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青少年抑郁状态与随后六年认知表现之间的关联:一项纵向研究。

Association between depression status in adolescents and cognitive performance over the subsequent six years: A longitudinal study.

作者信息

Wang Xue, Chen Hefang, Liu Yu, Zhao Zhe, Zang Shuang

机构信息

Department of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning Province 110122, China.

Institute of International Medical Education, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning Province 110122, China.

出版信息

J Affect Disord. 2023 May 15;329:105-112. doi: 10.1016/j.jad.2023.02.051. Epub 2023 Feb 17.

Abstract

BACKGROUND

Adolescent depression is a common mental health problem and is sometimes associated with cognitive impairments. However, existing research regarding the association between depression status in adolescents and cognitive performance over the subsequent years is relatively paucity.

METHODS

The present study used longitudinal data from four waves (2012, 2014, 2016, and 2018) of the China Family Panel Studies (CFPS) to explore the associations between adolescent depression status in 2012 and cognitive performance (measured by immediate word recall, delayed word recall, number series tests, mathematics, and vocabulary) over the subsequent years. A total of 1055 (51.72 %), 1115 (54.66 %), and 879 (43.09 %) of the 2040 adolescents identified in 2012 were followed up in 2014, 2016, and 2018, respectively.

RESULTS

We found that adolescent depression status consistently showed a negative association with cognitive performance at the measurement points over six years. The associations were retained for most cognitive outcomes after controlling for a variety of confounding factors (adolescents, parental, and family characteristics).

CONCLUSIONS

The findings of this study provide more evidence of the association between depression status in adolescents and cognitive performance. Additionally, it highlights the importance of focusing on cognitive impairment in patients with depression more broadly, especially during adolescence, a critical period for cognitive development.

摘要

背景

青少年抑郁症是一种常见的心理健康问题,有时与认知障碍有关。然而,关于青少年抑郁状态与随后几年认知表现之间关联的现有研究相对较少。

方法

本研究使用了中国家庭追踪调查(CFPS)四个波次(2012年、2014年、2016年和2018年)的纵向数据,以探讨2012年青少年抑郁状态与随后几年认知表现(通过即时单词回忆、延迟单词回忆、数字序列测试、数学和词汇量来衡量)之间的关联。2012年确定的2040名青少年中,分别有1055名(51.72%)、1115名(54.66%)和879名(43.09%)在2014年、2016年和2018年接受了随访。

结果

我们发现,青少年抑郁状态在六年的测量点上始终与认知表现呈负相关。在控制了各种混杂因素(青少年、父母和家庭特征)后,大多数认知结果的关联仍然存在。

结论

本研究结果为青少年抑郁状态与认知表现之间的关联提供了更多证据。此外,它更广泛地强调了关注抑郁症患者认知障碍的重要性,尤其是在青少年时期,这是认知发展的关键时期。

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