Details

Autor(en) / Beteiligte

• Ma, Lu
• Gao, Liwang
• Chiu, Dorothy T.
• Ding, Yixin
• Wang, Weidong
• Wang, Youfa

Titel

Depressive symptoms prevalence, associated family factors, and gender differences: A national cohort study of middle school students in China

Ist Teil von

• Journal of affective disorders, 2020-09, Vol.274, p.545-552

Ort / Verlag

Netherlands: Elsevier B.V

Erscheinungsjahr

2020

Link zum Volltext

Quelle

Elsevier ScienceDirect Journals

Beschreibungen/Notizen

• 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.