The impact of stress on depressive symptoms is moderated by social support in Chinese adolescents with subthreshold depression: A multi-wave longitudinal study

2010 ◽  
Vol 127 (1-3) ◽  
pp. 113-121 ◽  
Author(s):  
Juan Yang ◽  
Shuqiao Yao ◽  
Xiongzhao Zhu ◽  
Chenchen Zhang ◽  
Yu Ling ◽  
...  
2020 ◽  
Author(s):  
Huangqi Jiang ◽  
Wenle Yu ◽  
Danhua Lin ◽  
Brooke N Macnamara

Adolescents facing adversities are susceptible to depression and sleep problems. Resilience is an important protective mechanism for coping with difficulties. During the COVID-19 pandemic, adolescents faced multiple hardships including being pulled from their schools and being unable to socialize with friends. Yet, it is unclear whether adolescents’ resiliency weakened during the global crisis or if the protective power of resilience is maintained under such circumstances. Here, in a partially longitudinal study, we demonstrate that Chinese adolescents’ resilience weakened during the pandemic-related quarantine compared to before the pandemic. However, resilience protected against depression and sleep problems for adolescents. A mediation model showed that higher resilience was associated with fewer depressive symptoms, which in turn reduced sleep problems. Moreover, social support moderated this mediation. Our findings suggest that, though the resilience of adolescents weakened during the pandemic-related quarantine, it still serves as a protective process helping adolescents cope with adversities such as depression and sleep problems. Implications for clinical practice and future research are discussed.


Author(s):  
Xingna Qin ◽  
Tessa Kaufman ◽  
Lydia Laninga-Wijnen ◽  
Ping Ren ◽  
Yunyun Zhang ◽  
...  

AbstractThough depressive symptoms tend to increase in early adolescence, the trajectories of these symptoms may vary strongly. This longitudinal study investigated the extent to which the distinct developmental trajectories of depressive symptoms were predicted by adolescents' academic achievement and perceived parental practices in a sample of Chinese young adolescents (N = 2,576). The results showed four trajectory profiles of depressive symptoms: low-stable (75%), low-increasing (11%), high-stable (9%), and high-decreasing (5%). Adolescents with high academic achievement were more likely to be classified into the low-stable, low-increasing, and high-decreasing profiles than into the high-stable depressive symptom profile. Moreover, students who perceived greater parental autonomy support were more likely to be in the low-stable and low-increasing profiles than the high-stable profile, whereas adolescents perceiving more parental psychological control had higher odds of being in the low-increasing rather than the low-stable profile. Parental educational involvement was unrelated to students' depressive symptom trajectories. In sum, Chinese adolescents with higher academic achievement and who perceived more parental autonomy support, and less psychological control, were at lower risk of experiencing depressive symptoms.


2021 ◽  
pp. 1-10
Author(s):  
Che-Chia Chang ◽  
Chi-Shin Wu ◽  
Han-Yun Tseng ◽  
Chun-Yi Lee ◽  
I-Chien Wu ◽  
...  

ABSTRACT Objectives: To estimate the risks of depressive symptoms for developing frailty, accounting for baseline robust or pre-frailty status. Design: An incident cohort study design. Setting: Community dwellers aged 55 years and above from urban and rural areas in seven regions in Taiwan. Participants: A total of 2,717 participants from the Healthy Aging Longitudinal Study in Taiwan (HALST) were included. Subjects with frailty at baseline were excluded. The average follow-up period was 5.9 years. Measurements: Depressive symptoms were measured by the 20-item Center for Epidemiological Studies Depression (CES-D) Scale. Frailty was assessed using the Fried frailty measurement. Participants were stratified by baseline robust or pre-frailty status to reduce the confounding effects of the shared criteria between depressive symptoms and frailty. Overall and stratified survival analyses were conducted to assess risks of developing frailty as a result of baseline depressive symptoms. Results: One hundred individuals (3.7%) had depressive symptoms at baseline. Twenty-seven individuals (27.0%) with depressive symptoms developed frailty, whereas only 305 out of the 2,617 participants (11.7%) without depressive symptoms developed frailty during the follow-up period. After adjusting for covariates, depressive symptoms were associated with a 2.6-fold (95% CI 1.6, 4.2) increased hazard of incident frailty. The patterns of increased hazard were also observed when further stratified by baseline robust or pre-frailty status. Conclusions: Depressive symptoms increased the risk of developing frailty among the older Asian population. The impact of late-life depressive symptoms on physical health was notable. These findings also replicated results from Western populations. Future policies on geriatric public health need to focus more on treatment and intervention against geriatric depressive symptoms to prevent incident frailty among older population.


2018 ◽  
Vol 24 (2) ◽  
pp. 203-212 ◽  
Author(s):  
Sonya Negriff ◽  
Julie A. Cederbaum ◽  
Daniel S. Lee

The current study examined social support as a mediator between maltreatment experiences (number of victimizations, maltreatment types) and depressive symptoms in adolescence. The data came from the first two time points of a longitudinal study of the effects of maltreatment on adolescent development. The enrolled sample were 454 male and females ( n = 303 maltreated, n = 151 comparison) between 9 and 13 years ( M age = 10.82); Time 2 (T2) occurred approximately 1 year after baseline. Maltreatment data came from case records; participants reported on perceived social support and depressive symptoms. Results from path models indicated that depressive symptoms mediated the association between maltreatment experiences (i.e., physical abuse, neglect, and number of maltreatment victimizations) and family social support. There was no evidence that social support functioned as a mediator. This is the first study to find support for depressive symptoms as a mechanism linking maltreatment with decreased perceived family support. These findings point to the importance of assessing mental health and social support simultaneously to understand the functioning of youth with maltreatment histories.


2020 ◽  
Vol 41 (5) ◽  
pp. 409-429
Author(s):  
Junmei Xiong ◽  
Man Hai ◽  
Jintao Wang ◽  
Ye Li ◽  
Guangrong Jiang

The current study examined the associations among cumulative risk, psychological capital and adolescents’ anxiety/depression and life satisfaction. Chinese adolescents ( N = 1473, grades 7 to 12, ages 12 to 18, 52.1% female) completed self-report cumulative risk, psychological capital, anxiety/depressive symptoms and life satisfaction questionnaires. Cumulative risk was associated with anxiety/depression and life satisfaction. Psychological capital demonstrated a compensatory effect on youth adjustment. Furthermore, a cost of resilience was observed in high-school students with high psychological capital, who showed compromised life satisfaction in conjunction with reduced anxiety/depression under circumstances of severe adversity. Psychological capital also buffered the impact of cumulative risk on anxiety/depressive symptoms in middle-school students; however, it did not moderate the relationship between cumulative risk and life satisfaction. Therefore, psychological capital cannot protect adolescents exposed to cumulative risk from the exacerbation of psychopathology and declining life satisfaction simultaneously, and a ‘toll’ exists as a byproduct of resilience in high-school students. Suggestions for school health practices were provided accordingly.


2015 ◽  
Vol 39 (2) ◽  
pp. 139-157 ◽  
Author(s):  
Tangeria R. Adams ◽  
Laura A. Rabin ◽  
Valdiva G. Da Silva ◽  
Mindy J. Katz ◽  
Joshua Fogel ◽  
...  

2011 ◽  
Vol 26 (8) ◽  
pp. 484-489 ◽  
Author(s):  
A.-L. Sutter-Dallay ◽  
L. Murray ◽  
L. Dequae-Merchadou ◽  
E. Glatigny-Dallay ◽  
M.-L. Bourgeois ◽  
...  

AbstractBackgroundFew studies of the effects of postnatal depression on child development have considered the chronicity of depressive symptoms. We investigated whether early postnatal depressive symptoms (PNDS) predicted child developmental outcome independently of later maternal depressive symptoms.MethodsIn a prospective, longitudinal study, mothers and children were followed-up from birth to 2 years; repeated measures of PNDS were made using the Edinburgh Postnatal Depression Scale (EPDS); child development was assessed using the Bayley Scales II. Multilevel modelling techniques were used to examine the association between 6 week PNDS, and child development, taking subsequent depressive symptoms into account.ResultsChildren of mothers with 6 week PNDS were significantly more likely than children of non-symptomatic mothers to have poor cognitive outcome; however, this association was reduced to trend level when adjusted for later maternal depressive symptoms.ConclusionEffects of early PNDS on infant development may be partly explained by subsequent depressive symptoms.


2016 ◽  
Vol 29 (3) ◽  
pp. 399-407
Author(s):  
Woorim Kim ◽  
Eun-Cheol Park ◽  
Kyu-Tae Han ◽  
Tae-Hoon Lee ◽  
Tae Hyun Kim

ABSTRACTBackground:Noticeable demographic changes have taken place in South Korea, with the general marriage rate decreasing and the average first age at marriage and general divorce rate increasing. The shown trends have contributed to intergenerational discordance in the perception of familial values, which is important in addressing the psychological well-being of parents. This study aimed to investigate the association between the marital status of offspring aged 40 years and over and the depression levels of parents.Methods:Data were from the Korean Longitudinal Study of Aging (KLoSA), 2006–2012. A total of 2,540 individuals with at least two offspring aged 40 years and over were included. Association between offspring marital status and parental depression scores, measured using the Center for Epidemiological Studies and Depression (CES-D 10) scale, was investigated using the generalized estimating equation (GEE) model. Subgroup analysis was performed based on offspring education level.Results:When parents with only married offspring were set as reference, parents with never married offspring (β: 0.27,p= 0.02), parents with separated offspring (β: 0.52,p= 0.03), and parents with never married offspring and separated offspring (β: 0.38,p< 0.001) showed increases in depression scores. In the subgroup analysis, these higher depression score effects were largely limited to parents with high school graduate offspring.Conclusion:It is important to monitor the mental health status of parents with never married, separated, or both never married and separated offspring as this group may be comparatively vulnerable to depressive symptoms.


2010 ◽  
Vol 28 (18) ◽  
pp. 3084-3089 ◽  
Author(s):  
Christopher Lo ◽  
Camilla Zimmermann ◽  
Anne Rydall ◽  
Andrew Walsh ◽  
Jennifer M. Jones ◽  
...  

Purpose Although early intervention is increasingly advocated to prevent and relieve distress in patients with metastatic cancer, the risk factors for such symptoms and their trajectory are not well established. We therefore conducted a longitudinal study to determine the course and predictors of depressive symptoms. Patients and Methods Patients (N = 365) with metastatic gastrointestinal or lung cancer completed measures of physical distress, self-esteem, attachment security, spiritual well-being, social support, hopelessness, and depression at baseline; physical distress, social support, hopelessness, and depression were subsequently assessed at 2-month intervals. Results Of the sample, 35% reported at least mild depressive symptoms, with 16% reporting moderate to severe depressive symptoms that persisted in at least one third of such individuals. Moderate to severe depressive symptoms were almost three times more common in the final 3 months of life than ≥ 1 year before death. Predictors of depressive symptoms included younger age, antidepressant use at baseline, lower self-esteem and spiritual well-being, and greater attachment anxiety, hopelessness, physical burden of illness, and proximity to death. The combination of greater physical suffering and psychosocial vulnerability put individuals at greatest risk for depression. Conclusion Depressive symptoms in advanced cancer patients are relatively common and may arise as a final common pathway of distress in response to psychosocial vulnerabilities, physical suffering, and proximity to death. These findings support the need for an integrated approach to address emotional and physical distress in this population and to determine whether early intervention may prevent depression at the end of life.


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