Social Psychiatry and Psychiatric Epidemiology最新文献_第5页

Access to psychological therapies amongst patients with a mental health diagnosis in primary care: a data linkage study. 基层医疗机构中被诊断出患有精神疾病的患者接受心理治疗的情况：一项数据关联研究。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-06 DOI: 10.1007/s00127-024-02787-y

Raquel Catalao, Matthew Broadbent, Mark Ashworth, Jayati Das-Munshi, Stephani L Hatch, Matthew Hotopf, Sarah Dorrington

{"title":"Access to psychological therapies amongst patients with a mental health diagnosis in primary care: a data linkage study.","authors":"Raquel Catalao, Matthew Broadbent, Mark Ashworth, Jayati Das-Munshi, Stephani L Hatch, Matthew Hotopf, Sarah Dorrington","doi":"10.1007/s00127-024-02787-y","DOIUrl":"https://doi.org/10.1007/s00127-024-02787-y","url":null,"abstract":"Purpose: Significant numbers of people in England have fallen into a gap between primary care psychological therapies and specialist mental health services. We aim to examine pathways to care by looking at demographic variation in detection and referral to primary and secondary psychological services in south London.Methods: Longitudinal descriptive study using a record linkage between a primary care database (Lambeth DataNet) and a secondary care mental health database (CRIS). We extracted data on mental health diagnosis, prescriptions and episodes of care in mental health services for all patients of working age registered from 1 January 2008 to 1 March 2018 (pre-covid era).Results: Of those with a mental disorder detected in primary care (n = 110,419; 26.8%); 33.7% (n = 37,253) received no treatment; 21.3% (n = 23,548) exclusively accessed psychological treatment within NHS Talking Therapies and 7.6% accessed secondary care psychological therapies. People from minoritised groups were more likely to be prescribed psychotropic medication as the only treatment offered compared to the White British group. Men, Black African and Asian groups were less likely to access NHS Talking Therapies. People with a personality disorder diagnosis had the highest prevalence and number of NHS Talking Therapies treatment episodes (48.0%, n = 960), a similar percentage (44.1%, n = 881) received secondary care psychology treatment.Conclusion: Our study highlights marked inequalities in access to psychological therapies for men and people from some minoritised ethnic groups across primary and secondary care and how individuals with personality disorders are offered multiple short-term courses in NHS Talking Therapies even where this is not recommended treatment.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing the psychological impact of the Shanghai lockdown on local and non-local college students: an explanatory sequential mixed method approach. 比较上海封锁对本地和非本地大学生的心理影响：一种解释性顺序混合方法。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-06 DOI: 10.1007/s00127-024-02790-3

Siyao Wu, Gen Li, Andrew Wortham, Brian J Hall

{"title":"Comparing the psychological impact of the Shanghai lockdown on local and non-local college students: an explanatory sequential mixed method approach.","authors":"Siyao Wu, Gen Li, Andrew Wortham, Brian J Hall","doi":"10.1007/s00127-024-02790-3","DOIUrl":"https://doi.org/10.1007/s00127-024-02790-3","url":null,"abstract":"Purpose: In 2022, the Shanghai municipal government enforced strict COVID-19 lockdown measures. Lockdown experiences for college students varied. Local students normally returned home and had familial support while non-local students relied more on institutional support when quarantining in dormitories. The difference could profoundly impact their access to necessary material resources and emotional support, affecting their mental health. This study compared the psychological effects of the Shanghai Lockdown on local and non-local college students using an explanatory-sequential mixed methods design.Methods: Quantitative analyses of data from 327 college students examined local and non-local students' mental health outcomes during the lockdown. Follow-up qualitative interviews (N = 12) contextualized their sources of stress and group differences.Results: Higher prevalences of probable anxiety (34.6%), depression (45.1%), and poor subjective mental well-being (65.4%) are found among non-local students compared to local students (23.7% anxiety, 29.4% depressive symptoms, and 47.9% poor well-being). Suicidal ideation was higher among local students (8.6% prevalence difference). Being a non-local college student was associated with increased odds of probable anxiety, depression, and poor well-being. Interviews identified group differences such that non-local students received more school support (i.e., food and financial) and perceived emotional support but faced poorer quarantine living environments compared to local peers.Conclusions: Non-local college students were more vulnerable to the impact of lockdown. Our findings also provide insights into the impact of familial versus institutional support on student mental health during times of crisis.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Childhood neighbourhood quality, peer relationships, and trajectory of depressive symptoms among middle-aged and older Chinese adults. 中国中老年人的童年邻里关系质量、同伴关系与抑郁症状轨迹。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-01-30 DOI: 10.1007/s00127-024-02612-6

Lei Yang

{"title":"Childhood neighbourhood quality, peer relationships, and trajectory of depressive symptoms among middle-aged and older Chinese adults.","authors":"Lei Yang","doi":"10.1007/s00127-024-02612-6","DOIUrl":"10.1007/s00127-024-02612-6","url":null,"abstract":"Purpose: This study aimed to examine childhood neighbourhood quality, peer relationships, and trajectories of depressive symptoms among middle-aged and older Chinese adults.Methods: The data came from the longitudinal dataset from the China Health and Retirement Longitudinal Study (CHARLS, 2011-2018). Depressive symptoms were measured repeatedly using the ten-item Centre for Epidemiologic Studies Depression Scale (CES-D-10). Latent growth modelling was used to capture the trajectory of depressive symptoms by childhood neighbourhood quality, and peer relationships.Results: The mean level of depressive symptoms increased gradually in the follow-up period. Poorer childhood neighbourhood quality, and peer relationships were significantly associated with higher levels of depression in later life (β = 0.18 and β = 0.28 for aged 45-59, p < 0.001; β = 0.16 and β = 0.33 for aged 60 and over, p < 0.001) at baseline and a faster increase in depressive symptoms with age for childhood neighbourhood quality (β = 0.03, p < 0.01 for aged 45-59; β = 0.05, p < 0.01 for aged 60 and over). For males and females, poorer childhood neighbourhood quality, and peer relationships predicted higher levels of depression at baseline (β = 0.17 and β = 0.36 for males, p < 0.001; β = 0.16 and β = 0.27 for females, p < 0.001), and only neighbourhood quality was associated with a higher rate of change in depression during follow-up (β = 0.03, and β = 0.04, p < 0.05, respectively).Conclusion: Poorer childhood neighbourhood quality was associated with the slope of change in depressive symptoms. Efforts towards improving childhood living conditions may help to prevent the detrimental health effects of such early life disadvantages.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1999-2007"},"PeriodicalIF":3.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Depression and suicidal ideation among Black individuals in Canada: mediating role of traumatic life events and moderating role of racial microaggressions and internalized racism. 加拿大黑人的抑郁症和自杀倾向：创伤性生活事件的中介作用以及种族微攻击和内在化种族主义的调节作用。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-03-01 DOI: 10.1007/s00127-024-02641-1

Wina Paul Darius, Seyed Mohammad Mahdi Moshirian Farahi, Cary S Kogan, Assumpta Ndengeyingoma, Jude Mary Cénat

{"title":"Depression and suicidal ideation among Black individuals in Canada: mediating role of traumatic life events and moderating role of racial microaggressions and internalized racism.","authors":"Wina Paul Darius, Seyed Mohammad Mahdi Moshirian Farahi, Cary S Kogan, Assumpta Ndengeyingoma, Jude Mary Cénat","doi":"10.1007/s00127-024-02641-1","DOIUrl":"10.1007/s00127-024-02641-1","url":null,"abstract":"Purpose: Although suicidal ideation (SI) is a serious concern in Canada, its prevalence and related factors among Black individuals are poorly documented. Using data from the Mental Health of Black Communities in Canada project (BeCoMHeal), this study aimed to assess the prevalence of SI in Black individuals aged 15-40 years old in Canada, the mediating role of traumatic life events in the association between depression and SI, and the moderating role of racial microaggressions and internalized racism.Methods: Eight hundred and sixty participants aged between 15 and 40 years (Mage =24.96, SD = 6.29) completed the online questionnaire assessing sociodemographic data, depression symptoms, traumatic life events, racial microaggressions, internalized racism, and SI.Results: Findings showed that 25.7% of the participants reported having experienced SI (26.5% women, 22.7% men, 𝛘2 = 1.08, p = .299). The moderated-mediation model revealed that traumatic life events fully mediated the association between depression and SI (B = 0.12, p = .004; 95% CI, [0.04, 0.20]) and that racial microaggressions (B = - 0.03, p = .042; 95% CI [-0.07, - 0.00]) and internalized racism (B = 0.06, p = .006; 95% CI [0.02, 0.10]) moderated this relationship.Conclusion: These findings underscore the importance of addressing racial microaggressions and internalized racism in therapy contexts among Black individuals to mitigate the potential negative impacts on their mental health. They also emphasize the need to develop effective, culturally sensitive, and racially adapted suicide prevention and intervention programs for Black communities in Canada.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1975-1984"},"PeriodicalIF":3.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Negative life events and suicidality among adolescents in Western China: the mediating effect of depressive symptoms and the moderating effect of self-esteem. 中国西部青少年的负性生活事件和自杀倾向：抑郁症状的中介效应和自尊的调节效应。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-05-15 DOI: 10.1007/s00127-024-02679-1

Ruixi Yang, Chengmeng Tang, Qiang Zhang, Wei Peng, Ming Zhang, Qijiao Liu, Yuchen Li, Qiaolan Liu

{"title":"Negative life events and suicidality among adolescents in Western China: the mediating effect of depressive symptoms and the moderating effect of self-esteem.","authors":"Ruixi Yang, Chengmeng Tang, Qiang Zhang, Wei Peng, Ming Zhang, Qijiao Liu, Yuchen Li, Qiaolan Liu","doi":"10.1007/s00127-024-02679-1","DOIUrl":"10.1007/s00127-024-02679-1","url":null,"abstract":"Objective: To investigate the mediating role of depressive symptoms in the relationship between negative life events (NLEs) and suicidality, as well as to test the moderating effect of self-esteem in the mediation model.Methods: A total of 3,003 adolescents from Han, Tibetan, and Yi ethnic groups living in Western China were included in this study. Utilizing the structural equation model, a mediation model and a moderated mediation model were constructed.Results: The presence of NLEs was positively associated with suicidality (β = 0.17, p < 0.001). Depressive symptoms partially mediated the relationship between NLEs and suicidality (indirect effect β = 0.19, p < 0.001). Self-esteem moderated both the antecedent and subsequent segments of the mediating paths of \"NLEs → depressive symptoms → suicidality\" and the direct relationship between NLEs and suicidality. Among adolescents with a low level of self-esteem, the mediating effect coefficient of depressive symptoms was higher at 0.18 (95% confidence interval (CI): 0.14-0.23), in contrast to adolescents with a high level of self-esteem, where the mediating effect coefficient of depressive symptoms was 0.04 (95% CI: 0.02-0.07).Conclusion: NLEs are directly associated with an increased risk of suicidality and indirectly related to suicidality by increasing the risk of depressive symptoms among adolescents. Self-esteem can moderate the mediating effect of depressive symptoms and the relationship between NLEs and suicidality. The intervention strategy for preventing suicidality among adolescents who have experienced NLEs should focus on reducing depressive symptoms and improving self-esteem.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1963-1973"},"PeriodicalIF":3.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between obstetric mode of delivery and emotional and behavioural problems in children and adolescents: the children of the 90s health study. 产科分娩方式与儿童和青少年情绪和行为问题之间的关系：90 年代儿童健康研究。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-06-07 DOI: 10.1007/s00127-024-02698-y

Richard G Künzel

引用次数: 0

Discrepancies in prevalence estimates of suicidal ideation and attempts in 18- to 22-year-old US college students: a comparison of three surveys. 美国 18 至 22 岁大学生自杀意念和自杀未遂发生率估计值的差异：三项调查的比较。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-06-20 DOI: 10.1007/s00127-024-02704-3

James Aluri, Daniel Eisenberg, Mary T Hoban, Holly C Wilcox, Ramin Mojtabai

{"title":"Discrepancies in prevalence estimates of suicidal ideation and attempts in 18- to 22-year-old US college students: a comparison of three surveys.","authors":"James Aluri, Daniel Eisenberg, Mary T Hoban, Holly C Wilcox, Ramin Mojtabai","doi":"10.1007/s00127-024-02704-3","DOIUrl":"10.1007/s00127-024-02704-3","url":null,"abstract":"Purpose: Suicidal thoughts and behaviors (STB) have been increasing among US college students. Accurate measurement of STB is key to understanding trends and guiding suicide prevention efforts. We aimed to compare the prevalence estimates of STB among college students from two campus-based surveys (the National College Health Assessment [NCHA] and the Healthy Minds Study [HMS]) and one general population study (the National Survey on Drug Use and Health [NSDUH]).Methods: Estimates were generated from the three surveys for past year suicidal ideation (PYSI) and past year suicide attempts (PYSA) among 18- to 22-year-old full-time college students. Data were combined from each survey to develop bivariate and multivariate regression models for odds of PYSI and PYSA.Results: Estimates for PYSI varied between the three surveys: 34.3% for NCHA, 15.0% for HMS, and 10.7% for NSDUH. Estimates for PYSA were 2.6% for NCHA, 1.6% for HMS, and 1.7% for NSDUH. After adjusting for demographic and educational characteristics, odds of PYSI remained significantly lower for HMS participants (aOR 0.31, 95% CI 0.29-0.33) and NSDUH participants (aOR 0.19, 95% CI 0.19-0.30) compared to NCHA participants. The odds of PYSA for HMS participants were lower than those for NCHA participants (aOR 0.63, 95% CI 0.54-0.73).Conclusion: Estimates of PYSI and PYSA vary between leading sources of data on college student mental health. The differences are likely related to question wording, survey implementation, as well as institutional and individual representation. Accounting for these differences when interpreting estimates of STB can help guide suicide prevention efforts.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1919-1929"},"PeriodicalIF":3.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neighborhood safety perception and depressive symptoms in China: a moderated mediation relationship. 中国的邻里安全感与抑郁症状：一种调节中介关系。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-03-18 DOI: 10.1007/s00127-024-02642-0

Yujie Zhang

{"title":"Neighborhood safety perception and depressive symptoms in China: a moderated mediation relationship.","authors":"Yujie Zhang","doi":"10.1007/s00127-024-02642-0","DOIUrl":"10.1007/s00127-024-02642-0","url":null,"abstract":"Purpose: Despite rich data on neighborhood safety perception's role in shaping depressive symptoms, a comprehensive view of this dynamic interplay remains a frontier. This study seeks to unravel the intricate interplay of neighborhood safety perception and depressive symptoms, utilizing the lens of social safety theory.Methods: Employing the 2016 and 2020 waves of the China Family Panel Studies (CFPS), this study utilized ordered logistic regression (ologit) for statistical analysis. The approach encompassed descriptive analysis of variables, Spearman's correlation analyses to explore associations between variables, and a moderated mediation analysis. Sensitivity analyses were also conducted to affirm the robustness of findings against model assumptions and data processing techniques.Results: The study uncovered a significant negative correlation between neighborhood safety perception and depressive symptoms (Direct effect = - 0.338, Z = - 2.564, p = 0.010). A key finding was the steeper slope of the relationship between neighborhood safety perception and neighborhood relation perception among individuals with a higher perception of neighborhood environment quality. As neighborhood environment quality perception increases, the strength of the mediated negative impact on depressive symptoms intensifies (- 0.102 > - 0.132 > - 0.162).Conclusion: This study offers a comprehensive moderated mediation model that establishes a novel connection between neighborhood safety perception and depressive symptoms. It integrates the complexities of social safety theory and social information processes, revealing key strategies such as enhancing perceived neighborhood environment quality and neighborhood relationship quality.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1985-1998"},"PeriodicalIF":3.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Suicide rates before and during the COVID-19 pandemic: a systematic review and meta-analysis. COVID-19 大流行之前和期间的自杀率：系统回顾和荟萃分析。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-02-14 DOI: 10.1007/s00127-024-02617-1

Ana Paula da Cunha Varella, Eve Griffin, Ali Khashan, Zubair Kabir

{"title":"Suicide rates before and during the COVID-19 pandemic: a systematic review and meta-analysis.","authors":"Ana Paula da Cunha Varella, Eve Griffin, Ali Khashan, Zubair Kabir","doi":"10.1007/s00127-024-02617-1","DOIUrl":"10.1007/s00127-024-02617-1","url":null,"abstract":"Purpose: The effects of the COVID-19 pandemic on mental health issues such as depression and anxiety are well-documented in the literature, but its influence on suicidal patterns shows divergent results. We aim to comprehensively synthesize evidence on potential changes or stability of suicide rates during the COVID-19 pandemic worldwide.Methods: A comprehensive search of studies reporting suicide rates before and during the COVID-19 pandemic was conducted. Eligible studies reported incidences of confirmed suicides (suspected in special cases) for two time periods, before (until February 2020) and during (from March 2020 to June 2021) the COVID-19 pandemic. A meta-analysis of proportions using a random-effect model was performed to estimate the pre- and during-pandemic incidence rates of suicide with 95% confidence intervals. Differences in pre- and during-pandemic rates were formally tested using a heterogeneity test.Results: A total of 34 studies were included in the review capturing suicide data from over 40 countries and regions. The meta-analysis outputs did not indicate a significant change in suicide rates during the COVID-19 pandemic. The pooled suicide rate in the studied period before the pandemic was 11.38 per 100,000 (95% CI 9.35-13.42) and in the period during the pandemic was 10.65 per 100,000 (95% CI 8.61-12.68).Conclusion: No significant change in suicide rates was observed during the COVID pandemic from a global perspective for the periods examined. A longer follow-up can provide additional insights into such suicide trends globally. Improvements in data reporting, specifically with implementation of real-time surveillance, is imperative to provide adequate suicide prevention and support.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1897-1905"},"PeriodicalIF":3.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delaying high school start times impacts depressed mood among students: evidence from a natural experiment. 推迟高中开学时间会影响学生的抑郁情绪：来自自然实验的证据。

IF 3.6 2区医学

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-06-07 DOI: 10.1007/s00127-024-02694-2

Ekaterina Sadikova, Rachel Widome, Elise Robinson, Izzuddin M Aris, Henning Tiemeier

{"title":"Delaying high school start times impacts depressed mood among students: evidence from a natural experiment.","authors":"Ekaterina Sadikova, Rachel Widome, Elise Robinson, Izzuddin M Aris, Henning Tiemeier","doi":"10.1007/s00127-024-02694-2","DOIUrl":"10.1007/s00127-024-02694-2","url":null,"abstract":"Purpose: Delaying high school start times prolongs weekday sleep. However, it is not clear if longer sleep reduces depression symptoms and if the impact of such policy change is the same across groups of adolescents.Methods: We examined how gains in weekday sleep impact depression symptoms in 2,134 high school students (mean age 15.16 ± 0.35 years) from the Minneapolis metropolitan area. Leveraging a natural experiment design, we used the policy change to delay school start times as an instrument to estimate the effect of a sustained gain in weekday sleep on repeatedly measured Kandel-Davies depression symptoms. We also evaluated whether allocating the policy change to subgroups with expected benefit could improve the impact of the policy.Results: Over 2 years, a sustained half-hour gain in weekday sleep expected as a result of the policy change to delay start times decreased depression symptoms by 0.78 points, 95%CI (-1.32,-0.28), or 15.6% of a standard deviation. The benefit was driven by a decrease in fatigue and sleep-related symptoms. While symptoms of low mood, hopelessness, and worry were not affected by the policy on average, older students with greater daily screen use and higher BMI experienced greater improvements in mood symptoms than would be expected on average, signaling heterogeneity. Nevertheless, universal implementation outperformed prescriptive strategies.Conclusion: High school start time delays are likely to universally decrease fatigue and overall depression symptoms in adolescents. Students who benefit most with respect to mood are older, spend more time on screens and have higher BMI.","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2073-2082"},"PeriodicalIF":3.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0