Depressive and Anxiety Symptoms During Adolescence: The Protective Roles of Adolescent and Family Assets Within ECHO's Diverse National Population

Jody M. Ganiban, Courtney K. Blackwell, Chang Liu, Leslie Leve, Jenae Neiderhiser, Maxwell Mansolf, Zhaoying Chen, Bianca Acevedo, Patricia A. Brennan, Nicole R. Bush, Jean A. Frazier, Alison E. Hipwell, Daniel P. Keating, Kaja Z. LeWinn, Santiago Morales, Amanda Norona-Zhou, Alexandra Sullivan, Lihua Yao, Li Yi, Yeyi Zhu, program collaborators for the Environmental influences on Child Health Outcomes (ECHO) program
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Abstract

To understand the factors that preserve mental health amongst a diverse population of adolescents, we examined links between neighborhood-level resources, adolescents' self-reported personal assets (low perceived stress, meaning and purpose, life satisfaction), parent-reported family assets (household income, maternal mental health) and adolescents' self-reported depressive and anxiety symptoms. Participants included a racially and ethnically diverse national sample of 4325 adolescents (10–21 years) from the Environmental influences on Child Health Outcomes (ECHO) program. Neighborhood-level resources were not directly associated with depressive or anxiety symptoms. However, higher levels of personal and family assets were related to lower levels of symptoms, regardless of neighborhood resources (ß's: −0.09 to 0.55). Last, high neighborhood resources compensated for the absence of one asset—low perceived stress. For adolescents with levels of perceived stress that were just 0.17 SD above the sample mean, neighborhood resources were negatively associated with depressive symptoms. Findings did not vary across racial and ethnic groups. Results support the development of asset building endeavors that bolster positive child assets in adolescents and families to reduce mental health disparities. Implications for programs that seek to promote mental health amongst minoritized youth are discussed.

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青少年抑郁和焦虑症状:青少年和家庭资产在ECHO不同国家人口中的保护作用
为了了解在不同的青少年群体中保持心理健康的因素,我们研究了社区资源、青少年自我报告的个人资产(低感知压力、意义和目的、生活满意度)、父母报告的家庭资产(家庭收入、母亲心理健康)和青少年自我报告的抑郁和焦虑症状之间的联系。参与者包括来自环境对儿童健康结果影响(ECHO)项目的4325名不同种族和民族的青少年(10-21岁)。社区资源水平与抑郁或焦虑症状没有直接关系。然而,无论社区资源如何,较高的个人和家庭资产水平与较低的症状水平相关(s = - 0.09至0.55)。最后,高邻里资源弥补了低资产感知压力的缺失。对于感知压力水平仅高于样本平均值0.17 SD的青少年,邻里资源与抑郁症状呈负相关。研究结果在种族和民族群体中没有差异。结果支持资产建设努力的发展,加强青少年和家庭的积极儿童资产,以减少心理健康差距。对旨在促进少数族裔青年心理健康的项目的影响进行了讨论。
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