Neurology Department, Xuanwu Hospital of Capital Medical University, Beijing, China.
Evidence-based Department, Xuanwu Hospital of Capital Medical University, Beijing, China.
J Affect Disord. 2023 Nov 1;340:703-710. doi: 10.1016/j.jad.2023.08.063. Epub 2023 Aug 13.
Depressive and anxiety symptoms in adolescents have experienced increase their risk of peripheral mental health and social problems. For adolescents, the role of family environmental factors should be taken into consideration. This study aimed to explore the association between resilience and depressive and anxiety symptoms in adolescents and to extend the findings by examining the moderating effects of family environment. A total of 35,573 adolescents in middle schools were recruited in China. Childhood abuse, resilience, and symptoms of depression and anxiety were evaluated in adolescents. We found a significant association between resilience and symptoms of depression and anxiety [OR = 0.976 (0.975-0.978), P < 0.001; OR = 0.980 (0.978-0.981), P < 0.001]. The adjusted ORs (95 % CIs) for mental health across the categories of resilience were as follows: 1 (reference) for low resilience, 0.660 (0.620-0.703) for medium resilience, 0.309 (0.286-0.333) for high resilience. The relationship between resilience and depressive symptoms was stronger for girls, non-only children, and those without child abuse experience compared to boys, only child, and those with child abuse experience (all p < 0.05). Our findings of a nationally representative sample in China suggest that gender, only child, parent-child relationship and child abuse moderated the relationship between resilience and symptoms of depression and anxiety.
青少年的抑郁和焦虑症状增加了他们患外周心理健康和社会问题的风险。对于青少年来说，应该考虑家庭环境因素的作用。本研究旨在探讨青少年的韧性与抑郁和焦虑症状之间的关系，并通过检验家庭环境的调节作用来扩展研究结果。在中国，共招募了 35573 名中学生。对青少年进行了童年期虐待、韧性和抑郁、焦虑症状的评估。我们发现，韧性与抑郁、焦虑症状之间存在显著关联[OR=0.976(0.975-0.978)，P<0.001；OR=0.980(0.978-0.981)，P<0.001]。韧性各分类的心理健康调整后 OR(95%CI)如下：低韧性为 1(参照)，中韧性为 0.660(0.620-0.703)，高韧性为 0.309(0.286-0.333)。与男孩、独生子和无儿童虐待经历者相比，女孩、非独生子和有儿童虐待经历者的韧性与抑郁症状之间的关系更强(均 P<0.05)。我们在中国的全国代表性样本中的发现表明，性别、独生子、亲子关系和儿童虐待调节了韧性与抑郁和焦虑症状之间的关系。
