Screening Depressive Symptoms and Incident Major Depressive Disorder Among Chinese Community Residents Using a Mobile App–Based Integrated Mental Health Care Model: Cohort Study
Open accessPublished version of a preprint
Abstract
Background: Depression is associated with significant morbidity and human capital costs globally. Early screening for depressive symptoms and timely depressive disorder case identification and intervention may improve health outcomes and cost-effectiveness among affected individuals. China’s public and academic communities have reached a consensus on the need to improve access to early screening, diagnosis, and treatment of depression. Objective: This study aims to estimate the screening prevalence and associated factors of subthreshold depressive symptoms among Chinese residents enrolled in the cohort study using a mobile app–based integrated mental health care model and investigate the 12-month incidence rate and related factors of major depressive disorder (MDD) among those with subthreshold depressive symptoms. Methods: Data were drawn from the Depression Cohort in China (DCC) study. A total of 4243 community residents aged 18 to 64 years living in Nanshan district, Shenzhen city, in Guangdong province, China, were encouraged to participate in the DCC study when visiting the participating primary health care centers, and 4066 (95.83%) residents who met the DCC study criteria were screened for subthreshold depressive symptoms using the Patient Health Questionnaire-9 at baseline. Of the 4066 screened residents, 3168 (77.91%) with subthreshold depressive symptoms were referred to hospitals to receive a psychiatric diagnosis of MDD within 12 months. Sleep duration, anxiety symptoms, well-being, insomnia symptoms, and resilience were also investigated. The diagnosis of MDD was provided by trained psychiatrists using the Mini-International Neuropsychiatric Interview. Univariate and multivariate logistic regression models were performed to explore the potential factors related to subthreshold depressive symptoms at baseline, and Cox proportional hazards models were performed to explore the potential factors related to incident MDD. Results: Anxiety symptoms (adjusted odds ratio [AOR] 1.63, 95% CI 1.42-1.87) and insomnia symptoms (AOR 1.13, 95% CI 1.05-1.22) were associated with an increased risk of subthreshold depressive symptoms, whereas well-being (AOR 0.93, 95% CI 0.87-0.99) was negatively associated with depressive symptoms. During the follow-up period, the 12-month incidence rate of MDD among participants with subthreshold depressive symptoms was 5.97% (189/3168). After incorporating all significant variables from the univariate analyses, the multivariate Cox proportional hazards model reported that a history of comorbidities (adjusted hazard ratio [AHR] 1.49, 95% CI 1.04-2.14) and anxiety symptoms (AHR 1.13, 95% CI 1.09-1.17) were independently associated with an increased risk of incident MDD. The 5-item World Health Organization Well-Being Index was associated with a decreased risk of incident MDD (AHR 0.90, 95% CI 0.86-0.94). Conclusions: Elevated anxiety symptoms and unfavorable general well-being were significantly associated with subthreshold depressive symptoms and incident MDD among Chinese residents in Shenzhen. Early screening for subthreshold depressive symptoms and related factors may be helpful for identifying populations at high risk of incident MDD.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Abilify MyCite combines pharmacologic therapy with a wearable sensor and a mobile app that help monitor treatment and enhance collaboration between patients and their providers.
“One example is Otsuka Pharmaceutical's Abilify MyCite that combines pharmacologic therapy with a wearable sensor and a mobile app that help monitor treatment and enhance collaboration between patients and their providers.”
From Digital health technologies and major depressive disorder (2023) · cites this paper as [93]
Digital therapeutics have been approved by the FDA for the treatment of depression.
“Digital therapeutics have been approved by the FDA for the treatment of depression.”
From Digital health technologies and major depressive disorder (2023) · cites this paper as [93]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765 · see citing works
(1998) · PubMed · Cited by 10,216 · see citing works
Validation of the Insomnia Severity Index as an outcome measure for insomnia research
Bastien, C. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00065-4 · Cited by 8,067 · see citing works
Santomauro, D. F., Mantilla Herrera, A. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., Abbafati, C., Adolph, C., Amlag, J. O., Aravkin, A. Y., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)02143-7 · Cited by 5,444 · see citing works
The WHO-5 well-being index: A systematic review of the literature
Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015) · Psychotherapy and Psychosomatics · doi:10.1159/000376585 · Cited by 4,708 · see citing works
Controlling the false discovery rate in behavior genetics research
Benjamini, Y., Drai, D., Elmer, G., Kafkafi, N., & Golani, I. (2001) · Behavioural Brain Research · doi:10.1016/s0166-4328(01)00297-2 · Cited by 4,146 · see citing works
Mental illness and/or mental health? Investigating axioms of the complete state model of health
Keyes, C. L. M. (2005) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.73.3.539 · Cited by 3,357 · see citing works
Garnefski, N., Kraaij, V., Schroevers, M. J., & Somsen, G. A. (2008) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-008-9136-5 · Cited by 2,487 · see citing works
Prevalence of mental disorders in China: a cross-sectional epidemiological study
Huang, Y., Wang, Y., Wang, H., Liu, Z., Yu, X., Yan, J., Yu, Y., Kou, C., Xu, X., Lu, J., et al. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30511-x · Cited by 2,335 · see citing works
Self-citationLevis, B., Benedetti, A., & Thombs, B. D. (2019) · BMJ · doi:10.1136/bmj.l1476 · Cited by 1,718 · see citing works
Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment
Fang, H., Tu, S., Sheng, J., & Shao, A. (2019) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.14170 · Cited by 1,152 · see citing works
Undertreatment of people with major depressive disorder in 21 countries
Thornicroft, G., Chatterji, S., Evans-Lacko, S., Gruber, M., Sampson, N., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Andrade, L., Borges, G., et al. (2017) · British Journal of Psychiatry · doi:10.1192/bjp.bp.116.188078 · Cited by 1,121 · see citing works
Phillips, M. R., Zhang, J., Shi, Q., Song, Z., Ding, Z., Pang, S., Li, X., Zhang, Y., & Wang, Z. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60660-7 · Cited by 1,063 · see citing works
Risk for recurrence in depression
Burcusa, S. L., & Iacono, W. G. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.02.005 · Cited by 1,023 · see citing works
Alonso, J., Liu, Z., Evans-Lacko, S., Sadikova, E., Sampson, N., Chatterji, S., Abdulmalik, J., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H., et al. (2018) · Depression and Anxiety · doi:10.1002/da.22711 · Cited by 716 · see citing works
Insomnia and the risk of depression: a meta-analysis of prospective cohort studies
Li, L., Wu, C., Gan, Y., Qu, X., & Lu, Z. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-1075-3 · Cited by 626 · see citing works
Self-citationWood, A. M., & Joseph, S. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.06.032 · Cited by 624 · see citing works
Li, H., Zheng, D., Li, Z., Wu, Z., Feng, W., Cao, X., Wang, J., Gao, Q., Li, X., Wang, W., et al. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.16591 · Cited by 395 · see citing works
Yu, N. X., Tam, W., Wong, P. T. K., Lam, T. H., & Stewart, S. M. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2010.11.002 · Cited by 392 · see citing works
Suicidal Ideation and Attempts Among Psychiatric Patients With Major Depressive Disorder
Sokero, T. P., Melartin, T. K., Rytsälä, H. J., Leskelä, U. S., Lestelä-Mielonen, P. S., & Isometsä, E. T. (2003) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v64n0916 · Cited by 374 · see citing works
Definitions and factors associated with subthreshold depressive conditions: a systematic review
Rodríguez, M. R., Nuevo, R., Chatterji, S., & Ayuso‐Mateos, J. L. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-181 · Cited by 371 · see citing works
The Effect of Social Support on Mental Health in Chinese Adolescents During the Outbreak of COVID-19
Qi, M., Zhou, S., Guo, Z.-C., Zhang, L.-G., Min, H.-J., Li, X.-M., & Chen, J. (2020) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2020.07.001 · Cited by 366 · see citing works
Depression among Chinese university students: prevalence and socio-demographic correlates
Chen, L., Wang, L., Qiu, X. H., Yang, X. X., Qiao, Z. X., Yang, Y. J., & Liang, Y. (2013) · PLoS ONE · doi:10.1371/journal.pone.0058379 · Cited by 322 · see citing works
Comorbidity of Depression with Physical Disorders: Research and Clinical Implications
Kang, H., Kim, S. Y., Bae, K., Kim, S., Shin, I., Yoon, J., & Kim, J. (2015) · Chonnam Medical Journal · doi:10.4068/cmj.2015.51.1.8 · Cited by 228 · see citing works
Qin, X., Wang, S., & Hsieh, C. (2016) · China Economic Review · doi:10.1016/j.chieco.2016.04.001 · Cited by 228 · see citing works
Living alone and depression: the modifying role of the perceived neighborhood environment
Stahl, S. T., Beach, S. R., Musa, D., & Schulz, R. (2016) · Aging & Mental Health · doi:10.1080/13607863.2016.1191060 · Cited by 225 · see citing works
What is the genetic relationship between anxiety and depression?
Hettema, J. M. (2008) · American Journal of Medical Genetics Part C Seminars in Medical Genetics · doi:10.1002/ajmg.c.30171 · Cited by 207 · see citing works
Lee, Y. Y., Stockings, E. A., Harris, M. G., Doi, S. A. R., Page, I. S., Davidson, S. K., & Barendregt, J. J. (2019) · Psychological Medicine · doi:10.1017/s0033291718000557 · Cited by 201 · see citing works
Self-citationThe Public Health Impact of Major Depression: A Call for Interdisciplinary Prevention Efforts
McLaughlin, K. A. (2011) · Prevention Science · doi:10.1007/s11121-011-0231-8 · Cited by 196 · see citing works
Dong, M., Wang, S.-B., Li, Y., Xu, D.-D., Ungvari, G. S., Ng, C. H., Chow, I. H. I., & Xiang, Y. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.07.043 · Cited by 196 · see citing works
Well-Being and the Risk of Depression under Stress
Grant, F., Guille, C., & Sen, S. (2013) · PLoS ONE · doi:10.1371/journal.pone.0067395 · Cited by 189 · see citing works
Depression: Screening and Diagnosis.
Maurer, D., Raymond, T. J., & Davis, B. N. (2018) · PubMed · Cited by 185 · see citing works
Guo, L., Deng, J., He, Y., Deng, X., Huang, J., Huang, G., Gao, X., & Lu, C. (2014) · BMJ Open · doi:10.1136/bmjopen-2014-005517 · Cited by 170 · see citing works
Self-citationAssessing the Accuracy of Diagnostic Tests.
Li, F., & He, H. (2018) · Europe PMC (PubMed Central) · doi:10.11919/j.issn.1002-0829.218052 · Cited by 155 · see citing works
Depression screening via a smartphone app: cross-country user characteristics and feasibility
BinDhim, N. F., Shaman, A. M., Trevena, L. J., Basyouni, M. H., Pont, L., & Alhawassi, T. M. (2014) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2014-002840 · Cited by 153 · see citing works
Wu, L. M., Tan, Y., & Liu, Y. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1219-0 · Cited by 148 · see citing works
Self-citationRethinking progress and challenges of mental health care in China
Xiang, Y., Ng, C. H., Yu, X., & Wang, G. (2018) · World Psychiatry · doi:10.1002/wps.20500 · Cited by 125 · see citing works
Depression in primary care: part 1—screening and diagnosis
Ferenchick, E. K., Ramanuj, P., & Pincus, H. A. (2019) · BMJ · doi:10.1136/bmj.l794 · Cited by 118 · see citing works
Jackson, M. L., Sztendur, E. M., Diamond, N. T., Byles, J., & Bruck, D. (2014) · Archives of Women s Mental Health · doi:10.1007/s00737-014-0417-8 · Cited by 110 · see citing works
A mobile app–based intervention for depression: end-user and expert usability testing study
Fuller-Tyszkiewicz, M., Richardson, B., Klein, B., Skouteris, H., Christensen, H., Austin, D., Castle, D., Mihalopoulos, C., O'Donnell, R., Arulkadacham, L., et al. (2018) · JMIR Mental Health · doi:10.2196/mental.9445 · Cited by 98 · see citing works
Okun, M. L., Luther, J. F., Wisniewski, S. R., & Wisner, K. L. (2013) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31829cc3e7 · Cited by 94 · see citing works
Effects of anxiety on the long-term course of depressive disorders
Coryell, W., Fiedorowicz, J. G., Solomon, D., Leon, A. C., Rice, J. P., & Keller, M. B. (2012) · British Journal of Psychiatry · doi:10.1192/bjp.bp.110.081992 · Cited by 92 · cited 1× · see citing works
“Long-term anxiety symptoms are likely to lead to the onset of depressive symptoms [55].”
BackgroundMcIntyre, R. S., Millson, B., & Power, G. S. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.07.045 · Cited by 60 · see citing works
Self-citationVetter, J., Spiller, T. R., Cathomas, F., Robinaugh, D. J., Brühl, A. B., Boeker, H., Seifritz, E., & Kleim, B. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.08.074 · Cited by 58 · see citing works
The impact of COVID-19 on subthreshold depressive symptoms: a longitudinal study
Liao, Y., Fan, B. F., Zhang, H. M., Guo, L., Lee, Y. M., Wang, W., Li, W., Gong, M., Lui, L. M. W., Li, L. J., et al. (2021) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796021000044 · Cited by 57 · see citing works
Self-citationNan, H., Lee, P. H., McDowell, I., Ni, M. Y., Stewart, S. M., & Lam, T. H. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-198 · Cited by 49 · see citing works
Cognitive distortions mediate depression and affective response to social acceptance and rejection
Caouette, J. D., & Guyer, A. E. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.11.015 · Cited by 46 · see citing works
Development and implementation of guidelines for the management of depression: a systematic review
Lee, Y., Brietzke, E., Cao, B., Chen, Y., Linnaranta, O., Mansur, R. B., Cortes, P., Kösters, M., Majeed, A., Tamura, J. K., et al. (2020) · Bulletin of the World Health Organization · doi:10.2471/blt.20.251405 · Cited by 45 · see citing works
Self-citationGuo, L., Hong, L., Gao, X., Zhou, J., Lu, C., & Zhang, W. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.01.027 · Cited by 38 · see citing works
Self-citationThe cost-effectiveness of PHQ screening and collaborative care for depression in New York City
Jiao, B., Rosen, Z., Bellanger, M. M., Belkin, G. S., & Muennig, P. A. (2017) · PLoS ONE · doi:10.1371/journal.pone.0184210 · Cited by 28 · see citing works
Chiang, Y.-H., Beckstead, J. W., Lo, S., & Yang, C. (2018) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2018.03.014 · Cited by 25 · see citing works
Gramaglia, C., Feggi, A., Bergamasco, P., Bert, F., Gattoni, E., Marangon, D., Siliquini, R., Torre, E., & Zeppegno, P. (2016) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2016.00109 · Cited by 24 · see citing works
Pellas, J., & Damberg, M. (2021) · Upsala Journal of Medical Sciences · doi:10.48101/ujms.v126.7848 · Cited by 23 · see citing works
Average Volume of Alcohol Consumed, Drinking Patterns, and Metabolic Syndrome in Older Korean Adults
Shin, M., Kweon, S., Choi, J., Rhee, J.-A., Nam, H., Jeong, S., Park, K.-S., Ryu, S. Y., Choi, S.-W., Kim, B., et al. (2013) · Journal of Epidemiology · doi:10.2188/jea.je20120065 · Cited by 19 · see citing works
Self-citationTrends in Health-Risk Behaviors among Chinese Adolescents
Guo, L., Wang, T., Wang, W., Huang, G., Xu, Y., & Lu, C. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16111902 · Cited by 19 · see citing works
Self-citationBhattacharyya, O. K., Schull, M. J., Shojania, K. G., Stergiopoulos, V., Naglie, G., Webster, F., Brandao, R., Mohammed, T., Christian, J. B., HAWKER, G. A., et al. (2016) · Healthcare Quarterly · doi:10.12927/hcq.2016.24701 · Cited by 17 · see citing works
Adherence of Mobile App-Based Surveys and Comparison With Traditional Surveys: eCohort Study
Pathiravasan, C. H., Zhang, Y., Trinquart, L., Benjamin, E. J., Borrelli, B., McManus, D. D., Kheterpal, V., Lin, H., Sardana, M., Hammond, M. M., et al. (2021) · Journal of Medical Internet Research · doi:10.2196/24773 · Cited by 16 · see citing works
Depressive disorders and comorbidity: somatic illness vs. side effect.
Uzun, S., Kozumplik, O., Topić, R., & Jakovljević, M. (2009) · PubMed · Cited by 15 · see citing works
Badrasawi, M., & Zidan, S. J. (2021) · Eastern Mediterranean Health Journal · doi:10.26719/2021.27.3.260 · Cited by 13 · see citing works
Guo, L., Wang, T., Wang, W., Fan, B., Xie, B., Zhang, H., Liao, Y., & Lu, C. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.095 · Cited by 12 · see citing works
Self-citationTagles, H. D., Salinas‐Rodríguez, A., Idrovo, Á. J., Alberto Burquez, M., & Corral-Verdugo, V. (2015) · PubMed · doi:10.1590/s0120-41572015000500006 · Cited by 7 · see citing works
Multiple imputation of missing blood pressure covariates in survival analysis
van Buuren, S., Boshuizen, H. C., & Knook, D. L. (1999) · Statistics in Medicine · doi:10.1002/(sici)1097-0258(19990330)18:6
Flagged first, then by citations
Research works printed but not linked: 2
- [8]Depression World Health Organization 2020 2022-04-16 https://www.who.int/health-topics/depression#tab=tab_1 35767666
- [35]Hou X Fu Y Reliability and validity of stress life event scale (SLE) [in Chinese] For All Health (Academic Edition) 2013 5 30 7 10 1 4
Cited by
Sorted by citations
Digital health technologies and major depressive disorder
McIntyre, R. S., Greenleaf, W., Bulaj, G., Taylor, S. T., Mitsi, G., Saliu, D., Czysz, A., Silvesti, G., Garcia, M., & Jain, R. (2023) · CNS Spectrums · doi:10.1017/s1092852923002225 · Cited by 38 · see citing works
Self-citationLiao, D.-D., Dong, M., Ding, K., Hou, C., Tan, W., Ke, Y.-F., Jia, F., & Wang, S. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.02.069 · Cited by 34 · see citing works
Li, X., Zhang, H., Han, X., Guo, L., Ceban, F., Liao, Y., Shi, J., Wang, W., Liu, Y., Song, W., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.999047 · Cited by 28 · see citing works
Self-citationWang, H., Liao, Y., Guo, L., Zhang, H., Zhang, Y., Lai, W., Teopiz, K. M., Song, W., Zhu, D., Li, L., et al. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04297-0 · Cited by 25 · see citing works
Self-citationShi, J., Han, X., Liao, Y., Zhao, H., Fan, B., Zhang, H., Teopiz, K. M., Song, W., Li, L., Guo, L., et al. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.01.050 · Cited by 24 · see citing works
Self-citationLai, W., Liao, Y., Zhang, H., Zhao, H., Li, Y., Chen, R., Shi, G., Liu, Y., Hao, J., Li, Z., et al. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06743-1 · Cited by 16 · see citing works
Self-citationJiang, Y., Zhu, D., Huang, X., Li, Y., Ya, C., Jiang, Y., Wang, W., Guo, L., Chen, Y., Liao, Y., et al. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.02.056 · Cited by 14 · see citing works
Self-citationLi, Y., Chen, Y., Jiang, Y., Wang, W., Guo, L., Fan, B., Liu, Y., Zhang, H., Lin, X., Teopiz, K. M., et al. (2024) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2024.12.002 · Cited by 9 · see citing works
Self-citationAssociation between internal migration experience and depressive symptoms: analysis of PSID data
Liao, Z.-X., Tan, X.-M., Zhao, Y., Sun, X.-C., & Yi, F. (2023) · BMC Public Health · doi:10.1186/s12889-023-16073-0 · Cited by 9 · see citing works
Huang, X., Fan, B., Jiang, Y., Li, Y., Ya, C., Zhao, H., Jiang, Y., Wang, W., Guo, L., Chen, Y., et al. (2024) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2024.152472 · Cited by 9 · see citing works
Self-citationYiming, S., Liao, Y., Li, Y., Zhou, W., Zhao, H., Chen, R., Zhang, Q., Liu, Y., Zhang, H., Dri, C. E., et al. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1634899 · Cited by 7 · see citing works
Self-citationWu, C., Yuan, C., Fan, Y.-Q., Hong, A., Wu, Z.-L., & Wang, Z. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06960-8 · Cited by 4 · see citing works
Li, Y., Chen, Y., Zhao, H., Zhou, W., Lai, W., Hao, J., Yiming, S., Chen, R., Zhang, H., Liao, Y., et al. (2025) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796025100127 · Cited by 5 · see citing works
Self-citationHuang, J., Cai, Y., Zhang, M., Xu, X., Su, Y., Zhu, N., Jin, F., Fang, Y., & Peng, D. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.03.103 · Cited by 5 · see citing works
Zhu, Y., Sun, L., Guan, S., Li, R., Yang, J., Cao, Y., Zhang, L., Li, T., Zhang, H., Bueber, M. A., et al. (2025) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2025.101515 · Cited by 4 · see citing works
Self-citationLi, Y., Chen, Y., Liu, Y., Jiang, Y., Zhao, H., Wang, W., Liao, Y., Zhang, H., Guo, L., Fan, B., et al. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.04.036 · Cited by 4 · see citing works
Self-citationZhang, S., Wang, T., Zhang, L., Wei, Y., Jian, W., & Guo, J. (2024) · International Journal of Social Psychiatry · doi:10.1177/00207640241243280 · Cited by 3 · see citing works
Li, X., Zhang, H., Wu, K., Fan, B., Guo, L., Liao, Y., McIntyre, R. S., Wang, W., Liu, Y., Shi, J., et al. (2023) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2023.11.008 · Cited by 3 · see citing works
Self-citationChen, R., Chen, Y., Li, Y., Zhou, W., Lai, W., Yiming, S., Zhang, Q., Wen, C., Liao, Y., Zhang, H., et al. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.119704 · Cited by 2 · see citing works
Self-citationWang, H., Liao, Y., Guo, L., Zhang, H., Zhang, Y., Lai, W., Teopiz, K. M., Song, W., Zhu, D., Li, L., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-1891863/v1 · Cited by 2 · see citing works
Self-citationWen, C., Liu, Y., Li, Y., Chen, R., Zhao, H., Zhang, X., Zhuang, X., Liao, Y., Hao, J., Chen, Y., et al. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06947-5 · Cited by 1 · see citing works
Self-citationUchida, H., Igusa, T., Machida, C., Shimada, T., & Hirao, K. (2026) · Psychiatry and Clinical Neurosciences Reports · doi:10.1002/pcn5.70284 · Cited by 1 · see citing works
Zhang, X., Liao, Y., Han, X., Shi, G., Wang, W., Guo, L., He, Y., Li, Y., Zhang, H., Zhao, H., et al. (2025) · Translational Psychiatry · doi:10.1038/s41398-025-03471-8 · Cited by 1 · see citing works
Self-citationTrauma exposure as a risk factor of major depressive disorder: A matched case-control study
Lai, W., Zhang, H., Jiang, Y., Huang, X., Liao, Y., Hao, J., Liu, Y., Chen, Y., Wang, W., Guo, L., et al. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.01.028
Self-citationMorikawa, M., Harada, K., Nishijima, C., Fujii, K., Kakita, D., Okuya, T., Soma, K., Yamashiro, Y., Takayanagi, N., Sudo, M., et al. (2025) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2025.106095
Wang, H., Liao, Y., Guo, L., Zhang, H., Zhang, Y., Lai, W., Teopiz, K. M., Song, W., Zhu, D., Li, L., et al. (2022) · Figshare · doi:10.6084/m9.figshare.21340519
Self-citationHao, J., Zhou, W., Guo, L., Wang, W., Zhang, H., Liao, Y., Liu, Y., Yiming, S., Chen, R., Wen, C., et al. (2026) · Research Square · doi:10.21203/rs.3.rs-10113830/v1
Self-citationLi, X., Zhang, H., Guo, L., Liao, Y., Wu, K., Liu, Y., Wang, W., Li, L., Yang, B., Wang, X., et al. (2026) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-026-02326-7
Self-citationDigital screening tools for individuals at risk of mental disorders: a systematic review (Preprint)Preprint
Logeswaran, Y., La‐Torraca‐Vittori, P., Ahmed, M. W., Arribas, M., Wallman, P., Reilly, T. J., Capon, W., Aronica, R., Brodeur, S., Dusara, H., et al. (2026) · doi:10.2196/preprints.114283
Explaining value creation in mental health IT configurations: An integrated framework
Olivera, W., Mathiassen, L., Baird, A. M., & Xia, Y. (2026) · Information & Management · doi:10.1016/j.im.2026.104451
Liu, C., Liu, L., Li, Q., Xiao, J., Fan, B., Lu, C., & Xu, Z. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.122649
Self-citation
- Authors
- Zhang, H., Liao, Y., Han, X., Fan, B., Liu, Y., Lui, L. M. W., Lee, Y., Subramaniapillai, M., Li, L., Guo, L., Lu, C., & McIntyre, R. S.
- Affiliations
- Sun Yat-sen University (CN)
- Shenzhen Nanshan Center for Chronic Disease Control (CN)
- University Health Network (CA)
- Central South University (CN)
- Corresponding author
- Lu, Ciyong
- ORCID
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2022-05-20
- Volume
- 24
- Issue
- 5
- Pages
- e30907
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC9166637
- OpenAlex
- W4280628075
- Cited by
- 31
- References
- 62
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 4 · 2023: 6 · 2022: 3
- FWCI
- 5.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Natural Science Foundation of China (81903339, 81761128030)
- Sun Yat-sen University
- National Key Research and Development Program of China (2018YFC2000705)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- depressive symptoms, subthreshold depression, major depressive disorder, depression screening, mobile health apps, integrated mental health care, anxiety symptoms, insomnia, well-being, resilience, sleep duration, risk factors for depression, community residents, primary care, China, Shenzhen, PHQ-9, Mini International Neuropsychiatric Interview
- MeSH terms
- China, Depression, Depressive Disorder, Major, Major Depressive Disorder, Humans, Sleep Initiation and Maintenance Disorders, Mental Health, Cohort Studies, Mobile Applications
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
