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The potential mental health consequences of the coronavirus disease 2019 (COVID-19) pandemic are widely acknowledged; however, limited research exists regarding the nature and patterns of stress responses to COVID-19-related potentially traumatic events (PTEs) and the convergence/divergence with responses to other (non-COVID-19-related) PTEs. Network analysis can provide a useful method for evaluating and comparing these symptom structures. The present study includes 7034 participants from 86 countries who reported on mental health symptoms associated with either a COVID-19-related PTE ( n = 1838) or other PTE ( n = 5196). Using network analysis, we compared the centrality and connections of symptoms within and between each group. Overall, results show that the COVID-19-related network includes transdiagnostic symptom associations similar to networks tied to PTEs unrelated to the pandemic. Findings provide evidence for a shared centrality of depression across networks and theoretically consistent connections between symptoms. Network differences included stronger connections between avoidance-derealization and hypervigilance-depression in the COVID-19 network. Present findings support the conceptualization of psychological responses to pandemic-related PTEs as a network of highly interconnected symptoms and support the use of a transdiagnostic approach to the assessment and treatment of mental health challenges related to the COVID-19 pandemic. Data availability statement Raw data were generated through the Global Collaboration on Traumatic Stress (GC-TS). Derived data supporting the findings of this study are available on request and will be shared after the end of the study on the GC-TS website.

Abstract. Adjustment Disorder (AD) is a common mental health problem in primary care setting. This study aimed to examine the validity of GHQ-12 as Adjustment Disorder screening instrument in Public Health Center (Puskesmas). The subjects were 243 adult outpatients from twenty five Puskesmas in Sleman, Yogyakarta. The prevalence of AD was 12.9%. A cronbach's Alpha of .863 (likert's scoring method), .841 (bimodal's scoring method), .832 (CGHQ's scoring method) were obtained, Sensitivity and specivity for GHQ-12 were .81 and .62 (for the optimum cut-off point ≥11 in Likert's scoring method), .81 and .57 (for the optimum cut-off point ≥2 in bimodal's scoring method), .81 and .55 (for the optimum cut-off point ≥4 in CGHQ's scoring method). Positive Likelihood Ratio and negative Likelihood Ratio for GHQ-12 were 2.12 and 0.31 (Likert's scoring method), 1.90 and 0.34 (Bimodal's scoring method), and 1.80 and 0.35 (CGHQ's scoring method). The GHQ-12 is valid and reliable in Puskesmas population, and can be employed as a screening instrumen in this population.Keywords: GHQ-12, SCID, adjustment disorder, public health center (puskesmas), validity Abstrak. Gangguan Penyesuaian (GP) banyak dijumpai pada pasien yang datang di layanan kesehatan primer, terutama Pusat Kesehatan Masyarakat (Puskesmas). Penelitian ini bertujuan untuk menguji validitas klinik GHQ-12, sebagai instrumen skrining GP pada pasien Puskesmas. Penelitian ini melibatkan 243 pasien di 25 Puskesmas di Kabupaten Sleman, Yogyakarta. Hasil analisis menunjukkan prevalensi GP di Puskesmas sejumlah 12,9%. Analisis reliabilitas menunjukkan hasil yang memuaskan (rxx ' = 0,863; 0,841; 0,832). Analisis ROC dan LR menghasilkan nilai sensitivitas sebesar 0,81, spesivisitas 0,62, LR+ 2,12, dan LR-0,31, dengan titik potong optimum ≥11 (Likert), sensitivitas 0,81, spesivisitas 0,57, LR+ 1,90, dan LR-0,34, dengan titik potong optimum ≥2 (Bimodal), serta spesivisitas 0,81, spesivisitas 0,55, LR+ 1,80, dan LR-0,35 dengan titik potong ≥4 (CGHQ). Dapat disimpulkan bahwa GHQ-12 valid, reliabel dan akurat sebagai instrumen skrining GP.