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Dynamic networks of complex posttraumatic stress disorder and depression among college students with childhood trauma: insights from cross-sectional and cross-lagged panel network analysis.
Liu, Aiyi; Liu, Mingxiao; Ren, Yizhen; Zhang, Lake Mozi; Peng, Yu.
Afiliación
  • Liu A; Faculty of Psychology, Beijing Normal University, Beijing, People's Republic of China.
  • Liu M; Faculty of Psychology, Beijing Normal University, Beijing, People's Republic of China.
  • Ren Y; Faculty of Psychology, Beijing Normal University, Beijing, People's Republic of China.
  • Zhang LM; Faculty of Psychology, Beijing Normal University, Beijing, People's Republic of China.
  • Peng Y; Students Mental Health Education & Counseling Center, Kunming University of Science and Technology, Kunming, People's Republic of China.
Eur J Psychotraumatol ; 15(1): 2391656, 2024.
Article en En | MEDLINE | ID: mdl-39286882
ABSTRACT
Background and

Objective:

There is a current research gap regarding the symptom structure and underlying causal relationships between complex posttraumatic stress disorder (CPTSD) and depressive symptoms. This longitudinal study used a cross-sectional network and cross-lag panel network (CLPN) to examine how CPTSD and depression symptoms interact over time in Chinese college students with childhood trauma.

Methods:

From 18,933 college students who took part in 2 surveys 12 months apart, 4006 participants (mean age 20.07 ± 2.04) who reported childhood trauma were screened. Within this sample, there were 2354 (58.8%) males and 1652 (41.2%) females.

Results:

In the one-year interval CLPN model, it was found that depressive symptoms may precede other symptoms. Specifically, negative emotions and negative self-evaluations are more likely to predict subsequent symptoms. Conversely, in CPTSD, symptoms related to fear and anxiety, such as avoidance, intrusion, and hyperarousal, are more frequently activated by other symptoms, including negative emotions

Conclusions:

This finding offers a novel perspective on the interplay between CPTSD and depression, extending the existing theory. From a clinical standpoint, the points of intervention for comorbidity between depression and CPTSD who have experienced childhood trauma differ across different stages.
This study used network analysis to examine the evolving symptom structure of complex posttraumatic stress disorder (CPTSD) and depression, as well as the relationships between symptoms, in a large-scale longitudinal study among college students who have experienced childhood trauma.Symptoms such as emotional dysregulation and negative self-concept serve as stable central symptoms of both CPTSD and depression.Depression, tends to activate other symptoms, whereas CPTSD, is more frequently predicted by other symptoms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Estudiantes / Depresión Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Eur J Psychotraumatol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Estudiantes / Depresión Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Eur J Psychotraumatol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos