Saiz, Gemma
Amigo, Franco
Ferrer Vinardell, Marc
García Mieres, Helena
Vieta i Pascual, Eduard, 1963-
Alonso, Jordi
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Resiliència (Tret de la personalitat)
Ansietat
COVID-19
Salut mental
Depressió psíquica
Resilience (Personality trait)
Anxiety
COVID-19
Mental health
Mental depression
topic Resiliència (Tret de la personalitat)
Ansietat
COVID-19
Salut mental
Depressió psíquica
Resilience (Personality trait)
Anxiety
COVID-19
Mental health
Mental depression
description 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.
publishDate 2023
dc.date.none.fl_str_mv 2023
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/220304
url https://hdl.handle.net/2445/220304
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1016/j.jad.2023.06.034
Journal of Affective Disorders, 2023, vol. 338, p. 384-392
https://doi.org/10.1016/j.jad.2023.06.034
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Elsevier B.V., 2023
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Elsevier B.V., 2023
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 60 p.
application/pdf
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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