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小学生学业成绩与抑郁症状和自杀意念的纵向关联:区分个体间和个体内关联。

Longitudinal associations among academic achievement and depressive symptoms and suicidal ideation in elementary schoolchildren: disentangling between- and within-person associations.

机构信息

School of Psychology, South China Normal University, Guangzhou, 510631, People's Republic of China.

Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, Guangzhou, People's Republic of China.

出版信息

Eur Child Adolesc Psychiatry. 2022 Sep;31(9):1405-1418. doi: 10.1007/s00787-021-01781-y. Epub 2021 Apr 22.

Abstract

Prior cross-sectional and unidirectional longitudinal research has investigated the associations among academic achievement, depressive symptoms, and suicidal ideation without distinguishing between-person effects from within-person effects. Our study aimed to examine the longitudinal relations among academic achievement, depressive symptoms, and suicidal ideation in a sample of elementary school children at the within-person level using cross-lagged panel models (CLPMs) and random intercept cross-lagged panel models (RI-CLPMs). Also, multiple models replicated these findings by using three measures of academic achievement (i.e., objective academic achievement, subjective academic achievement, and teacher-assigned academic achievement). A sample of 715 Chinese elementary schoolchildren completed self-report measures of subjective academic achievement, depressive symptoms, and suicidal ideation on five occasions, using 6-month intervals. Objective academic achievement data were obtained from school records and teacher-assigned academic achievement data were reported by teachers. The results showed that: (a) In CLPMs, objective academic achievement negatively predicted suicidal ideation. However, RI-CLPMs supported the negative effect of suicidal ideation on objective academic achievement. (b) The CLPMs revealed reciprocal associations between subjective and teacher-assigned academic achievement and depressive symptoms, respectively. However, RI-CLPMs only provided support for the negative effect of depressive symptoms on subjective academic achievement. (c) Both the CLPMs and the RI-CLPMs showed bidirectional relations between depressive symptoms and suicidal ideation. These findings highlight that mental health problems (e.g., depressive symptoms and suicidal ideation) serve as antecedents of academic performance and that it is beneficial to distinguish between between-person and within-person effects in research informing the development of prevention and intervention programs.

摘要

先前的横断面和单向纵向研究调查了学业成绩、抑郁症状和自杀意念之间的关联,而没有区分个体间效应和个体内效应。我们的研究旨在使用交叉滞后面板模型 (CLPM) 和随机截距交叉滞后面板模型 (RI-CLPM) 在小学儿童样本中从个体内水平检验学业成绩、抑郁症状和自杀意念之间的纵向关系。此外,还通过使用三种学业成绩衡量标准(即客观学业成绩、主观学业成绩和教师评定的学业成绩)的多个模型复制了这些发现。一个由 715 名中国小学生组成的样本在五个时间点上使用 6 个月的间隔完成了主观学业成绩、抑郁症状和自杀意念的自我报告测量。客观学业成绩数据从学校记录中获得,教师评定的学业成绩数据由教师报告。结果表明:(a) 在 CLPM 中,客观学业成绩负向预测自杀意念。然而,RI-CLPM 支持自杀意念对客观学业成绩的负向影响。(b) CLPM 揭示了主观和教师评定的学业成绩与抑郁症状之间的相互关联。然而,RI-CLPM 仅支持抑郁症状对主观学业成绩的负向影响。(c) CLPM 和 RI-CLPM 均显示了抑郁症状和自杀意念之间的双向关系。这些发现强调了心理健康问题(例如抑郁症状和自杀意念)是学业成绩的前因,并且在研究中区分个体间效应和个体内效应有助于制定预防和干预计划。

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