School of Psychology, University of Sussex, Brighton, UK.
Research and Development, Sussex Partnership NHS Foundation Trust, Sussex Education Centre, Hove, UK.
Early Interv Psychiatry. 2019 Dec;13(6):1480-1487. doi: 10.1111/eip.12798. Epub 2019 Mar 29.
Young people Not in Employment, Education and Training (NEET) are at increased risk of depression, yet mechanisms of this association are poorly understood. We hypothesised that being NEET has both behavioural and social identity consequences and that reductions in structured activity and multiple group memberships underlie increased depression in this group. Our purpose was to assess first whether depression was greater for NEET compared to non-NEET young people from the same geographical locality, and secondly, whether a loss of structured activity leading to a reduction in multiple group memberships explains the NEET-depression association.
The present study was a cross-sectional between-groups design using convenience sampling. Measures of depression, structured activity and multiple group memberships were obtained from 45 NEET young people and 190 university students (non-NEET).
The NEET group reported significantly more depression symptoms compared to the non-NEET student control group. A path model specifying NEET status as a predictor of depression, with this association mediated by a reduction in structured activity and fewer multiple group memberships (standardised indirect = 0.03, unstandardised indirect = 0.62, P = 0.052, 95% bias corrected confidence intervals [0.21,1.44]), provided excellent fit to our data: χ (3) = 0.26, P = 0.968, comparative fit index (CFI) = 1.00, root mean square error of approximation (RMSEA)<0.01, standardized root mean square residual (SRMR) = 0.01).
Our findings suggest that depression is elevated amongst NEET young people compared to non-NEET students from the same locality. The association between NEET status and depression was partially mediated by reduced structured activity and its association with reduced multiple group memberships. Although using cross-sectional data, our findings suggest social interventions may be a key resource in ameliorating depression amongst NEET young people; through preserving engagement in structured activity and the wellbeing benefits derived from arising multiple group memberships.
年轻人未就业、未接受教育和培训(NEET)的人患抑郁症的风险增加,但这种关联的机制尚不清楚。我们假设,NEET 既有行为又有社会身份的后果,而在这个群体中,结构化活动的减少和多个群体成员的减少是导致抑郁增加的原因。我们的目的是首先评估与来自同一地理位置的非 NEET 年轻人相比,NEET 的抑郁程度是否更高,其次,是否由于结构化活动的减少导致多个群体成员的减少,从而解释了 NEET 与抑郁之间的关联。
本研究采用方便抽样的横断面组间设计。从 45 名 NEET 年轻人和 190 名大学生(非 NEET)中获得抑郁、结构化活动和多个群体成员的测量结果。
NEET 组报告的抑郁症状明显多于非 NEET 学生对照组。一个路径模型规定,NEET 状况是抑郁的预测因素,这种关联通过结构化活动的减少和多个群体成员的减少来中介(标准化间接效应=0.03,非标准化间接效应=0.62,P=0.052,95%偏差校正置信区间[0.21,1.44]),我们的数据拟合得非常好:χ(3)=0.26,P=0.968,比较拟合指数(CFI)=1.00,均方根误差近似值(RMSEA)<0.01,标准化均方根残差(SRMR)=0.01)。
与来自同一地区的非 NEET 学生相比,NEET 年轻人的抑郁程度更高。NEET 状态与抑郁之间的关联部分通过减少结构化活动及其与减少多个群体成员的关联来介导。尽管使用了横断面数据,但我们的研究结果表明,社会干预可能是改善 NEET 年轻人抑郁的关键资源;通过保持参与结构化活动和从多个群体成员中获得的幸福感。