The Associations between Depressive Symptoms and Self-Rated Health in Relation to Sense of Coherence among Adolescents: Cross-Sectional Study.

IF 2 4区 医学 Q2 PEDIATRICS
Vilija Malinauskiene, Romualdas Malinauskas
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引用次数: 0

Abstract

Background: We investigated the predictors of poor SRH in a representative sample of Lithuanian mainstream school students in grades 7-8. We also checked for gender differences in the associations between SRH and depressive symptoms and other predictors.

Methods: A total of 2104 7th-8th-grade students participated (response rate 73.95%) and were asked about depressive symptoms, psychosomatic health complaints, negative acts at school, feeling at school, family stress and violence, sense of coherence, self-esteem, and lifestyle. We used a hierarchical regression analysis including a variety of self-rated health predictors.

Results: Boys scored significantly higher on physical activity and smoking, whereas girls scored significantly higher on SRH, depressive symptoms, psychosomatic health complaints, and family stress and violence, though the significance was lost in the hierarchical regression. Depressive symptoms were the strongest predictor of poor SRH (standardized β = 0.309, p < 0.001), though other investigated predictors were also significant but had lower effect sizes. Strong evidence was found supporting the buffering role of sense of coherence in the relationship between depressive symptoms and SRH (standardized β = -0.266, p < 0.001).

Conclusions: We can conclude that the magnitude of the relationship between depressive symptoms and self-rated health is dependent on the levels of sense of coherence. We did not find gender differences in those associations. As poor SRH is easy to determine, especially with a one-item question, the cases of poorly rated health should be detected early and corrected by interventions in order to prevent poor health outcomes in the future.

青少年抑郁症状和自评健康与连贯感的关系:横断面研究
研究背景我们调查了立陶宛主流学校 7-8 年级学生中性健康和生殖健康不良的预测因素。我们还检查了性健康和生殖健康与抑郁症状及其他预测因素之间的性别差异:共有 2104 名七至八年级学生参加了调查(回复率为 73.95%),调查内容包括抑郁症状、心身健康投诉、在学校的负面行为、在学校的感受、家庭压力和暴力、一致性感、自尊和生活方式。我们采用了分层回归分析法,其中包括各种自评健康预测因素:结果:男生在体育活动和吸烟方面的得分明显较高,而女生在性健康和生殖健康、抑郁症状、心身健康投诉以及家庭压力和暴力方面的得分明显较高,但在分层回归中失去了显著性。抑郁症状是性健康和生殖健康不良的最强预测因子(标准化 β = 0.309,p < 0.001),尽管其他调查预测因子也具有显著性,但效应大小较低。研究发现,有强有力的证据支持连贯感在抑郁症状与性健康和生殖健康之间的关系中发挥缓冲作用(标准化 β = -0.266,p < 0.001):我们可以得出结论,抑郁症状与自我评定健康之间关系的大小取决于一致性感的水平。在这些关联中,我们没有发现性别差异。由于自评为差的健康状况很容易确定,特别是通过一个单项问题,因此应及早发现自评为差的健康状况,并通过干预措施加以纠正,以防止将来出现不良的健康结果。
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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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