Depressive symptoms prevalence, associated family factors, and gender differences: A national cohort study of middle school students in China
This study examined prevalence and change in depressive symptoms in Chinese adolescents, and roles of inter-parental (I-P) relationship and parent-child (P-C) relationships in its etiology and gender differences. Survey data on depressive symptoms, I-P relationship, and indicators of P-C relationshi...
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| Veröffentlicht in: | Journal of affective disorders 2020-09, Vol.274, p.545-552 |
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| creator | Ma, Lu Gao, Liwang Chiu, Dorothy T. Ding, Yixin Wang, Weidong Wang, Youfa |
| description | This study examined prevalence and change in depressive symptoms in Chinese adolescents, and roles of inter-parental (I-P) relationship and parent-child (P-C) relationships in its etiology and gender differences.
Survey data on depressive symptoms, I-P relationship, and indicators of P-C relationships were collected in China Education Panel Survey (2013-2015) from a nationally representative sample of adolescents (n=9,869) at 7th (at baseline), 8th and 9th (follow-up) grades.
Prevalence of depressive symptoms was 17.9% in 7th graders and higher at 25.7% for 9th graders, more remarkably in girls. Better I-P relationship could reduce the risk of depressive symptoms among all (OR=0.53, 95%CI: 0.48, 0.58), girls (OR=0.61, 95%CI: 0.54, 0.69), and boys (OR=0.54, 95%CI: 0.49, 0.61). Greater mother-child (M-C) and father-child (F-C) closeness were protective of depressive symptoms in all and girls (ORs=0.94 to 0.96, p |
| doi_str_mv | 10.1016/j.jad.2020.05.128 |
| format | Article |
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Survey data on depressive symptoms, I-P relationship, and indicators of P-C relationships were collected in China Education Panel Survey (2013-2015) from a nationally representative sample of adolescents (n=9,869) at 7th (at baseline), 8th and 9th (follow-up) grades.
Prevalence of depressive symptoms was 17.9% in 7th graders and higher at 25.7% for 9th graders, more remarkably in girls. Better I-P relationship could reduce the risk of depressive symptoms among all (OR=0.53, 95%CI: 0.48, 0.58), girls (OR=0.61, 95%CI: 0.54, 0.69), and boys (OR=0.54, 95%CI: 0.49, 0.61). Greater mother-child (M-C) and father-child (F-C) closeness were protective of depressive symptoms in all and girls (ORs=0.94 to 0.96, p<0.01). More P-C interactions was associated with reduced risk of depressive symptoms among all (OR=0.91, 95%CI: 0.89, 0.93), boys (OR=0.91, 95%CI: 0.89, 0.94), and girls (OR=0.93, 95%CI: 0.91, 0.96). Better I-P relationship increased M-C closeness, F-C closeness, and P-C interactions, which in turn reduced depressive symptoms risk (indirect effects: β=-0.03, 95% CI: -0.04, -0.03).
The brief depressive inventory was only able to capture higher depressive symptoms, not clinical depression.
Depressive symptoms are prevalent in Chinese adolescents with increases from early to middle adolescence. I-P and P-C relationships reduce depressive symptoms risk. P-C relationships mediated associations between I-P relationship and depressive symptoms. Future interventions may target these family factors to reduce depression among Chinese adolescents.
•A nationally representative sample of adolescents (n=9,869) were followed by CEPS.•Prevalence of depressive symptoms was 17.9% in 7th graders and 25.7% in 9th graders.•Better I-P relationship reduced depressive symptoms risk in all, boys, and girls.•Better indicators of P-C relationships reduced depressive symptoms in all, girls.•Better I-P relationship reduced depressive symptoms via better P-C relationships.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2020.05.128</identifier><identifier>PMID: 32663987</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adolescent ; adolescents ; Child ; China ; China - epidemiology ; Cohort Studies ; Depression - epidemiology ; Depressive symptoms ; Female ; Humans ; inter-parental relationship ; Male ; parent-child relationships ; Prevalence ; Schools ; Sex Characteristics ; Students</subject><ispartof>Journal of affective disorders, 2020-09, Vol.274, p.545-552</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-8385aa42f13556166a2852c63cda735cc0f4791c1b8cd93cc46dc110c8e7df33</citedby><cites>FETCH-LOGICAL-c353t-8385aa42f13556166a2852c63cda735cc0f4791c1b8cd93cc46dc110c8e7df33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jad.2020.05.128$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32663987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ma, Lu</creatorcontrib><creatorcontrib>Gao, Liwang</creatorcontrib><creatorcontrib>Chiu, Dorothy T.</creatorcontrib><creatorcontrib>Ding, Yixin</creatorcontrib><creatorcontrib>Wang, Weidong</creatorcontrib><creatorcontrib>Wang, Youfa</creatorcontrib><title>Depressive symptoms prevalence, associated family factors, and gender differences: A national cohort study of middle school students in China</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>This study examined prevalence and change in depressive symptoms in Chinese adolescents, and roles of inter-parental (I-P) relationship and parent-child (P-C) relationships in its etiology and gender differences.
Survey data on depressive symptoms, I-P relationship, and indicators of P-C relationships were collected in China Education Panel Survey (2013-2015) from a nationally representative sample of adolescents (n=9,869) at 7th (at baseline), 8th and 9th (follow-up) grades.
Prevalence of depressive symptoms was 17.9% in 7th graders and higher at 25.7% for 9th graders, more remarkably in girls. Better I-P relationship could reduce the risk of depressive symptoms among all (OR=0.53, 95%CI: 0.48, 0.58), girls (OR=0.61, 95%CI: 0.54, 0.69), and boys (OR=0.54, 95%CI: 0.49, 0.61). Greater mother-child (M-C) and father-child (F-C) closeness were protective of depressive symptoms in all and girls (ORs=0.94 to 0.96, p<0.01). More P-C interactions was associated with reduced risk of depressive symptoms among all (OR=0.91, 95%CI: 0.89, 0.93), boys (OR=0.91, 95%CI: 0.89, 0.94), and girls (OR=0.93, 95%CI: 0.91, 0.96). Better I-P relationship increased M-C closeness, F-C closeness, and P-C interactions, which in turn reduced depressive symptoms risk (indirect effects: β=-0.03, 95% CI: -0.04, -0.03).
The brief depressive inventory was only able to capture higher depressive symptoms, not clinical depression.
Depressive symptoms are prevalent in Chinese adolescents with increases from early to middle adolescence. I-P and P-C relationships reduce depressive symptoms risk. P-C relationships mediated associations between I-P relationship and depressive symptoms. Future interventions may target these family factors to reduce depression among Chinese adolescents.
•A nationally representative sample of adolescents (n=9,869) were followed by CEPS.•Prevalence of depressive symptoms was 17.9% in 7th graders and 25.7% in 9th graders.•Better I-P relationship reduced depressive symptoms risk in all, boys, and girls.•Better indicators of P-C relationships reduced depressive symptoms in all, girls.•Better I-P relationship reduced depressive symptoms via better P-C relationships.</description><subject>Adolescent</subject><subject>adolescents</subject><subject>Child</subject><subject>China</subject><subject>China - epidemiology</subject><subject>Cohort Studies</subject><subject>Depression - epidemiology</subject><subject>Depressive symptoms</subject><subject>Female</subject><subject>Humans</subject><subject>inter-parental relationship</subject><subject>Male</subject><subject>parent-child relationships</subject><subject>Prevalence</subject><subject>Schools</subject><subject>Sex Characteristics</subject><subject>Students</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcuO1DAQRS0EYpqBD2CDvGRBgh9xHrAaNU9pJDaztzzlCu1WEjcud0v9EfzzOPTAklVJ5XOvVfcy9lqKWgrZvt_Xe-drJZSohaml6p-wjTSdrpSR3VO2KYyphFbdFXtBtBdCtEMnnrMrrdpWD323Yb8_4SEhUTghp_N8yHEmXjYnN-EC-I47ogjBZfR8dHOYzmVAjonK0-L5T1w8Ju7DOGJaFfSB3_DF5RAXN3GIu5gyp3z0Zx5HPgfvp_IT7GKc_qxxycTDwre7sLiX7NnoJsJXj_Oa3X35fLf9Vt3--Pp9e3NbgTY6V73ujXONGqU2ppVt61RvFLQavOu0ARBj0w0S5H0PftAATetBSgE9dn7U-pq9vdgeUvx1RMp2DgQ4TW7BeCSrGtWsAQ-yoPKCQopECUd7SGF26WylsCtj97aUYNcSrDC2lFA0bx7tj_cz-n-Kv6kX4OMFwHLjKWCyBGENz4eEkK2P4T_2D7z7mcs</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Ma, Lu</creator><creator>Gao, Liwang</creator><creator>Chiu, Dorothy T.</creator><creator>Ding, Yixin</creator><creator>Wang, Weidong</creator><creator>Wang, Youfa</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20200901</creationdate><title>Depressive symptoms prevalence, associated family factors, and gender differences: A national cohort study of middle school students in China</title><author>Ma, Lu ; Gao, Liwang ; Chiu, Dorothy T. ; Ding, Yixin ; Wang, Weidong ; Wang, Youfa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-8385aa42f13556166a2852c63cda735cc0f4791c1b8cd93cc46dc110c8e7df33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>adolescents</topic><topic>Child</topic><topic>China</topic><topic>China - epidemiology</topic><topic>Cohort Studies</topic><topic>Depression - epidemiology</topic><topic>Depressive symptoms</topic><topic>Female</topic><topic>Humans</topic><topic>inter-parental relationship</topic><topic>Male</topic><topic>parent-child relationships</topic><topic>Prevalence</topic><topic>Schools</topic><topic>Sex Characteristics</topic><topic>Students</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ma, Lu</creatorcontrib><creatorcontrib>Gao, Liwang</creatorcontrib><creatorcontrib>Chiu, Dorothy T.</creatorcontrib><creatorcontrib>Ding, Yixin</creatorcontrib><creatorcontrib>Wang, Weidong</creatorcontrib><creatorcontrib>Wang, Youfa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ma, Lu</au><au>Gao, Liwang</au><au>Chiu, Dorothy T.</au><au>Ding, Yixin</au><au>Wang, Weidong</au><au>Wang, Youfa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depressive symptoms prevalence, associated family factors, and gender differences: A national cohort study of middle school students in China</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>274</volume><spage>545</spage><epage>552</epage><pages>545-552</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>This study examined prevalence and change in depressive symptoms in Chinese adolescents, and roles of inter-parental (I-P) relationship and parent-child (P-C) relationships in its etiology and gender differences.
Survey data on depressive symptoms, I-P relationship, and indicators of P-C relationships were collected in China Education Panel Survey (2013-2015) from a nationally representative sample of adolescents (n=9,869) at 7th (at baseline), 8th and 9th (follow-up) grades.
Prevalence of depressive symptoms was 17.9% in 7th graders and higher at 25.7% for 9th graders, more remarkably in girls. Better I-P relationship could reduce the risk of depressive symptoms among all (OR=0.53, 95%CI: 0.48, 0.58), girls (OR=0.61, 95%CI: 0.54, 0.69), and boys (OR=0.54, 95%CI: 0.49, 0.61). Greater mother-child (M-C) and father-child (F-C) closeness were protective of depressive symptoms in all and girls (ORs=0.94 to 0.96, p<0.01). More P-C interactions was associated with reduced risk of depressive symptoms among all (OR=0.91, 95%CI: 0.89, 0.93), boys (OR=0.91, 95%CI: 0.89, 0.94), and girls (OR=0.93, 95%CI: 0.91, 0.96). Better I-P relationship increased M-C closeness, F-C closeness, and P-C interactions, which in turn reduced depressive symptoms risk (indirect effects: β=-0.03, 95% CI: -0.04, -0.03).
The brief depressive inventory was only able to capture higher depressive symptoms, not clinical depression.
Depressive symptoms are prevalent in Chinese adolescents with increases from early to middle adolescence. I-P and P-C relationships reduce depressive symptoms risk. P-C relationships mediated associations between I-P relationship and depressive symptoms. Future interventions may target these family factors to reduce depression among Chinese adolescents.
•A nationally representative sample of adolescents (n=9,869) were followed by CEPS.•Prevalence of depressive symptoms was 17.9% in 7th graders and 25.7% in 9th graders.•Better I-P relationship reduced depressive symptoms risk in all, boys, and girls.•Better indicators of P-C relationships reduced depressive symptoms in all, girls.•Better I-P relationship reduced depressive symptoms via better P-C relationships.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>32663987</pmid><doi>10.1016/j.jad.2020.05.128</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent adolescents Child China China - epidemiology Cohort Studies Depression - epidemiology Depressive symptoms Female Humans inter-parental relationship Male parent-child relationships Prevalence Schools Sex Characteristics Students |
| title | Depressive symptoms prevalence, associated family factors, and gender differences: A national cohort study of middle school students in China |
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