PMID- 36814344
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230225
IS  - 1753-2000 (Print)
IS  - 1753-2000 (Electronic)
IS  - 1753-2000 (Linking)
VI  - 17
IP  - 1
DP  - 2023 Feb 22
TI  - A network analysis of difficulties in emotion regulation, anxiety, and depression 
      for adolescents in clinical settings.
PG  - 29
LID - 10.1186/s13034-023-00574-2 [doi]
LID - 29
AB  - BACKGROUND: Difficulties in emotion regulation (DER) are widely considered to 
      underlie anxiety and depression. Given the prevalence of anxiety and depression 
      in adolescents and the fact that adolescence is a key period for the development 
      of emotion regulation ability, it is important to examine how DER is related to 
      anxiety and depression in adolescents in clinical settings. METHODS: In the 
      present study, we assessed 209 adolescents in clinical settings using the 
      Difficulties in Emotion Regulation Scale (DERS) and the Hospital Anxiety and 
      Depression Scale (HADS) and examined the associations between six components of 
      DER and 14 symptoms of anxiety and depression. We used network analysis, 
      constructed circular and multidimensional scaling (MDS) networks, and calculated 
      network centrality, bridge centrality, and stability of centrality indices. 
      RESULTS: The results showed that: (1) The global centrality index shows that the 
      Strategy component (i.e., lack of access to strategies) is the center in the 
      whole network, ranking highest in strength, closeness, betweenness, and expected 
      influence. (2) The MDS network showed a closeness of anxiety and depression 
      symptoms, while Awareness component (i.e., lack of emotional awareness) stayed 
      away from other DER components, but Awareness is close to some depression 
      symptoms. (3) The bridge nodes of three groups, Strategy from DERS, Worry and 
      Relax from anxiety symptoms, and Cheerful and Slow from depression symptoms, had 
      the strongest relationships with the other groups. CONCLUSION: Lack of access to 
      strategies remains in the center not only in DER but also in the 
      DER-anxiety-depression network, while lack of awareness is close to depression 
      but not to anxiety. Worrying thoughts and inability to relax are the bridging 
      symptoms for anxiety, while lack of cheerful emotions and slowing down are the 
      bridging symptoms for depression. These findings suggest that making emotion 
      regulation strategies more accessible to patients and reducing these bridging 
      symptoms may yield the greatest rewards for anxiety and depression therapy.
CI  - (c) 2023. The Author(s).
FAU - Ruan, Qian-Nan
AU  - Ruan QN
AD  - Wenzhou Seventh People's Hospital, Wenzhou, 325006, China.
FAU - Chen, Yu-Hsin
AU  - Chen YH
AD  - School of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China.
FAU - Yan, Wen-Jing
AU  - Yan WJ
AD  - School of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China. 
      yanwj@wmu.edu.cn.
AD  - Zhejiang Provincial Clinical Research Center for Mental Disorders, The affiliated 
      Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou, 325035, China. 
      yanwj@wmu.edu.cn.
LA  - eng
GR  - Y20210112/Wenzhou Municipal Science and Technology Bureau/
GR  - 2023RC273/Health Commission of Zhejiang Province/
PT  - Journal Article
DEP - 20230222
PL  - England
TA  - Child Adolesc Psychiatry Ment Health
JT  - Child and adolescent psychiatry and mental health
JID - 101297974
PMC - PMC9945357
OTO - NOTNLM
OT  - Adolescent
OT  - Anxiety
OT  - Depression
OT  - Emotion regulation
OT  - Network analysis
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2023/02/24 06:00
MHDA- 2023/02/24 06:01
PMCR- 2023/02/22
CRDT- 2023/02/23 01:27
PHST- 2022/10/30 00:00 [received]
PHST- 2023/02/06 00:00 [accepted]
PHST- 2023/02/23 01:27 [entrez]
PHST- 2023/02/24 06:00 [pubmed]
PHST- 2023/02/24 06:01 [medline]
PHST- 2023/02/22 00:00 [pmc-release]
AID - 10.1186/s13034-023-00574-2 [pii]
AID - 574 [pii]
AID - 10.1186/s13034-023-00574-2 [doi]
PST - epublish
SO  - Child Adolesc Psychiatry Ment Health. 2023 Feb 22;17(1):29. doi: 
      10.1186/s13034-023-00574-2.