Association between adverse experience and subsequent incidence of depressive symptoms among middle school students in Liangshan

FAN Hui; TAO Yifeng; GUAN Tao

doi:10.16835/j.cnki.1000-9817.2024212

Volume 45 Issue 7

Jul. 2024

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FAN Hui, TAO Yifeng, GUAN Tao. Association between adverse experience and subsequent incidence of depressive symptoms among middle school students in Liangshan[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1003-1007. doi: 10.16835/j.cnki.1000-9817.2024212

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FAN Hui, TAO Yifeng, GUAN Tao. Association between adverse experience and subsequent incidence of depressive symptoms among middle school students in Liangshan[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1003-1007. doi: 10.16835/j.cnki.1000-9817.2024212

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Association between adverse experience and subsequent incidence of depressive symptoms among middle school students in Liangshan

doi: 10.16835/j.cnki.1000-9817.2024212

1.
Department of Epidemiology and Health Statistics, School of Public Health, North Sichuan Medical College, Nanchong (637000), Sichuan Province, China

Received Date: 2024-01-11
Rev Recd Date: 2024-05-13

Available Online: 2024-07-27

Publish Date: 2024-07-25

Abstract

Abstract

Objective To assess the association of adverse experiences and subsequent incidence of depressive symptoms among middle school students in Liangshan, so as to provide a basis for preventing the occurrence of depression symptoms among middle school students. Methods In October 2021, a convenient sampling combined with cluster random sampling method was employed to select 888 students from three high schools (junior first year and second year, senior first year) in Liangshan for a questionnaire survey. In March 2023, a follow-up survey was conducted to collect data on adverse experiences (such as school bullying, domestic violence, and lack of parental understanding). Depressive symptoms were assessed using the Chinese version of the Center for Epidemiologic Studies Depression Scale (CES-D). Logistic regression model analysis was used to examine the relationship between the number of adverse experiences at baseline and the incidence of depressive symptoms during the follow-up period. Results The detection rate of depressive symptoms among middle school students was 9.4% at follow-up. School bullying (OR=2.26, 95%CI=1.37-3.73), domestic violence (OR=2.56, 95%CI=1.55-4.21), and lack of parental understanding (OR=1.91, 95%CI=1.15-3.16) at baseline were positively associated with the incidence of depressive symptoms at follow-up (P < 0.05). Compared with participants with no adverse experiences at both baseline and follow-up, those with adverse experiences at both baseline and follow-up were more likely to exhibit depressive symptoms at follow-up, regardless of the type of adverse experiences (P < 0.01). The incidence of depressive symptoms increased with the increase of baseline adverse experiences (P < 0.01). Compared to the participants with no adverse experiences at both baseline and follow-up, those with adverse experiences at baseline but not at follow-up did not show a statistically significant difference in the likelihood of developing depressive symptoms at follow-up (OR=0.78, 95%CI=0.13-4.80, P>0.05). Conclusions Adverse experiences increase the risk of developing depressive symptoms among middle school students. Participants who have reversed adverse experiences show no increased risk of depressive symptoms compared to those with no adverse experiences. Measures should be taken to prevent the occurrence of depression symptoms among middle school students based on their adverse experiences during their middle school years.
- Life change events,
- Depression,
- Mental health,
- Regression analysis,
- Students

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References(26)

References

[1]	WHO. Depression and other common mental disorders: global health estimates[S]. Geneva: Switzerland, 2017.
[2]	WEINBERGER A H, GBEDEMAH M, MARTINEZ A M, et al. Trends in depression prevalence in the USA from 2005 to 2015: widening disparities in vulnerable groups[J]. Psychol Med, 2018, 48(8): 1308-1315. doi: 10.1017/S0033291717002781
[3]	MILLER L, CAMPO J V. Depression in adolescents[J]. N Engl J Med, 2021, 385(5): 445-449. doi: 10.1056/NEJMra2033475
[4]	JOHNSON D, DUPUIS G, PICHE J, et al. Adult mental health outcomes of adolescent depression: a systematic review[J]. Depress Anx, 2018, 35(8): 700-716. doi: 10.1002/da.22777
[5]	HARSHFIELD E L, PENNELLS L, SCHWARTZ J E, et al. Association between depressive symptoms and incident cardiovascular diseases[J]. JAMA, 2020, 324(23): 2396-2405. doi: 10.1001/jama.2020.23068
[6]	TANG X, TANG S, REN Z, et al. Prevalence of depressive symptoms among adolescents in secondary school in mainland China: a systematic review and Meta-analysis[J]. J Affect Disord, 2019, 245: 498-507. doi: 10.1016/j.jad.2018.11.043
[7]	LOVEDAY S, HALL T, CONSTABLE L, et al. Screening for adverse childhood experiences in children: a systematic review[J]. Pediatrics, 2022, 149(2): e2021051884. doi: 10.1542/peds.2021-051884
[8]	GLICKMAN E A, CHOI K W, LUSSIER A A, et al. Childhood emotional neglect and adolescent depression: assessing the protective role of peer social support in a longitudinal birth cohort[J]. Front Psychiatry, 2021, 12: 681176. doi: 10.3389/fpsyt.2021.681176
[9]	HACKETT S, MCWHIRTER P T, LESHER S. The therapeutic efficacy of domestic violence victim interventions[J]. Trauma Violence Abuse, 2016, 17(2): 123-132. doi: 10.1177/1524838014566720
[10]	GAFFNEY H, TTOFI M M, FARRINGTON D P. Effectiveness of school-based programs to reduce bullying perpetration and victimization: an updated systematic review and Meta-analysis[J]. Campbell Syst Rev, 2021, 17(2): e1143. doi: 10.1002/cl2.1143
[11]	Centers for Disease Control and Prevention. Adverse childhood experiences (ACEs)[EB/OL]. (2021-08-23)[2023-12-15]. https://www.cdc.gov/vitalsigns/aces/index.html.
[12]	中华人民共和国国家卫生和计划生育委员会. 全国学生常见病和健康影响因素监测方案[EB/OL]. (2018-04-08)[2023-12-15]. http://www.nhc.gov.cn/jkj/s5898bm/201804/88cec86c347c4c48aa508b742c7abd1a.shtml. National Health and Family Planning Commission of the PRC. National surveillance program for common diseases and health factors among students[EB/OL]. (2018-04-08)[2023-12-15]. http://www.nhc.gov.cn/jkj/s5898bm/201804/88cec86c347c4c48aa508b742c7abd1a.shtml. (in Chinese)
[13]	Centers for Disease Control and Prevention. Global school-based student health survey[EB/OL]. (2017-09-27)[2023-12-15]. https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/gshs/2018-gshs-core-modules-english.pdf?sfvrsn=d49eb117_4&download=true.
[14]	KISHORE K, JASWAL V, KULKARNI V, et al. Practical guidelines to develop and evaluate a questionnaire[J]. Ind Dermatol Online J, 2021, 12(2): 266-275. doi: 10.4103/idoj.IDOJ_674_20
[15]	RADLOFF L S. The use of the center for Epidemiologic Studies Depression Scale in adolescents and young adults[J]. J Youth Adolesc, 1991, 20(2): 149-166. doi: 10.1007/BF01537606
[16]	陈祉妍, 杨小冬, 李新影. 流调中心抑郁量表在我国青少年中的试用[J]. 中国临床心理学杂志, 2009, 17(4): 443-445, 448. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY200904019.htm CHEN Z Y, YANG X D, LI X Y. Psychometric features of CES-D in Chinese adolescents[J]. Chin J Clin Psychol, 2009, 17(4): 443-445, 448. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY200904019.htm
[17]	张娜, 朱文丽, 张曼, 等. 《中国学龄儿童膳食指南(2022)》解读[J]. 中国学校卫生, 2022, 43(6): 805-808. doi: 10.16835/j.cnki.1000-9817.2022.06.002 ZHANG N, ZHU W L, ZHANG M, et al. Interpretation on Dietary Guidelines for Chinese School-aged Children (2022)[J]. Chin J Sch Health, 2022, 43(6): 805-808. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.06.002
[18]	YANG Y, KIM Y, JE Y. Fish consumption and risk of depression: epidemiological evidence from prospective studies[J]. Asia Pac Psychiatry, 2018, 10(4): e12335. doi: 10.1111/appy.12335
[19]	中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 北京: 中国标准出版社, 2018. National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. Beijing: Standards Press of China, 2018. (in Chinese)
[20]	GUO J, LI M, WANG X, et al. Being bullied and depressive symptoms in Chinese high school students: the role of social support[J]. Psychiatry Res, 2020, 284: 112676. doi: 10.1016/j.psychres.2019.112676
[21]	BOWES L, JOINSON C, WOLKE D, et al. Peer victimisation during adolescence and its impact on depression in early adulthood: prospective cohort study in the United Kingdom[J]. BMJ, 2015, 350: h2469. doi: 10.1136/bmj.h2469
[22]	WINDING T N, SKOUENBORG L A, MORTENSEN V L, et al. Is bullying in adolescence associated with the development of depressive symptoms in adulthood?A longitudinal cohort study[J]. BMC Psychol, 2020, 8(1): 122. doi: 10.1186/s40359-020-00491-5
[23]	DOROUDCHI A, ZARENEZHAD M, HOSSEININEZHAD H, et al. Psychological complications of the children exposed to domestic violence: a systematic review[J]. Egypt J Forensic Sci, 2023, 13(1): 26. doi: 10.1186/s41935-023-00343-4
[24]	TEICHER M H, SAMSON J A. Annual research review: enduring neurobiological effects of childhood abuse and neglect[J]. J Child Psychol Psychiatry, 2016, 57(3): 241-266. doi: 10.1111/jcpp.12507
[25]	MOFFITT T E, Klaus-Grawe 2012 Think Tank. Childhood exposure to violence and lifelong health: clinical intervention science and stress-biology research join forces[J]. Dev Psychopathol, 2013, 25(4 Pt 2): 1619-1634.
[26]	TSEHAY M, NECHO M, MEKONNEN W. The role of adverse childhood experience on depression symptom, prevalence, and severity among school going adolescents[J]. Depress Res Treat, 2020, 2020: 5951792.