A nationwide survey of psychological distress among Chinese people in the COVID‐19 epidemic: implications and policy recommendations

Jianyin Qiu, Bin Shen, Min Zhao, Zhen Wang, Bin Xie, Yifeng Xu · General Psychiatry · 2020 · health-psychology · 10.1136/gpsych-2020-100213 · record qiu2020-a-nationwide-survey-of-psychologic
tag layer · index · concepts · authors · עברית
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Other fields define these differently the same word, defined another way in another discipline
content validity 2 fields · education 2 fields

Tags on this paper

Every tag the record carries, each linking to every other paper in the corpus that carries it. A tag appears here whether or not its words occur in the article — the spans below are only the ones a sentence in this paper licenses. Of the 3 concept tags on this paper, all 3 are grounded in a quoted sentence. All carry the tagger's gloss of what the term means in this paper, which is not something the article can license.
CPDI content validity peritraumatic psychological distress education Cronbach SD survey
Method, as described: self-report questionnaire distributed by QR code through an online assessment platform, open to the general public, from the day the WHO declared a PHEIC

Legend

relation to other workclaim_relationshow this paper stands to another: agrees, contradicts, extends, qualifies
claim typeclaim_typethe shape of the claim: existence, mechanism, method, critique, prediction, null
conceptconceptsan idea the paper works with, quoted where the paper uses it
content tagcontent_tagsa finding, definition, quantity, statistic or variable named in the paper
contributioncontributionwhat the paper claims to add
controlcontrolsan experiment run to eliminate a rival explanation
limitationlimitationswhat the paper says its evidence cannot support
mechanismmechanismshow the reported effect is said to come about
methodmethodhow the paper produced its evidence
object of studyobject_of_studywhat the paper is about — the thing it investigates
phenomenonphenomenonthe effect or regularity under study
research questionresearch_questionthe question the paper sets itself
sensesensesa distinct use of a term, quoted where the paper fixes it

The paper

The full text is not reproduced here. This article is not cleared for redistribution, so the page carries the tag layer only. Its evidence sentences are withheld; the grounding status remains with each tag, and the article itself is at https://doi.org/10.1136/gpsych-2020-100213. The reading view exists for the papers whose licence permits it.

Every tag on this page

claim_relations 2 · claim_type 1 · concepts 3 · content_tags 13 · contribution 1 · controls 3 · limitations 5 · mechanisms 2 · method 1 · object_of_study 1 · phenomenon 1 · research_question 1 · senses 3

This record holds no relations between concepts. A layer is empty when the tagger recorded nothing in it — which is not the same as the paper having nothing to record.

facettagfieldconf.whose words
object_of_studyperitraumatic psychological distress in the Chinese general population during the first weeks of the COVID-19 epidemic - measured by an index built for the occasion
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
object_of_studythe paper's words
research_questionhow prevalent and how severe the distress was, and which groups carried most of it
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
research_questionthe paper's words
contributionthe first nationwide distress survey of the epidemic, 52,730 responses, and a new instrument - the COVID-19 Peritraumatic Distress Index
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contributionthe paper's words
claim_typeexistence
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
claim_typethe paper's words
phenomenona population-scale distress signal during a quarantine, varying by sex, age, education, occupation and region
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
phenomenonthe paper's words
methodsurvey
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also in: survey
methodthe paper's words
mechanismsthe explanations offered are all social rather than clinical - information exposure for the young, morbidity risk for the elderly, transport and lost income for migrant workers, health self-awareness for the educated - and every one is hedged in the authors' own words
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[0]0.95the tagger's words
mechanismsthe decline over time is attributed to the government's control measures, alongside the observation that the lowest point fell on a festival - two candidate causes for one curve, neither separated from the other
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mechanisms[1]0.95the tagger's words
limitationsTHE INSTRUMENT DID NOT EXIST BEFORE THE SURVEY. The CPDI was `DESIGNED` for this epidemic and fielded from `31 January 2020, the day when the WHO announced` the PHEIC - built, validated and deployed inside the window it measures
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
limitations[0]0.95the tagger's words
limitationsAND ITS CUT-OFFS ARE ASSERTED RATHER THAN DERIVED: `A score between 28 and 51 indicates mild to moderate distress. A SCORE >= 52 INDICATES SEVERE DISTRESS.` No derivation, no comparison against an existing scale, no ROC analysis
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limitations[1]0.95the tagger's words
limitationsthe validation offered does not address the threshold: content validity by psychiatrists, and a Cronbach's alpha of 0.95, WHICH IS AN INTERNAL-CONSISTENCY STATISTIC AND SAYS NOTHING ABOUT WHERE A CUT-OFF SHOULD SIT
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
limitations[2]0.95the tagger's words
limitationsthe sample is self-selected through QR codes on an online platform `openly accessible to the general public`, and it is 64.73% female against a population near 49% - a skew the paper reports and does not adjust for
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
limitations[3]0.95the tagger's words
limitationsTHE PAPER CARRIES NO LIMITATIONS SECTION AT ALL. It ends on four policy recommendations. For a 1,156-word letter that is a fact about the genre rather than about the authors, and it is why the caveats above had to be read out of the methods
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
limitations[4]0.85the tagger's words
controlsthe regional comparison uses Shanghai as a case where high exposure risk did NOT produce high distress, and attributes the difference to the public health system
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
eliminates: exposure risk alone as the explanation of the regional pattern - the paper names a case that cuts against it and offers a mechanism · outcome: held
controls[0]0.95the tagger's words
controlswhether the CPDI cut-offs correspond to anything outside the CPDI
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
eliminates: nothing - the validation is content validity and internal consistency, neither of which addresses where the threshold sits · outcome: failed
controls[1]0.95the tagger's words
controlswhether the respondents represent the population the prevalence is quoted for
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
eliminates: nothing - recruitment was by open QR code and the sample is 64.73% female; the skew is reported and not adjusted for · outcome: failed
controls[2]0.95the tagger's words
conceptsCPDI
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: CPDI
concepts[0]0.95the paper's words
conceptscontent validity
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[1]0.95the paper's words
conceptsperitraumatic psychological distress
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[2]0.95the paper's words
sensespsychological distress - AS OPERATIONALISED HERE, A SCORE ABOVE 28 ON A SCALE THAT DID NOT EXIST TEN DAYS EARLIER. The headline `almost 35% of the respondents experienced psychological distress` IS THAT THRESHOLD, restated as a prevalence, and the prevalence is what 4,481 papers cite
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[0]0.95the tagger's words
sensesCPDI - a 0-100 index over anxiety, depression, specific phobias, cognitive change, avoidance, compulsive behaviour, physical symptoms and loss of social functioning in the past week. EIGHT DOMAINS COLLAPSED INTO ONE NUMBER, and the number carries the diagnosis
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[1]0.95the tagger's words
sensesthe validation - CONTENT VALIDITY plus alpha 0.95. Alpha measures whether the items hang together, not whether the scale measures distress and not whether 28 is the right place to cut it. A HIGH ALPHA ON A NEW SCALE SAYS THE QUESTIONS RESEMBLE EACH OTHER
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[2]0.95the tagger's words
claim_relationssupports → previous research finding women more vulnerable to stress and more likely to develop post-traumatic stress disorder
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
claim_relations[0]0.95the tagger's words
claim_relationssupports → the effectiveness of the Chinese government's control measures, offered as the explanation for the declining distress curve
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
claim_relations[1]0.95the tagger's words
content_tagsa CPDI score of 28-51 indicates mild to moderate distress, and 52 or more severe distress
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[0]0.95the tagger's words
content_tagsTHE INSTRUMENT DID NOT EXIST BEFORE THE SURVEY - the questionnaire was DESIGNED for this epidemic and fielded from the day the WHO declared a PHEIC
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[1]0.95the tagger's words
content_tagsthe CPDI's content validity was verified by psychiatrists, and its Cronbach's alpha is 0.95
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[2]0.95the tagger's words
content_tags52,730 valid responses from 36 provinces, autonomous regions and municipalities, 64.73% of them from women
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[3]0.95the tagger's words
content_tagsmigrant workers experienced the highest distress of any occupation, mean 31.89, with transport exposure and lost income offered as the explanation
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[4]0.95the tagger's words
content_tagsShanghai's distress level is not spiking, probably because of its strong public health system
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[5]0.95the tagger's words
content_tagsan index of the frequency of anxiety, depression, specific phobias, cognitive change, avoidance and compulsive behaviour, physical symptoms and loss of social functioning in the past week, ranging from 0 to 100
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: CPDI
content_tags.definitions[0]0.95the tagger's words
content_tagsthe CPDI score at or above which distress is called SEVERE - asserted, not derived
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.quantities[0]0.95the tagger's words
content_tagsthe sample's mean CPDI, with SD 15.45 - below the 28 threshold the prevalence is counted from
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.quantities[1]0.95the tagger's words
content_tagsvalid responses, of which 64.73% from women
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.quantities[2]0.95the tagger's words
content_tagsCronbach
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: Cronbach
content_tags.statistics[0]0.95the tagger's words
content_tagsSD
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: SD
content_tags.statistics[1]0.95the tagger's words
content_tagseducation
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: education
content_tags.variables[0]0.95the tagger's words

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