青少年家庭社会风险与抑郁和焦虑症状的关系：一项回顾性队列研究

IF 0.7 4区医学 Q3 PEDIATRICS

Clinical Pediatrics Pub Date : 2025-09-07 DOI:10.1177/00099228251372311

Deepak Palakshappa, Kristin N Ray, Kelsey Schweiberger, Seth A Berkowitz, Janel Hanmer

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引用次数: 0

摘要

研究表明，家庭社会风险与青少年心理健康状况恶化有关，但之前的研究有限。我们通过在一个有45个实践的综合卫生系统中进行回顾性队列研究，评估了社会风险与1年后青少年抑郁和焦虑症状之间的关系。青少年通过患者健康问卷-2 （PHQ-2）和广泛性焦虑障碍-2 （GAD-2）筛查抑郁和焦虑。在4748名青少年中，1220名（25.7%）至少有一种社会风险，226名（5.7%）报告有抑郁症状，410名（10.2%）报告有焦虑症状。在至少有一种社会风险的家庭中，青少年更有可能报告抑郁（β = 0.15, 95%可信区间[CI] = 0.07-0.23）和焦虑（β = 0.21, 95% CI = 0.11-0.31）的症状，并且PHQ-2阳性（比值比[OR] = 1.50, 95% CI = 1.12-2.01）和GAD-2阳性（OR = 1.57, 95% CI = 1.32, 1.87）的几率更大。

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Relationship Between Household Social Risk and Symptoms of Depression and Anxiety in Adolescents: A Retrospective Cohort Study.

Research suggests that household social risks are associated with worse mental health in adolescents, but prior studies have been limited. We evaluated the association between social risks and symptoms of depression and anxiety in adolescents 1 year later by conducting a retrospective cohort study at an integrated health system with 45 practices. Adolescents were screened for depression using the Patient Health Questionnaire-2 (PHQ-2) and anxiety using the Generalized Anxiety Disorder-2 (GAD-2). Of the 4748 adolescents, 1220 (25.7%) had at least 1 social risk, 226 (5.7%) reported symptoms of depression, and 410 (10.2%) reported symptoms of anxiety. Adolescents in households with at least 1 social risk were more likely to report symptoms of depression (β = 0.15, 95% confidence interval [CI] = 0.07-0.23) and anxiety (β = 0.21, 95% CI = 0.11-0.31) and had greater odds of a positive PHQ-2 (odds ratio [OR] = 1.50, 95% CI = 1.12-2.01) and positive GAD-2 (OR = 1.57; 95% CI = 1.32, 1.87).

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来源期刊

Clinical Pediatrics 医学-小儿科

CiteScore

2.10

自引率

6.20%

发文量

189

审稿时长

3-8 weeks

期刊介绍： Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.