Asian journal of psychiatry · 2026
Using network analysis to provide new insight of the relationship between childhood trauma, family environment and depressive symptoms in adolescents with major depressive disorder.
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Fang Xinyu, Tang Ruru, Wu Chaoran, Liu Hongyang, Zhang Yaoyao, Tang Wei, Yuan Lingling, Cai Renliang, Li Yi, Zhang Xiangrong
Аннотация
BACKGROUND: Ample evidence supported that childhood trauma and family environment are closely linked to adolescent depression. This study aimed to establish a network of childhood trauma, family environment and depressive symptoms among adolescents with major depressive disorder (MDD), and to identify the central and bridge symptoms in the network.
METHODS: A total of 560 adolescents diagnosed with MDD were included in the present study. The Children's Depression Inventory (CDI), the Chinese version of the Childhood Trauma Questionnaire-Short Form (CTQ-SF), and the Family Environment Scale-Chinese Version (FES-CV) were evaluated. Network analysis based on these assessments was performed using R.
RESULTS: A total of 140 non-zero edges in the network were revealed. Among them, 86 (61.4 %) of these edges spanned the communities, whilst 54 (38.6 %) were inside their respective communities. In the network, the emotional abuse (CTQ0), emotional neglect (CTQ3), family cohesion (FES0), family control (FES9), anhedonia (CDI0) and ineffectiveness (CDI3) were regarded as the most central symptoms. The nodes with the strongest bridge were CTQ3, CTQ0 and CDI3. The Network Comparison Test showed no significant differences in network structure invariance and global strength invariance between male and female adolescents and between younger and older adolescents.
CONCLUSION: The findings demonstrate that childhood trauma and family environment interacted with each other and were collectively associated with the depressive symptoms in adolescents with MDD. The findings provide a theoretical basis for targeted interventions to prevent and alleviate depression in adolescents.
METHODS: A total of 560 adolescents diagnosed with MDD were included in the present study. The Children's Depression Inventory (CDI), the Chinese version of the Childhood Trauma Questionnaire-Short Form (CTQ-SF), and the Family Environment Scale-Chinese Version (FES-CV) were evaluated. Network analysis based on these assessments was performed using R.
RESULTS: A total of 140 non-zero edges in the network were revealed. Among them, 86 (61.4 %) of these edges spanned the communities, whilst 54 (38.6 %) were inside their respective communities. In the network, the emotional abuse (CTQ0), emotional neglect (CTQ3), family cohesion (FES0), family control (FES9), anhedonia (CDI0) and ineffectiveness (CDI3) were regarded as the most central symptoms. The nodes with the strongest bridge were CTQ3, CTQ0 and CDI3. The Network Comparison Test showed no significant differences in network structure invariance and global strength invariance between male and female adolescents and between younger and older adolescents.
CONCLUSION: The findings demonstrate that childhood trauma and family environment interacted with each other and were collectively associated with the depressive symptoms in adolescents with MDD. The findings provide a theoretical basis for targeted interventions to prevent and alleviate depression in adolescents.