中国青少年的社会环境压力与抑郁症状之间的关系:超越童年创伤的影响

IF 2 Q3 PSYCHIATRY
Hong Wang Fung , Henry Wai-Hang Ling , Kit Shuen Lam , Ming Yu Claudia Wong , Anson Kai Chun Chau , Althea Yuen Man Hau , Janet Yuen-Ha Wong
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引用次数: 0

摘要

童年创伤已被确定为抑郁症状的一个重要病因风险因素,但其他可改变的社会环境因素可能同样重要,甚至更为重要。本研究旨在进一步了解青少年抑郁症状的社会决定因素,同时将童年创伤纳入考虑范围。我们分析了18至24岁中国年轻人的调查数据(样本数=205)。参与者完成了对童年创伤(简短背叛创伤调查)、抑郁症状(PHQ-9)和社会环境压力因素(社会环境压力问卷)的标准化评估。社会环境压力因素与抑郁症状的关系最为密切(β = .416, p <.001),超过了童年创伤的影响。我们还发现了一些特定的、可改变的、有针对性的社会环境压力因素(如学校工作和职业问题、他人的高期望值、睡眠环境)与抑郁症状呈正相关,即使应用 Bonferroni 校正也是如此。虽然童年创伤是导致心理健康问题的一个有据可查的风险因素,但除了童年创伤的影响之外,还有一些与抑郁症状相关的可改变因素。教育工作者、医疗保健从业人员、社会服务提供者和政策制定者在改变社区抑郁症的发展轨迹方面可以发挥至关重要的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The relationship between social environmental stressors and depressive symptoms among Chinese young adults: Above and beyond the effects of childhood trauma

Childhood trauma has been identified as an important etiological risk factor for depressive symptoms, but there are other modifiable social environmental factors that may be equally, if not more, important. This study aimed to improve our understanding of the social determinants of depressive symptoms among young people while taking childhood trauma into account. We analyzed survey data from a convenience sample of Chinese young adults aged between 18 to 24 (N = 205). Participants completed standardized assessments of childhood trauma (the Brief Betrayal Trauma Survey), depressive symptoms (the PHQ-9), and social environmental stressors (the Social Environmental Stress Questionnaire). Social environmental stressors had the strongest relationship with depressive symptoms (β = .416, p < .001), above and beyond the effects of childhood trauma. We also identified some specific modifiable and targetable social environmental stressors (e.g., school work and occupation issues, high expectations from others, sleep environment) that were positively correlated with depressive symptoms, even when the Bonferroni correction was applied. Although childhood trauma is a well-documented risk factor for mental health problems, there are modifiable factors associated with depressive symptoms, above and beyond the effects of childhood trauma. Educators, healthcare practitioners, social service providers, and policymakers can play a vital role in changing the trajectory of depression in the community.

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来源期刊
CiteScore
2.40
自引率
4.80%
发文量
60
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