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Longitudinal Association Between Posttraumatic Stress Symptoms and Depression Symptoms Among Chinese Adolescents During COVID-19: Evidence from Network Perspective

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Abstract

Although there are an increasing number of studies that have explored the mental health consequences of COVID-19 focusing on revealing risk factors, the longitudinal research examining the potential mechanism of the co-occurrence of posttraumatic stress symptoms (PTSS) and depression symptoms among adolescents were scarce. The present study identified the important comorbidity symptoms and explored longitudinal relationship of PTSS and depression symptoms from the network perspective. A two-wave investigation (4 months interval; T1 and T2) was conducted with a sample of 1225 Chinese adolescents. Cross-sectional network and cross-lagged panel network (CLPN) analyses were adopted. Results showed that comorbidity symptoms consisted of both overlapping and non-overlapping symptoms, including “Future foreshortening” at T1 and T2 from PTSS, and “Hard to get started” at T1 and “Not sleep well” at T2 from depression symptoms. Strong longitudinal pathways appeared from all PTSS to depression symptoms, among which the pathway from “Difficulty concentrating” to “Hard to get started” was the strongest. These findings suggest that the possible comorbidity between PTSS and depression symptoms is caused by their independent and related structures, and their longitudinal association. Clinical intervention for these symptoms may alleviate adolescents’ psychological problems in the aftermath of traumatic events.

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Data Availability

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

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Acknowledgements

The authors would like to thank all the subjects who participated in this study. The authors thank all the researchers and scientific advisors for their contribution to the design of this study.

Funding

This work was supported by the National Social Science Fund of China (Grant Number 20CSH068).

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  1. School of Psychology, Nanjing Normal University, No. 122 Ninghai Road, Gulou District, Nanjing, 210097, People’s Republic of China

    Jialu Jin & Yuanyuan An

  2. School of Education Science, Leshan Normal University, No. 778 Binhe Road, Shizhong District, Leshan, 614000, People’s Republic of China

    Guangzhe Frank Yuan

  3. School of Family and Consumer Sciences, Northern Illinois University, DeKalb, USA

    Xiaohui Li

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JJ assisted in the data curation, investigation and wrote the original draft; GFY assisted in review, editing and the data curation; YA contributed to review and in charge of project administration; XL assisted in review and editing.

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Correspondence to Yuanyuan An.

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Jin, J., Yuan, G.F., An, Y. et al. Longitudinal Association Between Posttraumatic Stress Symptoms and Depression Symptoms Among Chinese Adolescents During COVID-19: Evidence from Network Perspective. Child Psychiatry Hum Dev (2024). https://doi.org/10.1007/s10578-023-01650-6

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