School of Psychology, Shandong Normal University, Jinan 250358, China; Shandong Mental Health Center, Shandong University, Jinan 250014, China.
School of Psychology, Shandong Normal University, Jinan 250358, China.
J Affect Disord. 2023 Jun 1;330:165-172. doi: 10.1016/j.jad.2023.02.103. Epub 2023 Feb 23.
Adolescent mental health is influenced by various adverse environmental conditions. However, it remains unclear how these factors jointly affect adolescent depression. This study aimed to use network analysis to assess the associations between different environmental factors and depressive symptoms in adolescents and to identify key pathways between them.
This study included 610 adolescents with depression from inpatient and outpatient units recruited between March 2020 and November 2021. The mean age was 14.86 ± 1.96, with no significant difference between males (n = 155, 15.10 ± 2.19) and females (n = 455, 14.78 ± 1.88). Depressive symptoms were measured using the Children's Depression Inventory, and individual risk environment factors included childhood trauma, social peer and family risk factors. Network features, including network centrality, stability, and bridge centrality, were investigated.
Anhedonia and self-esteem were found to be more central in depressive symptoms. Insult experiences from the social peer and emotional abuse experience from childhood were more central environmental factors. Childhood trauma experiences were more related to adolescent depressive symptoms compared to family and peer factors. Bridge analyses identified emotional abuse, emotional neglect and physical neglect as the main bridges linking environment risk to depressive symptoms.
This was a cross-sectionally designed study, which limited its ability to examine longitudinal dynamic interactions between environmental factors and adolescent depressive symptoms.
Our findings suggested that childhood trauma experiences might have greater psychological impacts on adolescent depression than family and social peer environments, and should be considered as crucial targets for preventing severe depressive moods.
青少年的心理健康受到各种不利环境条件的影响。然而，这些因素如何共同影响青少年的抑郁情绪尚不清楚。本研究旨在使用网络分析评估不同环境因素与青少年抑郁症状之间的关联，并确定它们之间的关键途径。
本研究纳入了 2020 年 3 月至 2021 年 11 月期间从住院和门诊单位招募的 610 名患有抑郁症的青少年。平均年龄为 14.86±1.96 岁，男性（n=155，15.10±2.19）和女性（n=455，14.78±1.88）之间无显著差异。使用儿童抑郁量表评估抑郁症状，个体风险环境因素包括儿童期创伤、社会同伴和家庭风险因素。研究了网络特征，包括网络中心性、稳定性和桥接中心性。
发现快感缺失和自尊在抑郁症状中更为重要。社会同伴的侮辱经历和儿童期的情感虐待经历是更重要的环境因素。与家庭和同伴因素相比，儿童期创伤经历与青少年抑郁症状的关系更为密切。桥梁分析确定情感虐待、情感忽视和身体忽视是将环境风险与抑郁症状联系起来的主要桥梁。
这是一项横断面设计研究，限制了其研究环境因素与青少年抑郁症状之间纵向动态相互作用的能力。
我们的研究结果表明，与家庭和社会同伴环境相比，儿童期创伤经历可能对青少年的抑郁情绪产生更大的心理影响，应将其视为预防严重抑郁情绪的关键目标。
