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| Influencing factors for depressive symptoms in adolescents |
| WANG Ningyu1, ZHANG Zhongmin2, CHEN Ting2,3
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1. Department of Nursing, School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei 430065, China;
2. Wuhan University of Science and Technology, Wuhan, Hubei 430065, China;
3. Hubei Provincial Key Laboratory of Occupational Hazard Identification and Control, Wuhan, Hubei 430065, China |
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Abstract Objective To explore the influencing factors for depressive symptoms in adolescents in China, so as to provide insights into promoting mental health of adolescents. Methods The 2020 follow-up survey data of China Family Panel Studies were collected, including demographic information, lifestyle, family factors and academic factors of adolescents aged 10-19 years. Depressive symptoms were evaluated using the 8-item Center for Epidemiological Studies Depression Scale. The influencing factors for depressive symptoms in adolescents were analyzed using a multivariable logistic regression model. Results A total of 2 777 adolescents were analyzed, including 1 470 males (52.93%) and 1 307 females (47.07%). There were 1 186 adolescents (42.71%) from urban areas and 1 591 adolescents (57.29%) from rural areas, 106 smokers (3.82%), and 459 adolescents (16.53%) with depressive symptoms. Multivariable logistic regression analysis showed that academic stress (OR=1.268, 95%CI: 1.151-1.396), poor self-rated health (OR=1.255, 95%CI: 1.116-1.411), smoking (OR=1.901, 95%CI: 1.127-3.207), low trust in parents (OR=0.780, 95%CI: 0.729-0.835) and large family size (OR=1.095, 95%CI: 1.035-1.158) were associated with an increased risk of depressive symptoms in adolescents. Conclusion The influencing factors for depressive symptoms in adolescents were academic stress, self-rated health, smoking, trust in parents and family size.
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Received: 09 January 2024
Revised: 05 May 2024
Published: 19 July 2024
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[1] KALIN N H.Anxiety,depression,and suicide in youth[J].Am J Psychiatry,2021,178(4):275-279.
[2] HINTZPETER B,KLASEN F,SCHÖN G,et al.Mental health care use among children and adolescents in Germany:results of the longitudinal BELLA study[J].Eur Child Adolesc Psychiatry,2015,24(6):705-713.
[3] RAO W W,XU D D,CAO X L,et al.Prevalence of depressive symp-toms in children and adolescents in China:a meta-analysis of observational studies[J].Psychiatry Res,2019,272:790-796.
[4] THAPAR A,EYRE O,PATEL V,et al.Depression in young people[J].Lancet,2022,20,400(10352):617-631.
[5] DAVEY C G,MCGORRY P D.Early intervention for depression in young people:a blind spot in mental health care[J].Lancet Psychia,2019,6(3):267-272.
[6] 张丛笑,郑琳,沈利明,等.某区中小学生抑郁症状调查[J].预防医学,2023,35(3):196-199,204.
[7] 王俊玲,郭菲,陈祉妍.孤独感、抑郁症状在父母冲突与青少年非自杀性自伤间的中介效应研究[J].预防医学,2023,35(12):1029-1032.
[8] LIU S X,FANG Y,SU Z Y,et al.Factor structure and measurement invariance of the 8-item CES-D:a national longitudinal sample of Chinese adolescents[J].BMC Psychiatry,2023,23(1):1-12.
[9] PHILLIPS A Z,MULIA N,SUBBARAMAN M S,et al.Does the relationship between alcohol retail environment and alcohol outcomes vary by depressive symptoms? Findings from a U.S. Survey of Black,Hispanic and White drinkers[J].Addict Behav,2023,136:1-20.
[10] 李娟娟,章荣华,邹艳,等.浙江省青少年抑郁症状的影响因素分析[J].预防医学,2021,33(2):139-142.
[11] 徐宁,张伟波,杨美霞,等.上海市初中生抑郁情绪与生活事件的相关性[J].中国学校卫生,2019,40(6):882-884.
[12] 许有云,邓慧华.高中生的压力感在学校氛围和抑郁关系中的作用[J].现代预防医学,2016,43(9):1630-1633.
[13] 徐海婷,李洁,李红娟,等.中学生抑郁情绪及其影响因素研究[J].四川精神卫生,2019,32(2):155-159.
[14] 张河川. 青少年烟酒滥用与自尊、焦虑、抑郁的关系[J].中国公共卫生,2006,22(10):1181-1182.
[15] 李嘉慧,何亚平,徐刚,等.上海市青少年抑郁情绪对吸烟行为及未来吸烟意向的影响[J].上海交通大学学报(医学版),2019,39(2):182-186.
[16] 谢倩,陈谢平,刘传军.亲子沟通与青少年吸烟行为:抑郁的中介作用及其性别差异[J].中国临床心理学杂志,2018,26(6):1204-1207.
[17] VULSER H,WIERNIK E,TARTOUR E,et al.Smoking and the association between depressive symptoms and absolute neutrophil count in the Investigations Préventives et Cliniques Cohort Study[J].Psychosom Med,2015,77(9):1039-1049.
[18] 和红,王攀,闫辰聿,等.家庭健康促进视角下青少年抑郁的代际传递研究——基于CFPS2018的实证分析[J].中国卫生政策研究,2022,15(7):45-57.
[19] 张怡宁. 青少年自闭特质影响抑郁、社交焦虑的追踪及干预研究[D].漳州:闽南师范大学,2022.
[20] 王金睿,周姿言,邱凡硕,等.近30年我国青少年抑郁水平的变迁及其影响因素[J].中国校外教育,2022(5):28-42.
[21] 胡义秋,何震,曾子豪,等.亲子关系对青少年抑郁的影响:认知灵活性和友谊质量的作用[J].中国临床心理学杂志,2023,31(3):682-687.
[22] 胡义秋,曾子豪,彭丽仪,等.亲子关系和父母教育卷入对青少年抑郁、自伤和自杀意念的影响:挫败感和人生意义感的作用[J].心理学报,2023,55(1):129-141. |
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