Département de Médecine Générale, Faculté de Médecine, Université de Lorraine, Vandoeuvre-lès-Nancy, France.
INSERM Centre d'Investigations Cliniques Plurithématique 1433, Vandoeuvre-lès-Nancy, France.
Nord J Psychiatry. 2021 Aug;75(6):406-414. doi: 10.1080/08039488.2021.1877813. Epub 2021 Feb 8.
Depressive symptoms (DSs) may be frequent and highly increase the risk of injuries in early adolescents (10-16 years). This study assessed the association between DSs and subsequent school and out-of-school injuries in early adolescents.
The study population included 1219 middle-school adolescents from north-eastern France (mean age =12.7 ± 1.3) who completed at the end of school-year a questionnaire gathering socioeconomic features (nationality, family structure, parents' occupation, parents' education, and family income), obesity, alcohol use, tobacco use, health status, DSs (Kandel scale higher than the median value, hence including moderate levels), and school and out-of-school injuries during the present school-year. Were only considered the DSs and confounders that had started before the school-year. Data was analyzed using multinomial logistic regression models.
DSs were strongly associated with one or more school-physical/sports-training injuries (sex-age-adjusted odds ratio ORsa 2.08, < 0.001), other-school-training injuries (ORsa 2.13, < 0.01), school-free-time injuries (ORsa 2.84, < 0.001), out-of-school-sports injuries (ORsa 1.95, < 0.001), and traffic injuries (ORsa 3.78, < 0.001). The risk was higher for having two or more injury categories (ORsa 4.03, < 0.001) than for only one injury category (ORsa 1.80, < 0.001). These results were robust and remained after further adjustment for socioeconomic features, obesity, alcohol use, tobacco use, and health status.
DSs strongly increase the injury risk in early adolescents. Injury prevention should include DSs screening and monitoring and help adolescents and their neighborhood be aware of the risk.HighlightsInjuries and depressive symptoms (DSs) are frequent in early adolescents.DSs highly predict subsequent school and out-of-school injuries and cumulating several injury types.These results are robust after adjustment for socioeconomic features, being obese, alcohol use, tobacco use and poor health status.Injury prevention should include early DSs screening and monitoring and help adolescents and their neighborhood be aware of the risk.
抑郁症状（DS）在青少年早期（10-16 岁）中可能很常见，并且会极大地增加受伤的风险。本研究评估了青少年早期抑郁症状与随后的校内和校外伤害之间的关系。
研究人群包括来自法国东北部的 1219 名中学生（平均年龄=12.7±1.3 岁），他们在学年结束时完成了一份问卷，其中包括社会经济特征（国籍、家庭结构、父母职业、父母教育程度和家庭收入）、肥胖、饮酒、吸烟、健康状况、DS（坎德尔量表高于中位数，因此包括中度水平）以及本学年的校内和校外伤害。仅考虑在本学年开始之前已经开始的 DS 和混杂因素。使用多项逻辑回归模型分析数据。
DS 与一次或多次校内体育/训练受伤（性别年龄调整比值比 ORsa2.08，<0.001）、其他校内训练受伤（ORsa2.13，<0.01）、校内闲暇时间受伤（ORsa2.84，<0.001）、校外运动受伤（ORsa1.95，<0.001）和交通事故受伤（ORsa3.78，<0.001）密切相关。有两种或多种伤害类别（ORsa4.03，<0.001）的风险高于只有一种伤害类别的风险（ORsa1.80，<0.001）。这些结果是稳健的，并且在校正了社会经济特征、肥胖、饮酒、吸烟和健康状况后仍然存在。
DS 会大大增加青少年早期受伤的风险。伤害预防应包括 DS 筛查和监测，并帮助青少年及其邻里意识到风险。
青少年早期伤害和抑郁症状（DS）很常见。
DS 高度预测随后的校内和校外伤害，并累积多种伤害类型。
在校正社会经济特征、肥胖、饮酒、吸烟和健康状况后，这些结果仍然稳健。
伤害预防应包括早期 DS 筛查和监测，并帮助青少年及其邻里意识到风险。
