Factors influencing cognitive reactivity among young adults at high risk for depression in China: a cross-sectional study
Abstract BackgroundUnderstanding the factors influencing cognitive reactivity (CR) may help identify individuals at risk for first episode depression and relapse, and facilitate routine access to preventative treatments. However, few studies have examined CR to depression in Asian countries. This study was performed to ascertain the current status of CR among Chinese young adults and explore the factors that influence their CR. MethodsA national cross-sectional online study using convenience sampling was conducted among 1637 healthy young adults in China (96.29%). ResultsThe mean CR score was 1.73±0.64. Binary logistic regression showed that a low level of CR was associated with the following factors: high self-compassion, high social support, high resilience, high monthly household income, and living in a rural area, with odds ratios (ORs) ranging from 0.14 to 0.70. Young adults in full-time employment, experiencing poor sleep, with high neuroticism, who reported frequent sad mood, and who had a high intensity of negative life events had increased CR to depression, with ORs ranging from 1.18 to 6.66. The prediction probability of these factors was 75.40%. Any causal relationships among the influencing factors and CR cannot be established. ConclusionsThe self-reported CR levels among Chinese young adults were moderate. Enhancing self-compassion, resilience, and social support for young adults and reducing negative life events, neuroticism, and poor sleep may facilitate reducing CR. These findings may help healthcare providers or researchers determine how to cultivate and improve the CR of young adults by establishing documented policies and/or improving intervention efficacies.