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27-04-2020 | Original Article

Changes in the Network Structure of Post-traumatic Stress Disorder Symptoms Among Earthquake Exposed Adolescents in China: A 2-Year Longitudinal Study

Auteurs: Yuanyuan An, Chuan-Peng Hu, Jiaqi Zhao, Yaru Chen, Xinchun Wu

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2021

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Abstract

Despite considerable studies focused on the symptoms of posttraumatic stress disorder (PTSD), little is understood about how symptoms of PTSD naturalistically change over time. Using network analyses approaches, the current study aimed to understand the nature of the association between PTSD symptoms at different time points among adolescents who experienced an earthquake. This study enrolled 900 youth survivors who completed 3 assessments with the Child PTSD Symptom Scale at 1 year, 1.5 years, and 2 years after the Wenchuan earthquake. A graphical Gaussian model (GGM) was used to investigate how symptom networks changed across these time points and to identify the symptoms that were the most central within the network. Results from GGM indicated that different symptoms were observed to have highest centrality at different time points. Feeling distant or cut off from others, avoid thoughts and feelings about the trauma, and feeling irritable or having angry outbursts appeared as the node with highest centrality at 1 year (T1), 1.5 years (T2), and 2 years (T3) post-earthquake, respectively.
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Literatuur
1.
go back to reference Wu X, Wang W, Zhou X, Chen Q, Lin C (2018) Investigation on mental health state of adolescents after 85 years of Wenchuan earthquake. Psychol Dev Educ 34:80–89 Wu X, Wang W, Zhou X, Chen Q, Lin C (2018) Investigation on mental health state of adolescents after 85 years of Wenchuan earthquake. Psychol Dev Educ 34:80–89
2.
go back to reference Alisic E, Zalta AK, Van Wesel F, Larsen SE, Hafstad GS, Hassanpour K, Smid GE (2014) Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis. Brit J Psychiat 204(5):335–340PubMed Alisic E, Zalta AK, Van Wesel F, Larsen SE, Hafstad GS, Hassanpour K, Smid GE (2014) Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis. Brit J Psychiat 204(5):335–340PubMed
3.
go back to reference Bolton D, Hill J, O'Ryan D, Udwin O, Boyle S, Yule W (2004) Long-term effects of psychological trauma on psychosocial functioning. J Child Psychol 45(5):1007–1014 Bolton D, Hill J, O'Ryan D, Udwin O, Boyle S, Yule W (2004) Long-term effects of psychological trauma on psychosocial functioning. J Child Psychol 45(5):1007–1014
4.
go back to reference Morgan L, Scourfield J, Williams D, Jasper A, Lewis G (2003) The Aberfan disaster: 33-year follow-up of survivors. Brit J Psychiat 182(6):532–536PubMed Morgan L, Scourfield J, Williams D, Jasper A, Lewis G (2003) The Aberfan disaster: 33-year follow-up of survivors. Brit J Psychiat 182(6):532–536PubMed
5.
go back to reference Beaton RD, Murphy SA, Houston JB, Reyes G, Bramwell S, McDaniel M et al (2009) The role of public health in mental and behavioral health in children and families following disasters. J Public Health Man 15(6):E1–E11 Beaton RD, Murphy SA, Houston JB, Reyes G, Bramwell S, McDaniel M et al (2009) The role of public health in mental and behavioral health in children and families following disasters. J Public Health Man 15(6):E1–E11
6.
go back to reference Norris FH, Friedman MJ, Watson PJ, Byrne CM, Diaz E, Kaniasty K (2002) 60,000 disaster victims speak: part I. An empirical review of the empirical literature, 1981–2001. Psychiatry 65(3):207–239PubMed Norris FH, Friedman MJ, Watson PJ, Byrne CM, Diaz E, Kaniasty K (2002) 60,000 disaster victims speak: part I. An empirical review of the empirical literature, 1981–2001. Psychiatry 65(3):207–239PubMed
7.
go back to reference Meiser-Stedman R, McKinnon A, Dixon C, Boyle A, Smith P, Dalgleish T (2019) A core role for cognitive processes in the acute onset and maintenance of post-traumatic stress in children and adolescents. J Child Psychol 60(8):875–884 Meiser-Stedman R, McKinnon A, Dixon C, Boyle A, Smith P, Dalgleish T (2019) A core role for cognitive processes in the acute onset and maintenance of post-traumatic stress in children and adolescents. J Child Psychol 60(8):875–884
8.
go back to reference An YY, Yuan GZ, Wu XC, Wang WC (2018) The influence of social support on PTSD and PTG of adolescents after earthquake: the mediating role of self-efficacy. Psychological Development and Education 34(1):98–104 An YY, Yuan GZ, Wu XC, Wang WC (2018) The influence of social support on PTSD and PTG of adolescents after earthquake: the mediating role of self-efficacy. Psychological Development and Education 34(1):98–104
9.
go back to reference Yuan G, Xu W, Liu Z, Liu C, Li W, An Y (2018) Dispositional mindfulness, posttraumatic stress disorder symptoms and academic burnout in Chinese adolescents following a tornado: the role of mediation through regulatory emotional self-efficacy. J Aggress Maltreat Trauma 27(5):487–504 Yuan G, Xu W, Liu Z, Liu C, Li W, An Y (2018) Dispositional mindfulness, posttraumatic stress disorder symptoms and academic burnout in Chinese adolescents following a tornado: the role of mediation through regulatory emotional self-efficacy. J Aggress Maltreat Trauma 27(5):487–504
10.
go back to reference Brewin C (2003) Posttraumatic stress disorder: malady or myth?. Yale University Press, New Haven Brewin C (2003) Posttraumatic stress disorder: malady or myth?. Yale University Press, New Haven
11.
go back to reference McNally RJ (2012) The ontology of posttraumatic stress disorder: natural kind, social construction, or causal system? Clin Psychol-Sci Prog 19(3):220–228 McNally RJ (2012) The ontology of posttraumatic stress disorder: natural kind, social construction, or causal system? Clin Psychol-Sci Prog 19(3):220–228
12.
go back to reference Rosen G (ed) (2004) Posttraumatic stress disorder: issues and controversies. Wiley, Hoboken Rosen G (ed) (2004) Posttraumatic stress disorder: issues and controversies. Wiley, Hoboken
13.
go back to reference American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders, 3rd edn. American Psychiatric Association, Washington, DC American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders, 3rd edn. American Psychiatric Association, Washington, DC
14.
go back to reference McNally RJ (2016) Can network analysis transform psychopathology? Behav Res Ther 86:95–104PubMed McNally RJ (2016) Can network analysis transform psychopathology? Behav Res Ther 86:95–104PubMed
16.
go back to reference Cramer AO, Waldorp LJ, Van Der Maas HL, Borsboom D (2010) Comorbidity: a network perspective. Behav Brain Sci 33(2–3):137–150PubMed Cramer AO, Waldorp LJ, Van Der Maas HL, Borsboom D (2010) Comorbidity: a network perspective. Behav Brain Sci 33(2–3):137–150PubMed
17.
go back to reference Kendler KS, Zachar P, Craver C (2011) What kinds of things are psychiatric disorders? Psychol Med 41(6):1143–1150PubMed Kendler KS, Zachar P, Craver C (2011) What kinds of things are psychiatric disorders? Psychol Med 41(6):1143–1150PubMed
18.
go back to reference Bryant RA, Creamer M, O’Donnell M, Forbes D, McFarlane AC, Silove D, Hadzi-Pavlovic D (2017) Acute and chronic posttraumatic stress symptoms in the emergence of posttraumatic stress disorder: a network analysis. JAMA Psychiat 74(2):135–142 Bryant RA, Creamer M, O’Donnell M, Forbes D, McFarlane AC, Silove D, Hadzi-Pavlovic D (2017) Acute and chronic posttraumatic stress symptoms in the emergence of posttraumatic stress disorder: a network analysis. JAMA Psychiat 74(2):135–142
19.
go back to reference Fried EI, Cramer AO (2017) Moving forward: challenges and directions for psychopathological network theory and methodology. Perspect Psychol Sci 12(6):999–1020PubMed Fried EI, Cramer AO (2017) Moving forward: challenges and directions for psychopathological network theory and methodology. Perspect Psychol Sci 12(6):999–1020PubMed
20.
go back to reference Armour C, Fried EI, Deserno MK, Tsai J, Pietrzak RH (2017) A network analysis of DSM-5 posttraumatic stress disorder symptoms and correlates in US military veterans. J Anxiety Disord 45:49–59PubMed Armour C, Fried EI, Deserno MK, Tsai J, Pietrzak RH (2017) A network analysis of DSM-5 posttraumatic stress disorder symptoms and correlates in US military veterans. J Anxiety Disord 45:49–59PubMed
21.
go back to reference Bringmann LF, Elmer T, Epskamp S, Krause RW, Schoch D, Wichers M et al (2018) What do centrality measures measure in psychological networks. J Abnorm Psychol 128(8):892 Bringmann LF, Elmer T, Epskamp S, Krause RW, Schoch D, Wichers M et al (2018) What do centrality measures measure in psychological networks. J Abnorm Psychol 128(8):892
22.
go back to reference Borsboom D, Cramer AO (2013) Network analysis: an integrative approach to the structure of psychopathology. Annu Rev Clin Psychol 9:91–121PubMed Borsboom D, Cramer AO (2013) Network analysis: an integrative approach to the structure of psychopathology. Annu Rev Clin Psychol 9:91–121PubMed
23.
go back to reference Afzali MH, Sunderland M, Teesson M, Carragher N, Mills K, Slade T (2017) A network approach to the comorbidity between posttraumatic stress disorder and major depressive disorder: the role of overlapping symptoms. J Affect Disord 208:490–496PubMed Afzali MH, Sunderland M, Teesson M, Carragher N, Mills K, Slade T (2017) A network approach to the comorbidity between posttraumatic stress disorder and major depressive disorder: the role of overlapping symptoms. J Affect Disord 208:490–496PubMed
24.
go back to reference Spiller TR, Schick M, Schnyder U, Bryant RA, Nickerson A, Morina N (2017) Symptoms of posttraumatic stress disorder in a clinical sample of refugees: a network analysis. Eur J Psychotraumatol 8(sup3):1318032PubMedPubMedCentral Spiller TR, Schick M, Schnyder U, Bryant RA, Nickerson A, Morina N (2017) Symptoms of posttraumatic stress disorder in a clinical sample of refugees: a network analysis. Eur J Psychotraumatol 8(sup3):1318032PubMedPubMedCentral
25.
go back to reference Knefel M, Tran US, Lueger-Schuster B (2016) The association of posttraumatic stress disorder, complex posttraumatic stress disorder, and borderline personality disorder from a network analytical perspective. J Anxiety Disord 43:70–78PubMed Knefel M, Tran US, Lueger-Schuster B (2016) The association of posttraumatic stress disorder, complex posttraumatic stress disorder, and borderline personality disorder from a network analytical perspective. J Anxiety Disord 43:70–78PubMed
27.
go back to reference Benfer N, Bardeen JR, Cero I, Kramer LB, Whiteman SE, Rogers TA et al (2018) Network models of posttraumatic stress symptoms across trauma types. J Anxiety Disord 58:70–77PubMed Benfer N, Bardeen JR, Cero I, Kramer LB, Whiteman SE, Rogers TA et al (2018) Network models of posttraumatic stress symptoms across trauma types. J Anxiety Disord 58:70–77PubMed
28.
go back to reference McNally RJ, Robinaugh DJ, Wu GW, Wang L, Deserno MK, Borsboom D (2015) Mental disorders as causal systems: a network approach to posttraumatic stress disorder. Clin Psychol Sci 3(6):836–849 McNally RJ, Robinaugh DJ, Wu GW, Wang L, Deserno MK, Borsboom D (2015) Mental disorders as causal systems: a network approach to posttraumatic stress disorder. Clin Psychol Sci 3(6):836–849
29.
go back to reference Sullivan CP, Smith AJ, Lewis M, Jones RT (2018) Network analysis of PTSD symptoms following mass violence. Psychol Trauma-US 10(1):58 Sullivan CP, Smith AJ, Lewis M, Jones RT (2018) Network analysis of PTSD symptoms following mass violence. Psychol Trauma-US 10(1):58
30.
go back to reference Mitchell KS, Wolf EJ, Bovin MJ, Lee LO, Green JD, Rosen RC et al (2017) Network models of DSM-5 posttraumatic stress disorder: implications for ICD-11. J Abnorm Psychol 126(3):355PubMedPubMedCentral Mitchell KS, Wolf EJ, Bovin MJ, Lee LO, Green JD, Rosen RC et al (2017) Network models of DSM-5 posttraumatic stress disorder: implications for ICD-11. J Abnorm Psychol 126(3):355PubMedPubMedCentral
31.
go back to reference Russell JD, Neill EL, Carrion VG, Weems CF (2017) The network structure of posttraumatic stress symptoms in children and adolescents exposed to disasters. J Am Acad Child Adolesc Psychiatr 56:669–677 Russell JD, Neill EL, Carrion VG, Weems CF (2017) The network structure of posttraumatic stress symptoms in children and adolescents exposed to disasters. J Am Acad Child Adolesc Psychiatr 56:669–677
32.
33.
go back to reference Geng F, Zhou Y, LiangY ZX, Li Y, ChenFan XF (2019) Posttraumatic stress disorder and psychiatric comorbidity among adolescent earthquake survivors: a longitudinal cohort study. J Abnorm Child Psychiatry 47:671–681 Geng F, Zhou Y, LiangY ZX, Li Y, ChenFan XF (2019) Posttraumatic stress disorder and psychiatric comorbidity among adolescent earthquake survivors: a longitudinal cohort study. J Abnorm Child Psychiatry 47:671–681
34.
go back to reference Ge F, Yuan M, Li Y, Zhang J, Zhang W (2019) Changes in the network structure of posttraumatic stress disorder symptoms at different time points among youth survivors: a network analysis. J Affect Disord 259:288–295PubMed Ge F, Yuan M, Li Y, Zhang J, Zhang W (2019) Changes in the network structure of posttraumatic stress disorder symptoms at different time points among youth survivors: a network analysis. J Affect Disord 259:288–295PubMed
35.
go back to reference Foa EB, Johnson KM, Feeny NC, Treadwell KR (2001) The child PTSD symptom scale: a preliminary examination of its psychometric properties. J Clin Child Psychol 30(3):376–384PubMed Foa EB, Johnson KM, Feeny NC, Treadwell KR (2001) The child PTSD symptom scale: a preliminary examination of its psychometric properties. J Clin Child Psychol 30(3):376–384PubMed
37.
go back to reference Friedman J, Hastie T, Tibshirani R (2014) glasso: graphical lasso-estimation of Gaussian graphical models. R packageversion: 1 Friedman J, Hastie T, Tibshirani R (2014) glasso: graphical lasso-estimation of Gaussian graphical models. R packageversion: 1
38.
go back to reference Epskamp S, CramerAO WLJ, Schmittmann VD, Borsboom D (2012) qgraph: network visualizations of relationships in psychometric data. J Stat Softw 48(4):1–18 Epskamp S, CramerAO WLJ, Schmittmann VD, Borsboom D (2012) qgraph: network visualizations of relationships in psychometric data. J Stat Softw 48(4):1–18
39.
go back to reference Epskamp S, BorsboomD FEI (2018) Estimating psychological networks and their accuracy: a tutorial paper. Behav Res Methods 50(1):195–212PubMed Epskamp S, BorsboomD FEI (2018) Estimating psychological networks and their accuracy: a tutorial paper. Behav Res Methods 50(1):195–212PubMed
40.
go back to reference Fruchterman TM, Reingold EM (1991) Graph drawing by force-directed placement. Soft Pract Exp 21:1129–1164 Fruchterman TM, Reingold EM (1991) Graph drawing by force-directed placement. Soft Pract Exp 21:1129–1164
41.
go back to reference Friedman J, Hastie T, Tibshirani R (2008) Sparse inverse covariance estimation with the graphical lasso. Biostatistics 9(3):432–441PubMed Friedman J, Hastie T, Tibshirani R (2008) Sparse inverse covariance estimation with the graphical lasso. Biostatistics 9(3):432–441PubMed
42.
go back to reference Foygel R, Drton M (2010) Extended Bayesian information criteria for Gaussian graphical models. In: Advances in neural information processing systems, pp 604–612 Foygel R, Drton M (2010) Extended Bayesian information criteria for Gaussian graphical models. In: Advances in neural information processing systems, pp 604–612
43.
go back to reference Epskamp S, Fried EI (2018) A tutorial on regularized partial correlation networks. Psychol Methods 23(4):617PubMed Epskamp S, Fried EI (2018) A tutorial on regularized partial correlation networks. Psychol Methods 23(4):617PubMed
44.
go back to reference Freeman LC (1978) Centrality in social networks conceptual clarification. Soc Netw 1(3):215–239 Freeman LC (1978) Centrality in social networks conceptual clarification. Soc Netw 1(3):215–239
45.
go back to reference Opsahl T, Agneessens F, Skvoretz J (2010) Node centrality in weighted networks: generalizing degree and shortest paths. Soc Netw 32(3):245–251 Opsahl T, Agneessens F, Skvoretz J (2010) Node centrality in weighted networks: generalizing degree and shortest paths. Soc Netw 32(3):245–251
46.
go back to reference Costenbader E, Valente TW (2003) The stability of centrality measures when networks are sampled. Soc Netw 25(4):283–307 Costenbader E, Valente TW (2003) The stability of centrality measures when networks are sampled. Soc Netw 25(4):283–307
47.
go back to reference Fried EI, Nesse RM (2014) The impact of individual depressive symptoms on impairment of psychosocial functioning. PLoS ONE 9(2):e90311PubMedPubMedCentral Fried EI, Nesse RM (2014) The impact of individual depressive symptoms on impairment of psychosocial functioning. PLoS ONE 9(2):e90311PubMedPubMedCentral
48.
go back to reference Terluin B, de Boer MR, de Vet HC (2016) Differences in connection strength between mental symptoms might be explained by differences in variance: reanalysis of network data did not confirm staging. PLoS ONE 11(11):e0155205PubMedPubMedCentral Terluin B, de Boer MR, de Vet HC (2016) Differences in connection strength between mental symptoms might be explained by differences in variance: reanalysis of network data did not confirm staging. PLoS ONE 11(11):e0155205PubMedPubMedCentral
49.
go back to reference Moshier SJ, Bovin MJ, Gay NG, Wisco BE, Mitchell KS, Lee DJ et al (2018) Examination of posttraumatic stress disorder symptom networks using clinician-rated and patient-rated data. J Abnorm Psychol 127(6):541PubMedPubMedCentral Moshier SJ, Bovin MJ, Gay NG, Wisco BE, Mitchell KS, Lee DJ et al (2018) Examination of posttraumatic stress disorder symptom networks using clinician-rated and patient-rated data. J Abnorm Psychol 127(6):541PubMedPubMedCentral
50.
go back to reference Birkeland MS, Heir T (2017) Making connections: exploring the centrality of posttraumatic stress symptoms and covariates after a terrorist attack European. Eur J Psychotraumatol 8(sup3):1333387PubMedPubMedCentral Birkeland MS, Heir T (2017) Making connections: exploring the centrality of posttraumatic stress symptoms and covariates after a terrorist attack European. Eur J Psychotraumatol 8(sup3):1333387PubMedPubMedCentral
51.
go back to reference Fried EI, Eidhof MB, Palic S, Costantini G, Huisman-van Dijk HM, Bockting CL et al (2018) Replicability and generalizability of posttraumatic stress disorder (PTSD) networks: a cross-cultural multisite study of PTSD symptoms in four trauma patient samples. Clin Psychol Sci 6(3):335–351PubMedPubMedCentral Fried EI, Eidhof MB, Palic S, Costantini G, Huisman-van Dijk HM, Bockting CL et al (2018) Replicability and generalizability of posttraumatic stress disorder (PTSD) networks: a cross-cultural multisite study of PTSD symptoms in four trauma patient samples. Clin Psychol Sci 6(3):335–351PubMedPubMedCentral
52.
go back to reference Litz BT, Orsillo SM, Friedman M, Ehlich P, Batres A (1997) Posttraumatic stress disorder associated with peacekeeping duty in Somalia for US military personnel. Am J Psychiatry 154(2):178–184PubMed Litz BT, Orsillo SM, Friedman M, Ehlich P, Batres A (1997) Posttraumatic stress disorder associated with peacekeeping duty in Somalia for US military personnel. Am J Psychiatry 154(2):178–184PubMed
53.
go back to reference Saul AL, Grant KE, Carter JS (2008) Post-traumatic reactions in adolescents: how well do the DSM-IV PTSD criteria fit the real life experience of trauma exposed youth? J Abnorm Child Psychiatry 36(6):915–925 Saul AL, Grant KE, Carter JS (2008) Post-traumatic reactions in adolescents: how well do the DSM-IV PTSD criteria fit the real life experience of trauma exposed youth? J Abnorm Child Psychiatry 36(6):915–925
54.
go back to reference Shallcross SL, Arbisi PA, Polusny MA, Kramer MD, Erbes CR (2016) Social causation versus social erosion: comparisons of causal models for relations between support and PTSD symptoms. J Trauma Stress 29(2):167–175PubMed Shallcross SL, Arbisi PA, Polusny MA, Kramer MD, Erbes CR (2016) Social causation versus social erosion: comparisons of causal models for relations between support and PTSD symptoms. J Trauma Stress 29(2):167–175PubMed
55.
go back to reference Erbes CR, Meis LA, Polusny MA, Compton JS, Wadsworth SM (2012) An examination of PTSD symptoms and relationship functioning in US soldiers of the Iraq war over time. J Trauma Stress 25(2):187–190PubMed Erbes CR, Meis LA, Polusny MA, Compton JS, Wadsworth SM (2012) An examination of PTSD symptoms and relationship functioning in US soldiers of the Iraq war over time. J Trauma Stress 25(2):187–190PubMed
56.
go back to reference Lambert JE, Engh R, HasbunA HJ (2012) Impact of posttraumatic stress disorder on the relationship quality and psychological distress of intimate partners: a meta-analytic review. J Fam Psychol 26(5):729PubMed Lambert JE, Engh R, HasbunA HJ (2012) Impact of posttraumatic stress disorder on the relationship quality and psychological distress of intimate partners: a meta-analytic review. J Fam Psychol 26(5):729PubMed
Metagegevens
Titel
Changes in the Network Structure of Post-traumatic Stress Disorder Symptoms Among Earthquake Exposed Adolescents in China: A 2-Year Longitudinal Study
Auteurs
Yuanyuan An
Chuan-Peng Hu
Jiaqi Zhao
Yaru Chen
Xinchun Wu
Publicatiedatum
27-04-2020
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 1/2021
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-020-00995-6