Volume 45 Issue 2
Feb.  2024
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YANG Jiaxing, LI Xiaoxiao, YANG Jizong, YANG Chaoyuan, ZHANG Ming, FU Yun, YANG Wanjuan, WANG Jixue, XU Honglü. Decision tree model of depressive symptoms among first-grade students from multi-ethnic middle schools in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(2): 162-167. doi: 10.16835/j.cnki.1000-9817.2024048
Citation: YANG Jiaxing, LI Xiaoxiao, YANG Jizong, YANG Chaoyuan, ZHANG Ming, FU Yun, YANG Wanjuan, WANG Jixue, XU Honglü. Decision tree model of depressive symptoms among first-grade students from multi-ethnic middle schools in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(2): 162-167. doi: 10.16835/j.cnki.1000-9817.2024048

Decision tree model of depressive symptoms among first-grade students from multi-ethnic middle schools in Yunnan Province

doi: 10.16835/j.cnki.1000-9817.2024048
  • Received Date: 2023-12-22
  • Rev Recd Date: 2024-01-17
  • Available Online: 2024-03-02
  • Publish Date: 2024-02-25
  •   Objective  To understand the occurrence and predictive factors of depressive symptoms among multi-ethnic middle school students in Yunnan Province, so as to provide a referential framework for schools to carry out targeted mental health education.  Methods  From October to December 2022, 8 500 first-grade students from 23 middle schools were selected from 11 minority areas in Yunnan Province by cluster random sampling method. Demographic information and data relating to the students' lifestyles were collected by questionnaire, and the Children's Depression Inventory (CDI) was used to evaluate depressive symptoms. Chi-square test was performed to compare differences in the detection rate of depressive symptoms among first-grade middle school students for univariate analysis. A decision tree model of depressive symptoms in middle school students was established by using the Chi-squared automatic interaction detector (CHAID).  Results  The detection rate of depressive symptoms among first-grade students from multi-ethnic middle schools in Yunnan Province was 28.26%. The decision tree model of depressive symptoms was academic stress (χ2=469.08) at the first level, breakfast behaviors (low/moderate academic stress: χ2=155.49; severe academic stress: χ2=105.24) at the second level, and the number of close friends (low/moderate academic stress and consuming breakfast 0-2 days weekly: χ2=23.15; low/moderate academic stress and consuming breakfast 3-4 days weekly: χ2=14.99; severe academic stress and consuming breakfast 0-2 days weekly: χ2=29.26; severe academic stress and consuming breakfast 3-4 days weekly: χ2=20.15), ethnicity (χ2=78.22) and drinking (χ2=50.36) at the third level (P<0.01).  Conclusions  The study identifies academic stress, breakfast behaviors, number of close friends, drinking and ethnicity as predictive factors of depressive symptoms among multi-ethnic middle school students in Yunnan Province. Schools should develop targeted strategies for preventing and managing depressive symptoms in middle school students, so as to reduce their occurrence.
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  • [1]
    SHOREY S, NG E D, WONG C H J. Global prevalence of depression and elevated depressive symptoms among adolescents: a systematic review and Meta-analysis[J]. Br J Clin Psychol, 2022, 61(2): 287-305. doi: 10.1111/bjc.12333
    [2]
    MALHI G S, MANN J J. Depression[J]. Lancet, 2018, 392(10161): 2299-2312. doi: 10.1016/S0140-6736(18)31948-2
    [3]
    刘福荣, 宋晓琴, 尚小平, 等. 中学生抑郁症状检出率的Meta分析[J]. 中国心理卫生杂志, 2020, 34(2): 123-128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002009.htm

    LIU F R, SONG X Q, SHANG X P, et al. A Meta-analysis of detection rate of depression symptoms among middle school students[J]. Chin Mental Health J, 2020, 34(2): 123-128. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002009.htm
    [4]
    ZHANG X, YAN Y, YE Z, et al. Descriptive analysis of depression among adolescents in Huangshi, China[J]. BMC Psychiatry, 2023, 23(1): 176. doi: 10.1186/s12888-023-04682-3
    [5]
    徐涛, 周县委, 张天成, 等. 中国中学生抑郁症状危险因素的Meta分析[J]. 现代预防医学, 2022, 49(5): 814-818, 844. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202205010.htm

    XU T, ZHOU X W, ZHANG T C, et al. Risk factors of depression symptom among Chinese middle school students: a Meta-analysis[J]. Mod Prev Med, 2022, 49(5): 814-818, 844. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202205010.htm
    [6]
    张桂杰, 王小灿, 邢维康, 等. 基于决策树分类算法的心理测评模型研究[J]. 吉林师范大学学报, 2023, 44(4): 123-130. https://www.cnki.com.cn/Article/CJFDTOTAL-SLXK202304018.htm

    ZHANG G J, WANG X C, XING W K, et al. Research on psychological assessment model based on decision tree classification algorithm[J]. J Jilin Normal Univ, 2023, 44(4): 123-130. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SLXK202304018.htm
    [7]
    徐洪吕, 万宇辉, 张诗晨, 等. 青少年抑郁症状与外卖快餐碳酸饮料消费相关性分析[J]. 中国学校卫生, 2019, 40(4): 538-541, 545. doi: 10.16835/j.cnki.1000-9817.2019.04.017

    XU H L, WAN Y H, ZHANG S C, et al. Interaction effects of co-consumption of takeaway fast foods and sodas on depressive symptom in Chinese adolescents[J]. Chin J Sch Health, 2019, 40(4): 538-541, 545. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.04.017
    [8]
    柳之啸, 李京, 王玉, 等. 中文版儿童抑郁量表的结构验证及测量等值[J]. 中国临床心理学杂志, 2019, 27(6): 1172-1176. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201906020.htm

    LIU Z X, LI J, WANG Y, et al. Structural verification and measurement invariance of Chinese version of Children's Depression Inventory[J]. Chin J Clin Psychol, 2019, 27(6): 1172-1176. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201906020.htm
    [9]
    洪忻, 李解权, 梁亚琼, 等. 儿童抑郁量表中文版在中学生中的信效度分析[J]. 中国学校卫生, 2012, 33(10): 1182-1185. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201210010.htm

    HONG X, LI J Q, LIANG Y Q, et al. Reliability and validity of the Chinese version of Children' s Depression Inventory[J]. Chin J Sch Health, 2012, 33(10): 1182-1185. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201210010.htm
    [10]
    ZHANG X, GAO F, KANG Z, et al. Perceived academic stress and depression: the mediation role of mobile phone addiction and sleep quality[J]. Front Public Health, 2022, 10: 760387. doi: 10.3389/fpubh.2022.760387
    [11]
    REN Z, ZHOU G, WANG Q, et al. Associations of family relationships and negative life events with depressive symptoms among Chinese adolescents: a cross-sectional study[J]. PLoS One, 2019, 14(7): e0219939. doi: 10.1371/journal.pone.0219939
    [12]
    ZENG X, CHEN Y, ZHANG Q, et al. Multidimensional self-rating biological rhythm disorder and its association with depression and anxiety symptoms among adolescents aged 11-23 years: a school-based cross-sectional study from China[J]. BMC Psychiatry, 2022, 22(1): 700. doi: 10.1186/s12888-022-04354-8
    [13]
    JAYANTHI P, THIRUNAVUKARASU M, RAJKUMAR R. Academic stress and depression among adolescents: a cross-sectional study[J]. Indian Pediat, 2015, 52(3): 217-219. doi: 10.1007/s13312-015-0609-y
    [14]
    ALI N M, NOWSHAD N A, MANSOOR K M, et al. Perceived academic and psychological stress among adolescents in United Arab Emirates: role of gender, age, depression, and high expectation of parents[J]. Psychiatr Danub, 2019, 31(Suppl 3): 331-337.
    [15]
    SCHMIDT H D, DUMAN R S. The role of neurotrophic factors in adult hippocampal neurogenesis, antidepressant treatments and animal models of depressive-like behavior[J]. Behav Pharmacol, 2007, 18(5-6): 391-418. doi: 10.1097/FBP.0b013e3282ee2aa8
    [16]
    YANG L, ZHAO Y, WANG Y, et al. The effects of psychological stress on depression[J]. Curr Neuropharmacol, 2015, 13(4): 494-504. doi: 10.2174/1570159X1304150831150507
    [17]
    ZAHEDI H, DJALALINIA S, SADEGHI O, et al. Breakfast consumption and mental health: a systematic review and Meta-analysis of observational studies[J]. Nutr Neurosci, 2022, 25(6): 1250-1264. doi: 10.1080/1028415X.2020.1853411
    [18]
    PENGPID S, PELTZER K. Skipping breakfast and its association with health risk behaviour and mental health among university students in 28 countries[J]. Diabetes Metab Syndr Obes, 2020, 13: 2889-2897. doi: 10.2147/DMSO.S241670
    [19]
    ZURAIKAT F M, WOOD R A, BARRAGÁN R, et al. Sleep and diet: mounting evidence of a cyclical relationship[J]. Annu Rev Nutr, 2021, 41: 309-332. doi: 10.1146/annurev-nutr-120420-021719
    [20]
    JENKINS T A, NGUYEN J C, POLGLAZE K E, et al. Influence of tryptophan and serotonin on mood and cognition with a possible role of the gut-brain axis[J]. Nutrients, 2016, 8(1): 56. doi: 10.3390/nu8010056
    [21]
    GIMÉNEZ-LEGARRE N, MIGUEL-BERGES M L, FLORES-BARRANTES P, et al. Breakfast characteristics and its association with daily micronutrients intake in children and adolescents: a systematic review and Meta-analysis[J]. Nutrients, 2020, 12(10): 3201. doi: 10.3390/nu12103201
    [22]
    WANG J, UM P, DICKERMAN B A, et al. Zinc, magnesium, selenium and depression: a review of the evidence, potential mechanisms and implications[J]. Nutrients, 2018, 10(5): 584. doi: 10.3390/nu10050584
    [23]
    BOKSZCZANIN A, PALACE M, BROWN W, et al. Depression, perceived risk of COVID-19, loneliness, and perceived social support from friends among university students in Poland, UK, and India[J]. Psychol Res Behav Manage, 2023, 16: 651-663. doi: 10.2147/PRBM.S380318
    [24]
    KANG M, MIN A, MIN H. Predicting multicultural adolescents' depression in South Korea: roles of ego-resilience and social support[J]. J Pediatr Nurs, 2022, 65: e93-e98. doi: 10.1016/j.pedn.2022.03.012
    [25]
    ACHTERBERGH L, PITMAN A, BIRKEN M, et al. The experience of loneliness among young people with depression: a qualitative Meta-synthesis of the literature[J]. BMC Psychiatry, 2020, 20(1): 415. doi: 10.1186/s12888-020-02818-3
    [26]
    GRIFFITHS K M, CRISP D A, BARNEY L, et al. Seeking help for depression from family and friends: a qualitative analysis of perceived advantages and disadvantages[J]. BMC Psychiatry, 2011, 11: 196. doi: 10.1186/1471-244X-11-196
    [27]
    CHOW M S C, POON S H L, LUI K L, et al. Alcohol consumption and depression among university students and their perception of alcohol use[J]. East Asian Arch Psychiatry, 2021, 31(4): 87-96. doi: 10.12809/eaap20108
    [28]
    LINA-JOLIEN P, ROCÍO G J, MIQUEL R, et al. Moderate alcohol consumption and depression prevention: a critical review[J]. Actas Esp Psiquiatr, 2022, 50(3): 126-133.
    [29]
    RICHARDSON H N, LEE S Y, O'DELL L E, et al. Alcohol self-administration acutely stimulates the hypothalamic-pituitary-adrenal axis, but alcohol dependence leads to a dampened neuroendocrine state[J]. Eur J Neurosci, 2008, 28(8): 1641-1653. doi: 10.1111/j.1460-9568.2008.06455.x
    [30]
    FLORES-BONILLA A, RICHARDSON H N. Sex differences in the neurobiology of alcohol use disorder[J]. Alcohol Res, 2020, 40(2): 4.
    [31]
    ZHANG X, HUANG R, HO S Y, et al. Alcohol drinking, especially light drinking, and depressive symptoms in adolescents[J]. Drug Alcohol Depend, 2021, 227: 108932. doi: 10.1016/j.drugalcdep.2021.108932
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