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Published: 2026-07-25
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DOI: https://doi.org/10.52163/yhc.v67iCD9.5971
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Tập 67 Số CĐ9-HNYH Giới tính
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Articles
How to Cite
Như, N. T., Như, N. T., Đào, Đinh T. H., Đào, Đinh T. H., Bình, P. T. C., Bình, P. T. C., & Loan, K. X. (2026). NETWORK ANALYSIS OF ANXIETY, DEPRESSION, COPING STRATEGIES, AND SOCIAL SUPPORT: A GENDER COMPARISON AMONG HIGH SCHOOL STUDENTS IN HO CHI MINH CITY. Vietnam Journal of Community Medicine, 67(CD9). https://doi.org/10.52163/yhc.v67iCD9.5971

NETWORK ANALYSIS OF ANXIETY, DEPRESSION, COPING STRATEGIES, AND SOCIAL SUPPORT: A GENDER COMPARISON AMONG HIGH SCHOOL STUDENTS IN HO CHI MINH CITY.

Ngo Thanh Nhu1, Ngo Thanh Nhu1, Dinh Thi Hong Dao1, Dinh Thi Hong Dao1, Pham Trinh Cong Binh1, Pham Trinh Cong Binh1, Kim Xuan Loan1
1 Department of Public Health, University of Medicine and Pharmacy at Ho Chi Minh city

Main Article Content

Abstract

Objective: To compare the network models of anxiety, depression, social support, and coping strategies among high school students in Ho Chi Minh city by gender.


Method: A cross-sectional study was conducted among 1081 high school students in Ho Chi Minh city, utilizing the PHQ-9, GAD-7, CSI, and MSPSS scales. Network structures were estimated via Gaussian Graphical Models and gender differences were evaluated using the NetworkComparisonTest in R.


Results: The overall network structure was comparable between males and females. However, maladaptive coping strategies occupied central positions within the networks and differed by gender. In males, self-blame emerged as the primary central node, whereas in females, wishful thinking was most central, both were positively associated with anxiety and depression.


Conclusions: Maladaptive coping strategies were identified as central nodes within the network. Interventions targeting these gender-specific central nodes, while concurrently strengthening adaptive coping and social support, may contribute to improved mental health outcomes among adolescents.

Article Details

Keywords

Anxiety, depression, coping strategies, social support, network analysis, gender differences.

References

[1] Scardera S, Perret L.C, Ouellet-Morin I, Gariépy G, Juster R.P, Boivin M et al. Association of social support during adolescence with depression, anxiety, and suicidal ideation in young adults. JAMA network open, 2020, 3 (12): e2027491. doi: 10.1001/jamanetworkopen.2020.27491
[2] Hampel P, Petermann F. Age and gender effects on coping in children and adolescents. Journal of Youth and Adolescence, 2005, 34 (2): 73-83. doi: 10.1007/s10964-005-3207-9
[3] Constantin M. Sample size recommendations for estimating cross-sectional network models. AOJ Cramer - Tilburg University: Tilburg, The Netherlands, 2018. https://scholar.google.com/citations?view_op=view_citation&hl=en&user=M6jdDnUAAAAJ&citation_for_view=M6jdDnUAAAAJ:IjCSPb-OGe4C
[4] Niu C, Jiang Y, Li Y, Wang X, Zhao H, Cheng Z et al. A network analysis of the heterogeneity and associated risk and protective factors of depression and anxiety among college students. Scientific Reports, 2025, 15 (1): 6699. doi: 10.1038/s41598-025-91025-9
[5] Zhang Z, Qiu A, Zhang X, Zhao Y, Yuan L, Yi J et al. Gender differences in the mental symptom network of high school students in Shanghai, China: a network analysis. BMC Public Health, 2024, 24 (1): 2719. doi: 10.1186/s12889-024-20130-7
[6] Tobin D.L, Holroyd K.A, Reynolds R.V, Wigal J.K. The hierarchical factor structure of the Coping Strategies Inventory. Cognitive therapy and research, 1989, 13 (4): 343-61. doi: 10.1007/BF01173478
[7] Krohne H.W. Stress and coping theories. Int Encyclopedia of the Social Behavioral Sceinces, 2002.
[8] Su Z, Yang X, Hou J, Liu S, Wang Y, Chen Z. Gender differences in the co-occurrence of anxiety and depressive symptoms among early adolescents: a network approach. Journal of Psychiatric Research, 2024, 179: 300-5. doi: 10.1016/j.jpsychires.2024.09.024
[9] Janoff-Bulman R. Characterological versus behavioral self-blame: inquiries into depression and rape. Journal of Personality and Social Psychology, 1979, 37 (10): 1798. doi: 10.1037/0022-3514.37.10.1798
[10] Snyder C.R. Hope theory: rainbows in the mind. Psychological Inquiry, 2002, 13 (4): 249-75. doi: 10.1207/S15327965PLI1304_01