School of International and Public Affairs, China Institute for Urban Governance, Shanghai Jiao Tong University, Room 335, Xinjian Building, 1954 Huashan Road, Shanghai, China.
School of International and Public Affairs, China Institute for Urban Governance, Shanghai Jiao Tong University, Room 222, Xinjian Building, 1954 Huashan Road, Shanghai, China.
Child Abuse Negl. 2021 Apr;114:104976. doi: 10.1016/j.chiabu.2021.104976. Epub 2021 Feb 4.
Maltreatment is a leading cause of adolescent depression. Economic empowerment and mental health services provision are major policy options to solve this problem in developing countries. However, little is known about how these policy options jointly influence the association between maltreatment and adolescent depression.
To examine how the configuration of food security and depression literacy influenced the association between maltreatment and depression of Chinese rural left-behind adolescents (LBAs).
The analysis was based on the responses of 1,469 LBAs (12-18 years old) from 21 rural schools in 2018.
The participants responded to items on the Birleson Depression Self-Rating Scale, the Childhood Trauma Questionnaire, the Food Insecurity Experience Scale, a clinical vignette on depression, and questions on their demographic information. The data was analyzed using a hierarchical moderated regression model.
Maltreatment was significantly associated with depression of LBAs (p < .001). The independent moderating effect of food insecurity (p < .05) or of depression literacy (p < .05) was observed only after including the interaction of maltreatment, food insecurity, and depression literacy. The configuration of food insecurity and depression literacy significantly moderated the focal association (p < .05). Specifically, in the low food insecurity setting, low depression literacy significantly strengthened the focal association (p < .01), while in the high food insecurity setting, high depression literacy significantly strengthened the focal association (p < .01).
Depression interventions for adolescents in under-resourced communities should consider both food security and psychoeducation, and the implementation of the latter should be based on the level of the former.
虐待是青少年抑郁的主要原因。经济赋权和提供精神卫生服务是发展中国家解决这一问题的主要政策选择。然而，对于这些政策选择如何共同影响虐待与青少年抑郁之间的关系，人们知之甚少。
探讨食品安全和抑郁知识普及程度的配置如何影响农村留守儿童（LBA）中虐待与抑郁之间的关联。
该分析基于 2018 年来自 21 所农村学校的 1469 名 LBA（12-18 岁）的反应。
参与者回答了 Birleson 抑郁自评量表、儿童创伤问卷、粮食不安全体验量表、关于抑郁的临床案例以及有关其人口统计信息的问题。使用分层调节回归模型对数据进行分析。
虐待与 LBA 的抑郁显著相关（p<0.001）。仅在包括虐待、粮食不安全和抑郁知识普及程度的交互作用后，才观察到粮食不安全的独立调节作用（p<0.05）或抑郁知识普及程度的独立调节作用（p<0.05）。粮食不安全和抑郁知识普及程度的配置显著调节了焦点关联（p<0.05）。具体而言，在粮食不安全程度低的情况下，低抑郁知识普及程度显著增强了焦点关联（p<0.01），而在粮食不安全程度高的情况下，高抑郁知识普及程度显著增强了焦点关联（p<0.01）。
在资源匮乏的社区中，针对青少年的抑郁干预措施应同时考虑粮食安全和心理教育，而实施后者应基于前者的水平。
