Correlation between depressive symptom and traditional Chinese medicine constitution among school-aged children and adolescents

WEN Nannan; ZHONG Xia; LI Jing; SONG Yi; LI Ning; BAI Minghua; GUO Jiayi; ZHANG Dachao; MA Long; LIU Yudong; JIANG Juran

doi:10.16835/j.cnki.1000-9817.2025284

Volume 46 Issue 9

Sep. 2025

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2025 > 46(9): 1226-1231

WEN Nannan, ZHONG Xia, LI Jing, SONG Yi, LI Ning, BAI Minghua, GUO Jiayi, ZHANG Dachao, MA Long, LIU Yudong, JIANG Juran. Correlation between depressive symptom and traditional Chinese medicine constitution among school-aged children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(9): 1226-1231. doi: 10.16835/j.cnki.1000-9817.2025284

Citation:

WEN Nannan, ZHONG Xia, LI Jing, SONG Yi, LI Ning, BAI Minghua, GUO Jiayi, ZHANG Dachao, MA Long, LIU Yudong, JIANG Juran. Correlation between depressive symptom and traditional Chinese medicine constitution among school-aged children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(9): 1226-1231. doi: 10.16835/j.cnki.1000-9817.2025284

Citation:

WEN Nannan, ZHONG Xia, LI Jing, SONG Yi, LI Ning, BAI Minghua, GUO Jiayi, ZHANG Dachao, MA Long, LIU Yudong, JIANG Juran. Correlation between depressive symptom and traditional Chinese medicine constitution among school-aged children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(9): 1226-1231. doi: 10.16835/j.cnki.1000-9817.2025284

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Correlation between depressive symptom and traditional Chinese medicine constitution among school-aged children and adolescents

doi: 10.16835/j.cnki.1000-9817.2025284

1.
School of Physical Education and Health, Heze University, Heze 274015, Shandong Province, China

Received Date: 2025-05-07
Rev Recd Date: 2025-07-24

Available Online: 2025-10-10

Publish Date: 2025-09-25

Abstract

Abstract

Objective To explore the correlation between traditional Chinese medicine (TCM) constitution and depressive symptom among school-aged children and adolescents, so as to provide evidences for informing constitution-based regulation and prevention of depressive symptom. Methods From June to December 2024, a total of 4 729 students aged 6-14 were recruited by cluster random sampling from 10 primary schools in Baoding (Hebei Province), Heze and Liaocheng (Shandong Province). General information, TCM constitution and depressive symptom were collected. Restricted cubic spline (RCS) models were used to analyze related factors and threshold effects of depressive symptom. Binary Logistic regression was applied to examine the association between depressive symptom and TCM constitution, with subgroup analyses conducted. Results The detection rate of depressive symptom among the included children and adolescents was 25.82%. RCS analyses indicated non-linear associations between depressive symptom and age (inflection point at 10 years old), bedtime (inflection point at 22:00), and wake-up time (inflection point at 6:30) (all P_{non-linearity} < 0.01). Linear associations were observed with body mass index (BMI) and sleep duration (all P_{non-linearity}>0.05). After adjusting for covariates such as age, BMI and sleep status, binary Logistic regression analyses showed that Yin-deficient constitution (OR=1.26, 95%CI=1.09-1.45) and Phlegm-dampness constitution (OR=1.42, 95%CI=1.11-1.82) were significantly associated with depressive symptom among children and adolescents (all P < 0.05). Conclusions Depressive symptom among school-aged children and adolescents is primarily associated with Yin-deficiency and Phlegm-dampness constitutions in TCM constitution. Active attention should be paid to susceptible TCM constitution among children and adolescents. Targeted health guidance and interventions should be implemented to improve TCM constitution health status for preventing the occurrence of depressive symptom.
- Depression,
- Body constitution,
- Regression analysis,
- Child, Adolescent

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References(29)

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