青少年抑郁症状影响因素研究进展

吴慧攀; 干敏雷; 尹小俭; 马渊源; 侯宇欣; 张祥; 李勇; 王进贤; 邓婷; 张颖坤; 刘媛

doi:10.16835/j.cnki.1000-9817.2023.05.033

青少年抑郁症状影响因素研究进展

doi: 10.16835/j.cnki.1000-9817.2023.05.033

吴慧攀¹,
干敏雷²,
尹小俭^3, ,,
马渊源¹,
侯宇欣⁴,
张祥¹,
李勇⁵,
王进贤¹,
邓婷¹,
张颖坤⁶,
刘媛⁷

1.
太原工业学院儿童青少年健康促进研究中心，山西 030008
2.
华东政法大学体育部
3.
上海应用技术大学经济与管理学院
4.
山西大学体育学院
5.
太原工业学院体育系
6.
山西医科大学公共卫生学院
7.
华东师范大学体育与健康学院

基金项目:

国家社会科学基金2021年一般项目 21BTY121

山西省教育科学“十四五”规划2022年度课题 SJ-22002

山西省教育厅高等学校哲学社会科学研究项目 2020W212

详细信息

作者简介:
吴慧攀(1983-)，男，山西长治人，博士，副教授，主要研究方向为青少年健康促进

通讯作者:
尹小俭，E-mail：xjyin1965@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 R179 R193
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- 文章访问数: 719
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- 被引次数: 0
出版历程
- 收稿日期: 2022-11-07
- 修回日期: 2023-03-05
- 网络出版日期: 2023-05-25
- 刊出日期: 2023-05-25

Research progress on influencing factors of depressive symptoms in adolescents

1.
Research Center for Health Promotion of Children and Adolescents, Taiyuan Institute of Technology, Taiyuan(030008), China

摘要

摘要: 近年来，中国青少年焦虑、抑郁等心理健康问题备受社会各界关注。鉴于青春期是个体发展的过渡和关键期，不良的心理健康可能会损害青少年的发展质量。因此，结合青少年身心发展特点，分析环境、社会心理以及行为方式和体质健康等因素对青少年抑郁症状的影响，发现青春期早期甚至儿童期是抑郁症状预防和干预的关键期，提出未来研究应结合中国现实情况，积极探索抑郁症状早期预测因素及不同时期的保护因素，以制定有效的干预措施和预防策略。
- 抑郁 /
- 环境 /
- 心理学，社会 /
- 行为 /
- 青少年
Abstract: In recent years, mental health problems such as anxiety and depression among adolescents in China have attracted attention from all walks of life. Given that adolescence is a transitional and critical period for individual development, mental health affect the developmental opportunities. Therefore, in the review, the effects of environment, psychosocial factors and behavioral patterns on depressive symptoms are analyzed by combining with the characteristics of physical and mental development among adolescents. It is found that early adolescence and even childhood should be the key period for the prevention and intervention of depression. In order to formulate effective interventions and prevention strategies, it is proposed that future research should combine real situation in China with active exploration of protective factors and early predictors of depression.
- Depression /
- Environment /
- Psychology, social /
- Behavior /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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参考文献(51)

[1]	MALHI G S, MANN J J. Depression[J]. Lancet, 2018, 392(10161): 2299-2312. doi: 10.1016/S0140-6736(18)31948-2
[2]	WU Y, SHAO J, ZHANG D W, et al. Pathways from self-disclosure to medical coping strategy among adolescents with moderate and major depression during the COVID-19 pandemic: a mediation of self-efficacy[J]. Front Psychiatry, 2022, 13: 976386. doi: 10.3389/fpsyt.2022.976386
[3]	POZUELO J R, DESBOROUGH L, STEIN A, et al. Systematic review and Meta-analysis: depressive symptoms and risky behaviors among adolescents in low- and middle-income countries[J]. J Am Acad Child Psychol, 2021, 61(2): 255-276.
[4]	傅小兰, 张侃, 陈雪峰, 等. 中国国民心理健康发展报告(2019—2020)[M]. 北京: 社会科学文献出版社, 2021. FU X L, ZHANG K, CHEN X F, et al. Report on national mental health development in China(2019-2020)[M]. Beijing: Social Science Academic Press, 2021. (in Chinese)
[5]	苏朝霞, 康妍, 李建明. 青少年抑郁及其相关影响因素研究[J]. 中国健康心理学杂志, 2011, 19(5): 629-631. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201105055.htm SU Z X, KANG Y, LI J M. Study on adolescents depression and the relevant risk factors[J]. Chin J Health Psychol, 2011, 19(5): 629-631. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201105055.htm
[6]	LEREYA S T, COPELAND W E, COSTELLO E J, et al. Adult mental health consequences of peer bullying and maltreatment in childhood: two cohorts in two countries[J]. Lancet Psychiatry, 2015, 2(6): 524-531. doi: 10.1016/S2215-0366(15)00165-0
[7]	NúÑEZ-GONZALEZ S, DELGODO-RON J A, GANLT C, et al. Overview of "systematic reviews" of the built environment's effects on mental health[J]. J Environ Public Health, 2020, 2020: 9523127.
[8]	PARK K D, LEE S, LEE EUN Y, et al. A study on the effects of individual and household characteristics and built environments on resident's depression[J]. J Korea Plan Soc, 2017, 52(3): 93-108.
[9]	ASIM F, CHANI P S, SHREE V. Impact of COVID-19 containment zone built-environments on students' mental health and their coping mechanisms[J]. Build Environ, 2021, 203: 108017.
[10]	YANG H, CUI X, DIJST M, et al. Association between natural/built campus environment and depression among Chinese undergraduates: multiscale evidence for the moderating role of socioeconomic factors after controlling for residential self-selection[J]. Front Public Health, 2022, 10: 844541. doi: 10.3389/fpubh.2022.844541
[11]	王熙, 孙莹, 安静, 等. 中国儿童青少年抑郁症状性别差异的流行病学调查[J]. 中华流行病学杂志, 2013, 34(9): 893-896. WANG X, SUN Y, AN J, et al. Gender difference on depressive symptoms among Chinese children and adolescents[J]. Chin J Epidemiol, 2013, 34(9): 893-896. (in Chinese)
[12]	KIM T, JANG H, KIM J. Peers' private tutoring and adolescent depressive symptoms: quasi-experimental evidence from secondary schools in South Korea[J]. J Adolesc Health, 2022, 70(4): 658-665. doi: 10.1016/j.jadohealth.2021.10.040
[13]	BAI S, REYNOLDS B M, ROBLES T F, et al. Daily links between school problems and youth perceptions of interactions with parents: a diary study of school-to-home spillover[J]. Soc Dev, 2017, 26(4): 813-830. doi: 10.1111/sode.12229
[14]	SEO B J, KIM W H. Converged influence of the academic stress recognized by teenagers on mental health: mediating effect of parent-child communication[J]. Korea Conver Soc, 2017, 8(7): 283-293.
[15]	PASCOE M C, HETRICK S E, PARKER A G. The impact of stress on students in secondary school and higher education[J]. Int J Adolesc Youth, 2020, 25(1): 104-112. doi: 10.1080/02673843.2019.1596823
[16]	汪耿夫, 王秀秀, 方玉, 等. 青少年传统欺凌、网络欺凌与抑郁症状的相关性研究[J]. 中华预防医学杂志, 2015, 49(8): 722-727. WANG G F, WANG X X, FANG Y, et al. Study on the relationship between traditional bullying, cyberbullying and depression in adolescents[J]. Chin J Prev Med, 2015, 49(8): 722-727. (in Chinese)
[17]	TRAN C V, COLE D A, WEISS B. Testing reciprocal longitudinal relations between peer victimization and depressive symptoms in young adolescents[J]. J Clin Child Adolesc Psychol, 2012, 41(3): 353-360. doi: 10.1080/15374416.2012.662674
[18]	ZHOU Q, FAN L B, YIN Z C. Association between family socioeconomic status and depressive symptoms among Chinese adolescents: evidence from a national household survey[J]. Psychiatry Res, 2018, 259: 81-88. doi: 10.1016/j.psychres.2017.09.072
[19]	XU F Z, CUI W, XING T T, et al. Family socioeconomic status and adolescent depressive symptoms in a Chinese low- and middle-income sample: the indirect effects of maternal care and adolescent sense of coherence[J]. Front Psychol, 2019, 10: 819. doi: 10.3389/fpsyg.2019.00819
[20]	CAO M, TIAN Y, LIAN S L, et al. Family socioeconomic status and adolescent depressive symptoms: a moderated mediation model[J]. J Child Fam Stud, 2021, 30(11): 2652-2663. doi: 10.1007/s10826-021-02068-1
[21]	ADAMS J M, WHITE M. Biological ageing: a fundamental, biological link between socio-economic status and health?[J]. Eur J Public Health, 2004, 14(3): 331-334. doi: 10.1093/eurpub/14.3.331
[22]	MILLER J G, LÓPEZA V, BUTHMANNA J L, et al. A social gradient of cortical thickness in adolescence: relationships with neighborhood socioeconomic disadvantage, family socioeconomic status, and depressive symptoms[J]. Biol Psychiatry Glob Open Sci, 2022, 2(3): 253-262. doi: 10.1016/j.bpsgos.2022.03.005
[23]	HACKMAN D A, FARAH M J, MEANEY M J. Socioeconomic status and the brain: mechanistic insights from human and animal research[J]. Nat Rev Neurosci, 2010, 11(9): 651-659. doi: 10.1038/nrn2897
[24]	TAYFUR S N, PRIOR S, ROY A S, et al. Associations between adolescent psychosocial factors and disengagement from education and employment in young adulthood among individuals with common mental health problems[J]. J Youth Adolesc, 2022, 51(7): 1397-1408. doi: 10.1007/s10964-022-01592-7
[25]	黄传浩, 王会秋, 王秀珍, 等. 青少年的抑郁情绪、抑郁障碍因果信念和自我污名感[J]. 中国健康心理学杂志, 2021, 29(4): 481-485. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202104002.htm HUANG C H, WANG H Q, WANG X Z, et al. Study of depression, depressive disorder causal beliefs and self-stigmatization in adolescents[J]. Chin J Health Psychol, 2021, 29(4): 481-485. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202104002.htm
[26]	张红英, 王军, 李新影, 等. 父母婚姻状况和家庭氛围对青少年抑郁症状的影响及积极心理品质的调节作用[J]. 广东医学, 2017, 38(4): 598-603. doi: 10.3969/j.issn.1001-9448.2017.04.029 ZHANG H Y, WANG J, LI X Y, et al. Influence of parental marital status and family atmosphere on the adolescent depressive symptoms and the moderating function of character strengths[J]. Guangdong Med J, 2017, 38(4): 598-603. (in Chinese) doi: 10.3969/j.issn.1001-9448.2017.04.029
[27]	REINHERZ H Z, GIACONIA R M, HAUF A M C, et al. Major depression in the transition to adulthood: risks and impairments[J]. J Abnorm Psychol, 1999, 108(3): 500-510. doi: 10.1037/0021-843X.108.3.500
[28]	ŁOSIAK W, BLAUT A, KLOSOWSKA J, et al. Stressful life events, cognitive biases, and symptoms of depression in young adults[J]. Front Psychol, 2019, 10: 2165. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202207017.htm
[29]	SHAPERO B G, MCCLUNG G, BANGASSER D A, et al. Interaction of biological stress recovery and cognitive vulnerability for depression in adolescence[J]. J Youth Adolesc, 2017, 46(1): 91-103. doi: 10.1007/s10964-016-0451-0
[30]	BENHEIM T S, DALAL M, HOLCOMB J M, et al. Back to basics: lifestyle interventions for adolescent depression[J]. Harv Rev Psychiatry, 2022, 30(5): 283-302. doi: 10.1097/HRP.0000000000000343
[31]	ZHANG X B, YANG H D, ZHANG J, et al. Prevalence of and risk factors for depressive and anxiety symptoms in a large sample of Chinese adolescents in the post-COVID-19 era[J]. Child Adolesc Psychiatry Ment Health, 2021, 15(1): 80. doi: 10.1186/s13034-021-00429-8
[32]	MEMMOTT-ELISON M K, HAILEY G H, PODILLA L M, et al. Associations between prosocial behavior, externalizing behaviors, and internalizing symptoms during adolescence: a Meta-analysis[J]. J Adolesc, 2020, 80(1): 98-114. doi: 10.1016/j.adolescence.2020.01.012
[33]	WICKRAMA T, WICKRAMA K A S. Heterogeneity in adolescent depressive symptom trajectories: implications for young adults' risky lifestyle[J]. J Adolesc Health, 2010, 47(4): 407-413. doi: 10.1016/j.jadohealth.2010.02.013
[34]	KHANTZIAN E J. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications[J]. Harv Rev Psychiatry, 1997, 4(5): 231-244. doi: 10.3109/10673229709030550
[35]	ZHANG W N, CHANG S H, GUO L Y, et al. The neural correlates of reward-related processing in major depressive disorder: a Meta-analysis of functional magnetic resonance imaging studies[J]. J Affect Disord, 2013, 151(2): 531-539. doi: 10.1016/j.jad.2013.06.039
[36]	REYES B D, HARGREAVES D S, CREESE H. Early-life maternal attachment and risky health behaviours in adolescence: findings from the United Kingdom Millennium Cohort Study[J]. BMC Public Health, 2021, 21(1): 2039-2039. doi: 10.1186/s12889-021-12141-5
[37]	ORCHARD F, PASS L, MARSHALL T, et al. Clinical characteristics of adolescents referred for treatment of depressive disorders[J]. Child Adolesc Ment Health, 2017, 22(2): 61-68. doi: 10.1111/camh.12178
[38]	O'CALLAGHAN V S, DUCHESNE B C, STRIKE L T, et al. A Meta-analysis of the relationship between subjective sleep and depressive symptoms in adolescence[J]. Sleep Med, 2021, 79: 134-144. doi: 10.1016/j.sleep.2021.01.011
[39]	BLAKE M J, TRINDER J A, ALLEN N B. Mechanisms underlying the association between insomnia, anxiety, and depression in adolescence: implications for behavioral sleep interventions[J]. Clin Psychol Rev, 2018, 63: 25-40. doi: 10.1016/j.cpr.2018.05.006
[40]	KHANNA P, CHATTU V K, AERI B T. Nutritional aspects of depression in adolescents: a systematic review[J]. Int J Prev Med, 2019, 10(1): 42. doi: 10.4103/ijpvm.IJPVM_400_18
[41]	王友发. 中国居民肥胖防治专家共识[J]. 中国预防医学杂志, 2022, 23(5): 321-339. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC202205001.htm WANG Y F. Expert consensus on obesity prevention and treatment in China[J]. Chin J Prev Med, 2022, 23(5): 321-339. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC202205001.htm
[42]	WENG T T, HAO J H, QIAN Q W, et al. Is there any relationship between dietary patterns and depression and anxiety in Chinese adolescents?[J]. Public Health Nutr, 2012, 15(4): 673-682. doi: 10.1017/S1368980011003077
[43]	申晋波, 干敏雷, 尹小俭, 等. 青少年营养状况与抑郁症状的相关性[J]. 中国学校卫生, 2023, 44(5): 649-653. doi: 10.16835/j.cnki.1000-9817.2023.05.003 SHEN J B, GAN M L, YIN X J, et al. Correlation between nutritional status and depressive symptoms in middle school students[J]. Chin J Sch Health, 2023, 44(5): 649-653. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.05.003
[44]	BALDINI I, CASAGRANDE B P, ESTADELLA D. Depression and obesity among females, are sex specificities considered?[J] Arch Womens Ment Health, 2021, 24(6): 851-866.
[45]	顾文馨, 谭银亮, 陆唯怡, 等. 上海市青少年饮食行为现状以及抑郁焦虑情绪的影响[J]. 中国学校卫生, 2022, 43(6): 864-868. doi: 10.16835/j.cnki.1000-9817.2022.06.016 GU W X, TAN Y L, LU W Y, et al. Prevalence and influence of depression and anxiety on dietary behaviors among adolescents in Shanghai[J]. Chin J Sch Health, 2022, 43(6): 864-868. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.06.016
[46]	PHILIPPOT A, DUBOIS V, LAMBRECHTS K, et al. Impact of physical exercise on depression and anxiety in adolescent inpatients: a randomized controlled trial[J]. J Affect Disord, 2022, 301: 145-153. doi: 10.1016/j.jad.2022.01.011
[47]	ORTEGA F B, RUIZ J R, CASTILLO M J, et al. Physical fitness in childhood and adolescence: a powerful marker of health[J]. Int J Obes, 2018, 32(1): 1-11.
[48]	SUND A M, LARSSON B, WICHSTROM L. Role of physical and sedentary activities in the development of depressive symptoms in early adolescence[J]. Soc Psychiatry Psychiatr Epidemiol, 2011, 46(5): 431-441.
[49]	RUGGERO C J, PETRIE T, SHEINBEIN S, et al. Cardiorespiratory fitness may help in protecting against depression among middle school adolescents[J]. J Adolesc Health, 2015, 57(1): 60-65.
[50]	BUCHAN M C, ROMANO I, BUTLER A, et al. Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS study[J]. Int J Behav Nutr Phys Act, 2021, 18(1): 132.
[51]	GUNNELL K E, FLAMENT M F, BUCHHOLZ A, et al. Examining the bidirectional relationship between physical activity, screen time, and symptoms of anxiety and depression over time during adolescence[J]. Prev Med, 2016, 88: 147-152.