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乐观和自尊对加拿大原住民青年抑郁症状途径的保护作用。

The protective role of optimism and self-esteem on depressive symptom pathways among Canadian Aboriginal youth.

机构信息

Department of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.

出版信息

J Youth Adolesc. 2015 Jan;44(1):142-54. doi: 10.1007/s10964-013-0016-4. Epub 2013 Sep 18.

Abstract

Aboriginal youth are at disproportionate risk for depression and substance use problems. Increasingly, developmental theories have shifted from focusing on vulnerabilities to protective factors for adolescent depression. In particular, theories emphasizing protective factors are relevant when understanding the mental health of Aboriginal youth. However, it is unclear which factors protect against depressive symptomatology among Aboriginal adolescents to promote optimal development. Using multilevel growth curve modeling, the present study had three main objectives. First, we aimed to model the developmental trajectory of depressive symptoms using a sample of off-reserve Aboriginal youth from a national Canadian dataset (ages 12-23). Second, we sought to examine the relationship between alcohol use behaviors, self-esteem, optimism, and the trajectories of depressive symptoms. Lastly, we investigated whether self-esteem and optimism mediated the relationship between alcohol use and depressive symptoms. Gender differences were also examined within each of the study objectives. A sample of off-reserve Aboriginal youth (N = 283; 48.3% male) was selected from cycles 4-7 of the National Longitudinal Survey of Children and Youth. Heavy drinking was a risk factor for depressive symptoms, while self-esteem and optimism were key protective factors for depressive symptoms among early adolescent Aboriginal youth. Further, the developmental trajectory of depressive symptoms among Canadian Aboriginal youth differed for boys and girls once accounting for risk and protective factors. Thus, it is valuable to integrate the protective role of self-esteem and optimism into developmental theories of depression and mental health intervention programs for early adolescent Aboriginal youth.

摘要

原住民青年面临不成比例的抑郁和物质使用问题的风险。越来越多的发展理论已经从关注脆弱性转移到保护青少年免受抑郁的因素。特别是,当涉及到原住民青年的心理健康时,强调保护因素的理论是相关的。然而,目前还不清楚哪些因素可以预防原住民青少年的抑郁症状,以促进他们的最佳发展。本研究使用多层次增长曲线模型,有三个主要目标。首先,我们旨在使用来自加拿大全国数据集(年龄 12-23 岁)的非保留地原住民青年样本,对抑郁症状的发展轨迹进行建模。其次,我们试图研究酒精使用行为、自尊、乐观与抑郁症状轨迹之间的关系。最后,我们调查了自尊和乐观是否在酒精使用和抑郁症状之间的关系中起中介作用。还在每个研究目标内检查了性别差异。从全国儿童和青年纵向调查的第 4-7 个周期中选择了非保留地原住民青年样本(N = 283;48.3%为男性)。大量饮酒是抑郁症状的一个风险因素,而自尊和乐观是早期青少年原住民青年抑郁症状的关键保护因素。此外,一旦考虑到风险和保护因素,加拿大原住民青年的抑郁症状发展轨迹在男孩和女孩之间存在差异。因此,将自尊和乐观的保护作用纳入青少年原住民抑郁和心理健康干预计划的发展理论是有价值的。

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