Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
Child Adolesc Psychiatry Ment Health. 2023 Jul 4;17(1):88. doi: 10.1186/s13034-023-00635-6.
ABSTRACT
BACKGROUND: This study aimed to elucidate the characteristics of symptom network of childhood trauma (CT) and sleep disorder (SD) in Chinese adolescents, with the influence of depressive symptoms taken into account.
METHOD: A total of 1301 adolescent students were included, and their CT, SD and depressive symptoms were measured using the Pittsburgh sleep quality index (PSQI), the Childhood Trauma Questionnaire-Short Form (CTQ-SF), and The Patient Health Questionnaire-9 (PHQ-9), respectively. Central symptoms and bridge symptoms were identified based on centrality indices and bridge centrality indices, respectively. Network stability was examined using the case-dropping procedure.
RESULTS: In CT and SD symptom network, emotional abuse and sleep quality symptoms had the highest centrality values, and two bridge symptoms, i.e., emotional abuse and sleep disturbance symptoms, were also identified. In symptom network for CT, SD, and depressive symptoms, sleeping difficulty symptoms, daily dysfunction symptoms, and emotional abuse appeared to be potential bridge symptoms. In symptom network of CT, SD, and depressive symptoms (excluding the symptom of sleeping difficulty), daily dysfunction symptoms, emotional abuse, and sleep disturbance symptoms appeared to be bridge symptoms.
CONCLUSIONS: In this study, emotional abuse and poor sleep quality were found to be central symptoms in the CT-SD network structure among Chinese adolescent students, with daytime dysfunction as the bridge symptom in the CT-SD-depression network structure. Systemic multi-level interventions targeting the central symptoms and bridge symptoms may be effective in alleviating the co-occurrence of CT, SD and depression in this population.
PMID:37403102 | DOI:10.1186/s13034-023-00635-6
![Google](https://www.google.com/images/branding/googlelogo/2x/googlelogo_light_color_92x30dp.png)
![Google Keep](https://www.gstatic.com/images/branding/product/1x/keep_48dp.png)
![Share on Linkedin](https://psychiatryai.com/wp-content/uploads/2023/10/linkedin-logo-png-2048-1.png)
Estimated reading time: 5 minute(s)
Latest: Psychiatryai.com #RAISR4D Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Cool Evidence: Engaging Young People and Students in Real-World Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Real-Time Evidence Search [Psychiatry]
![](/wp-content/uploads/2024/04/pubmed.png)
AI Research
![](/wp-content/uploads/2024/05/Il5nR_nf_400x400-modified-1.png)
The bridge symptoms of childhood trauma, sleep disorder and depressive symptoms: a network analysis
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
🌐 90 Days
AI Virtual Reality Related Evidence Matrix
Network analysis of comorbid aggressive behavior and testosterone among bipolar disorder patients: a cross-sectional study Network analysis of the relationship between non-suicidal self-injury, depression, and childhood trauma in adolescents Prevalence and network structure of depression, insomnia and suicidality among mental health professionals who recovered from COVID-19: a national survey in China The impact of childhood trauma on Adolescent Depressive Symptoms: the Chain Mediating role of borderline personality traits and self-control Network Structure of Childhood Trauma, Bodily Disturbances, and Schizotypy in Schizophrenia and Nonclinical Controls The impact of childhood trauma on Adolescent Depressive Symptoms: the Chain Mediating role of borderline personality traits and self-control Role of interoceptive fear and maladaptive attention and behaviors in the escalation of psychopathology - a network analysis Role of interoceptive fear and maladaptive attention and behaviors in the escalation of psychopathology - a network analysis Mapping the Pathways Between Posttraumatic Stress Disorder, Depression, and Alcohol and Cannabis Use: A Network Analysis Comorbidity among symptoms of internet gaming disorder, social withdrawal, and depression in 3430 young people in Hong Kong: A network analysis An Investigation of Dissociative Symptoms and Related Factors in Autistic Adolescents Association between sleep quality, depressive symptoms, and suicidal ideation in college students Sleep disorder risk, perceived control over sleep, and mental health symptoms in paramedicine students Subtypes of childhood maltreatment and posttraumatic stress disorder symptoms in an adult trauma sample: The mechanistic role of sleep Complex posttraumatic stress disorder and dissociation in trauma-exposed Chinese adolescents: a latent class analysis From childhood trauma to alcohol use disorder severity - significance of depressive symptoms and expectations towards analgesic effects of alcohol Influence of circadian rhythm and sleep schedules on depressive symptoms among adolescents in China Sleep Health Analysis Through Sleep Symptoms in 35,808 Individuals Across Age and Sex Differences: Comparative Symptom Network Study Network analysis of suicide ideation and depression-anxiety symptoms among Chinese adolescents Clinical and personal predictors of functioning in affective disorders: Exploratory results from baseline and 6-month follow-up of a randomised controlled trial Associations between sleep problems in children with ADHD and parental insomnia and ADHD symptoms Associations between sleep problems in children with ADHD and parental insomnia and ADHD symptoms Associations between sleep problems in children with ADHD and parental insomnia and ADHD symptoms Network structure of adolescent social, emotional, and behavioral difficulties and their differential relationships with suicidality Anxious and depressive symptoms and health-related quality of life in a cohort of people who recently attempted suicide: A network analysis Anxious and depressive symptoms and health-related quality of life in a cohort of people who recently attempted suicide: A network analysis Identifying candidate mechanisms of comorbidity in disordered eating and posttraumatic stress disorder symptoms among U.S. veterans: A network analytic approach How much do adverse childhood experiences contribute to adolescent anxiety and depression symptoms? Evidence from the longitudinal study of Australian children Potential of niacin skin flush response in adolescent depression identification and severity assessment: a case-control study Association between weight, weight perception, weight teasing and mental health among adolescents Differential constellations of dissociative symptoms and their association with childhood trauma - a latent profile analysis A panel network analysis of posttraumatic stress disorder and obsessive-compulsive disorder symptoms across the perinatal period The bidirectional connection between family functioning and psychopathology: A network analysis in a large sample of adolescents with anorexia nervosa and their parents The bidirectional connection between family functioning and psychopathology: A network analysis in a large sample of adolescents with anorexia nervosa and their parents Key lifestyles and health outcomes across 16 prevalent chronic diseases: A network analysis of an international observational study Dissociative Experiences, Borderline Personality Disorder Features, and Childhood Trauma: Generating Hypotheses from Data-Driven Network Analysis in an International Sample Association of childhood trauma, social support, cognition, and suicidality in females with bipolar disorder Deciphering the Link: Correlating REM Sleep Patterns with Depressive Symptoms via Consumer Wearable Technology How Coparenting Is Linked to Depression among Chinese Young Girls and Boys: Evidence from a Network Analysis Posttraumatic stress disorder (PTSD) and complex PTSD in eating disorder treatment-seekers: Prevalence and associations with symptom severity Eveningness chronotype influences social functioning by deteriorating depressive symptoms in remitted patients with schizophrenia Network analysis of social anxiety and problematic mobile phone use in Chinese adolescents: A longitudinal study Potential of niacin skin flush response in adolescent depression identification and severity assessment: a case-control study Potential of niacin skin flush response in adolescent depression identification and severity assessment: a case-control study Potential of niacin skin flush response in adolescent depression identification and severity assessment: a case-control study Potential of niacin skin flush response in adolescent depression identification and severity assessment: a case-control study Does mental contamination mediate the association between childhood trauma and obsessive-compulsive symptoms in adults? Correction: Physical activity, recreational screen time, and depressive symptoms among Chinese children and adolescents: a three-wave crosslagged study during the COVID-19 pandemic A comprehensive investigation of the association between menopause symptoms and problematic eating behavior in peri- and post-menopause cisgender women Associations between trauma exposure and irritability within the family unit: a network approach Associations between trauma exposure and irritability within the family unit: a network approach Event centrality in social anxiety disorder and major depressive disorder Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment The impact of childhood trauma on emotional distress and the moderating role of sense of coherence among college students in China Direct and Indirect Exposure to Trauma, Posttraumatic Stress Disorder Symptoms, and Poor Subjective Sleep Quality in Patients with Substance Use Disorder Direct and Indirect Exposure to Trauma, Posttraumatic Stress Disorder Symptoms, and Poor Subjective Sleep Quality in Patients with Substance Use Disorder Beyond abuse and neglect: validation of the childhood interpersonal trauma inventory in a community sample of adults Longitudinal changes in the PTSD symptom network following trauma-focused treatment in military populations: Identifying central symptoms and the role of military sexual trauma Parkinsonism, Psychomotor Slowing, Negative and Depressive Symptoms in Schizophrenia Spectrum and Mood Disorders: Exploring Their Intricate Nexus Using a Network Analytic Approach Exploring the differential effects of psychological resilience and social support in mitigating post-traumatic psychiatric symptoms: real-world network analysis of front-line rescuers Dynamic symptom associations in posttraumatic stress disorder: a network approach The Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Behavior in Adolescents with Depression: The Mediating Role of Rumination Examining the unique relationships between problematic use of the internet and impulsive and compulsive tendencies: network approach Trauma History Questionnaire: validation with novel samples of incarcerated women and perinatal women
Evidence Blueprint
The bridge symptoms of childhood trauma, sleep disorder and depressive symptoms: a network analysis
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
☊ AI-Driven Related Evidence Nodes
(recent articles with at least 5 words in title)
More Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
The bridge symptoms of childhood trauma, sleep disorder and depressive symptoms: a network analysis
🌐 365 Days
AI Virtual Reality Related Evidence Matrix
The relationship between childhood maltreatment and non-suicidal self-injury in adolescents with depressive disorders Psychosocial factors of insomnia in depression: a network approach Network analysis of comorbid depression, suicidality and biomarkers on HPA axis among mood disorder patients to psychiatric emergency services Symptoms mediate the relationship between childhood trauma and non-suicidal self-injury: A hospital-based study of adolescents with mood disorder Network analysis of comorbid aggressive behavior and testosterone among bipolar disorder patients: a cross-sectional study Comparison of childhood trauma between depressive disorders and personality disorders Network analysis of the relationship between non-suicidal self-injury, depression, and childhood trauma in adolescents Prevalence and network structure of depression, insomnia and suicidality among mental health professionals who recovered from COVID-19: a national survey in China Symptom structure of complex posttraumatic stress disorder among Chinese young adults with childhood trauma: a network analysis Anxiety and Depression Symptoms among Youth Survivors of Childhood Sexual Abuse: A Network Analysis The impact of childhood trauma on Adolescent Depressive Symptoms: the Chain Mediating role of borderline personality traits and self-control Network Structure of Childhood Trauma, Bodily Disturbances, and Schizotypy in Schizophrenia and Nonclinical Controls The Relationship Between Childhood Trauma Experience and Complicated Grief: The Importance of Psychological Support for Individuals Coping With Pet Loss in Korea The impact of childhood trauma on Adolescent Depressive Symptoms: the Chain Mediating role of borderline personality traits and self-control Role of interoceptive fear and maladaptive attention and behaviors in the escalation of psychopathology - a network analysis Role of interoceptive fear and maladaptive attention and behaviors in the escalation of psychopathology - a network analysis The association of childhood trauma with depressive and negative symptoms in recent onset psychosis: a sex-specific analysis The relations of psychotic-like experiences (PLEs) and depressive symptoms and the bias of depressive symptoms during the clustering among Chinese adolescents: Findings from the network perspective Mapping the Pathways Between Posttraumatic Stress Disorder, Depression, and Alcohol and Cannabis Use: A Network Analysis Comorbidity among symptoms of internet gaming disorder, social withdrawal, and depression in 3430 young people in Hong Kong: A network analysis Centrality depression-anxiety symptoms linked to suicidal ideation among depressed college students--A network approach Longitudinal relationship between oppositional defiant disorder symptoms and attention-deficit/hyperactivity disorder symptoms in Chinese children: insights from cross-lagged panel network analyses Mapping network connection of comorbidity of depression and anxiety symptoms among firefighters exposed to traumatic events: Insights from a network analysis An Investigation of Dissociative Symptoms and Related Factors in Autistic Adolescents Childhood and adulthood trauma exposure: Associations with perinatal mental health and psychotherapy response Symptom patterns in the co-occurrence of depressive and generalized anxiety symptoms: A network analysis of a Canadian nationally representative sample Network structure of mobile phone addiction and anxiety symptoms among rural Chinese adolescents Sleep duration is associated with depressive symptoms in Chinese adolescents Developmental Trajectories of Internalizing and Externalizing Symptoms in Youth and Associated Gender Differences: A Directed Network Perspective Association between sleep quality, depressive symptoms, and suicidal ideation in college students Exploring symptom-level associations between anxiety and depression across developmental stages of adolescence: a network analysis approach Sleep disorder risk, perceived control over sleep, and mental health symptoms in paramedicine students Subtypes of childhood maltreatment and posttraumatic stress disorder symptoms in an adult trauma sample: The mechanistic role of sleep Complex posttraumatic stress disorder and dissociation in trauma-exposed Chinese adolescents: a latent class analysis From childhood trauma to alcohol use disorder severity - significance of depressive symptoms and expectations towards analgesic effects of alcohol Differences in perceived threat and trauma in children during the COVID-19 pandemic Influence of circadian rhythm and sleep schedules on depressive symptoms among adolescents in China Sleep Health Analysis Through Sleep Symptoms in 35,808 Individuals Across Age and Sex Differences: Comparative Symptom Network Study Investigating the network structure and causal relationships among bridge symptoms of comorbid depression and anxiety: A Bayesian network analysis Network structure of emotional and behavioral problems, loneliness, and suicidal thoughts in adolescents at the school closure and reopening stage in China The development of depressive symptoms in older adults from a network perspective in the English Longitudinal Study of Ageing The longitudinal relationship between bullying victimization and depressive symptoms for middle school students: A cross-lagged panel network analysis Childhood trauma is linked to abnormal static-dynamic brain topology in adolescents with major depressive disorder Linking childhood trauma and dissociation to psychotic symptoms in major depressive disorder, bipolar disorders, and schizophrenia: A transdiagnostic examination using patient and clinician ratings Relationship between Traumatic Experiences, Circadian Preference and ADHD Symptoms in Adolescents with ADHD Residing in Institutional Care: A Controlled Study Network analysis of suicide ideation and depression-anxiety symptoms among Chinese adolescents Changes in Early Childhood Irritability and its Association With Depressive Symptoms and Self-Harm During Adolescence in a Nationally Representative United Kingdom Birth Cohort The impact of childhood trauma on perceived stress and personality in patients with obsessive-compulsive disorder: A cross-sectional network analysis Expression of ANK3 moderates the association between childhood trauma and affective traits in severe mental disorders Emotional abuse and depressive symptoms among the adolescents: the mediation effect of social anxiety and the moderation effect of physical activity Interpersonal Trauma Effects on Adolescent Depression: The Moderating Role of Neurophysiological Responses to Positive Interpersonal Images Bullying Victimization and Comorbid Patterns of PTSD and Depressive Symptoms in Adolescents: Random Intercept Latent Transition Analysis Using a longitudinal network structure to subgroup depressive symptoms among adolescents Clinical and personal predictors of functioning in affective disorders: Exploratory results from baseline and 6-month follow-up of a randomised controlled trial The mediation effect of glucocorticoid receptor gene (NR3C1) methylation between childhood maltreatment and depressive symptoms in Chinese adolescents: A 2-year longitudinal study The effect of childhood trauma on suicide risk: the chain mediating effects of resilience and mental distress The impact of isolation on comorbidity of PTSD symptoms and depression: evidence from PTRP-5-6 in China Associations between sleep problems in children with ADHD and parental insomnia and ADHD symptoms Associations between sleep problems in children with ADHD and parental insomnia and ADHD symptoms Associations between sleep problems in children with ADHD and parental insomnia and ADHD symptoms Network structure of adolescent social, emotional, and behavioral difficulties and their differential relationships with suicidality Anxious and depressive symptoms and health-related quality of life in a cohort of people who recently attempted suicide: A network analysis Anxious and depressive symptoms and health-related quality of life in a cohort of people who recently attempted suicide: A network analysis Identifying candidate mechanisms of comorbidity in disordered eating and posttraumatic stress disorder symptoms among U.S. veterans: A network analytic approach