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

Jianyin Qiu, Bin Shen, Min Zhao, Zhen Wang, Bin Xie, Yifeng Xu · 2020 · health-psychology · doi:10.1136/gpsych-2020-100213 · TEI xml · tagged edition · index · concepts · authors
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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, whether or not the words occur in the text below — a number is how many papers in the corpus carry that tag; a tag with no number is unique to this paper
CPDI content validity4 peritraumatic psychological distress survey70
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

Our tag layer for this paper

Cross-disciplinary analysis
content-tags & facets: phenomenon · claim-type · cross-domain-transfer · mechanism · claim-relation · replication-status · limitation — grounded in the full text
phenomenona population-scale distress signal during a quarantine, varying by sex, age, education, occupation and region— “It is noteworthy that migrant workers experienced the highest level of distress (mean (SD)=31.89 (23.51), F=1602.501, p<0.001) among all occupations. The concern about virus exposure in public transportation when returning to work, their worries about delays in work time and subsequent deprivation of their anticipated income may explain…
claim-typeexistence— “Almost 35% of the respondents experienced psychological distress (29.29% of the respondents’ scores were between 28 and 51, and 5.14% of the respondents’ scores were ≥52).”
method — evidence— “Leveraging the Siuvo Intelligent Psychological Assessment Platform, we presented QR codes of the questionnaire online openly accessible to the general public nationwide.”
object of study — evidence
research question — evidence
Quotation withheld — this paper is not ours to reproduce, and the page has already quoted as much of it as the rights layer allows. The tag, its field and its confidence stand; the sentence is at the publisher.
contribution — evidence
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mechanismthe 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
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mechanisms[0]
mechanismthe 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]
supports previous research finding women more vulnerable to stress and more likely to develop post-traumatic stress disorder
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claim_relations[0]
supports the effectiveness of the Chinese government's control measures, offered as the explanation for the declining distress curve
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claim_relations[1]
sensepsychological 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
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senses[0]
senseCPDI - 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
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senses[1]
sensethe 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
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senses[2]
controlthe 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 — held
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— rules out exposure risk alone as the explanation of the regional pattern - the paper names a case that cuts against it and offers a mechanism
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controls[0]
controlwhether the CPDI cut-offs correspond to anything outside the CPDI — failed
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— rules out nothing - the validation is content validity and internal consistency, neither of which addresses where the threshold sits
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controls[1]
controlwhether the respondents represent the population the prevalence is quoted for — failed
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— rules out nothing - recruitment was by open QR code and the sample is 64.73% female; the skew is reported and not adjusted for
Quotation withheld — this paper is not ours to reproduce, and the page has already quoted as much of it as the rights layer allows. The tag, its field and its confidence stand; the sentence is at the publisher.
controls[2]
weightprevious research finding women more vulnerable to stress and more likely to develop post-traumatic stress disorder — 0.8
Quotation withheld — this paper is not ours to reproduce, and the page has already quoted as much of it as the rights layer allows. The tag, its field and its confidence stand; the sentence is at the publisher.
claim_relations[0]
weightthe effectiveness of the Chinese government's control measures, offered as the explanation for the declining distress curve — 0.75
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claim_relations[1]
outcomecontrol — held
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controls[0]
outcomecontrol — failed
Quotation withheld — this paper is not ours to reproduce, and the page has already quoted as much of it as the rights layer allows. The tag, its field and its confidence stand; the sentence is at the publisher.
Quotation withheld — this paper is not ours to reproduce, and the page has already quoted as much of it as the rights layer allows. The tag, its field and its confidence stand; the sentence is at the publisher.
controls[1]
outcomecontrol — failed
Quotation withheld — this paper is not ours to reproduce, and the page has already quoted as much of it as the rights layer allows. The tag, its field and its confidence stand; the sentence is at the publisher.
Quotation withheld — this paper is not ours to reproduce, and the page has already quoted as much of it as the rights layer allows. The tag, its field and its confidence stand; the sentence is at the publisher.
controls[2]
limitationTHE 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
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limitations[0]
limitationAND 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]
limitationthe 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
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limitations[2]
limitationthe 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
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limitations[3]
limitationTHE 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
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limitations[4]
Content tags
content-observations: finding · quantity · variable · definition · key-term — grounded in the full text
finding
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content_tags.findings[0]
finding
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content_tags.findings[1]
finding
Quotation withheld — this paper is not ours to reproduce, and the page has already quoted as much of it as the rights layer allows. The tag, its field and its confidence stand; the sentence is at the publisher.
content_tags.findings[2]
finding
Quotation withheld — this paper is not ours to reproduce, and the page has already quoted as much of it as the rights layer allows. The tag, its field and its confidence stand; the sentence is at the publisher.
content_tags.findings[3]
finding
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content_tags.findings[4]
finding
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content_tags.findings[5]
quantitythe CPDI score at or above which distress is called SEVERE - asserted, not derived
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content_tags.quantities[0]
quantitythe sample's mean CPDI, with SD 15.45 - below the 28 threshold the prevalence is counted from
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content_tags.quantities[1]
quantityvalid responses, of which 64.73% from women
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content_tags.quantities[2]
variableeducation
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content_tags.variables[0]
definitionCPDI
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content_tags.definitions[0]
Concepts
terms this paper carries, each with the sentence it was cut from — the layer that joins one paper to another. Terms with no quote yet are on CONCEPTS.html.
conceptCPDI — not defined in this paper's own words; the COVID-19 Peritraumatic Distress Index, 0-100, built for this survey
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concepts[0]
conceptcontent validity — not defined in this paper's own words; the validation route used - psychiatrists judging the items, rather than a criterion comparison
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concepts[1]
conceptperitraumatic psychological distress — not defined in this paper's own words; the thing the questionnaire was designed to survey, during rather than after the event
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concepts[2]
Statistics — cross-field join keys
field-invariant statistical terms, used in their statistical sense (gated on a number / symbol / test). A p-value or a standard deviation means the SAME thing in physics, biology, psychology and sociology — so these are the strongest cross-field join keys. Grounded verbatim.
Cronbach
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content_tags.statistics[0]
SD
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content_tags.statistics[1]

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