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青少年时期的抑郁和焦虑症状:在ECHO不同国家人群中青少年及家庭资产的保护作用。

Depressive and anxiety symptoms during adolescence: The protective roles of adolescent and family assets within ECHO's diverse national population.

作者信息

Ganiban Jody M, Blackwell Courtney K, Liu Chang, Leve Leslie, Neiderhiser Jenae, Mansolf Maxwell, Chen Zhaoying, Acevedo Bianca, Brennan Patricia A, Bush Nicole R, Frazier Jean A, Hipwell Alison E, Keating Daniel P, LeWinn Kaja Z, Morales Santiago, Norona-Zhou Amanda, Sullivan Alexandra, Yao Lihua, Yi Li, Zhu Yeyi

机构信息

Department of Clinical/Developmental Psychology, George Washington University, Washington, DC.

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

出版信息

Mental Health Sci. 2025 Mar;3(1). doi: 10.1002/mhs2.103. Epub 2025 Jan 16.

DOI:10.1002/mhs2.103
PMID:40123766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11928153/
Abstract

To understand the factors that preserve mental health amongst a diverse population of adolescents, we examined links between neighborhood-level resources, adolescents' self-reported personal assets (low perceived stress, meaning and purpose, life satisfaction), parent-reported family assets (household income, maternal mental health) and adolescents' self-reported depressive and anxiety symptoms. Participants included a racially and ethnically diverse national sample of 4325 adolescents (10 - 21 years) from the Environmental influences on Child Health Outcomes (ECHO) program. Neighborhood-level resources were not directly associated with depressive or anxiety symptoms. However, higher levels of personal and family assets were related to lower levels of symptoms, regardless of neighborhood resources (ß's: -.09 to .55). Last, high neighborhood resources compensated for the absence of one asset - low perceived stress. For adolescents with levels of perceived stress that were just .17 SD above the sample mean, neighborhood resources were negatively associated with depressive symptoms. Findings did not vary across racial and ethnic groups. Results support the development of asset building endeavors that bolster positive child assets in adolescents and families to reduce mental health disparities. Implications for programs that seek to promote mental health amongst minoritized youth are discussed.

摘要

为了解在不同青少年群体中保持心理健康的因素,我们研究了社区层面的资源、青少年自我报告的个人资产(低感知压力、意义和目标、生活满意度)、家长报告的家庭资产(家庭收入、母亲心理健康)与青少年自我报告的抑郁和焦虑症状之间的联系。参与者包括来自“环境对儿童健康结果的影响”(ECHO)项目的4325名10至21岁青少年的全国性种族和族裔多样化样本。社区层面的资源与抑郁或焦虑症状没有直接关联。然而,无论社区资源如何,较高水平的个人和家庭资产与较低水平的症状相关(β值:-0.09至0.55)。最后,高社区资源弥补了一项资产的缺失——低感知压力。对于感知压力水平仅比样本均值高0.17个标准差的青少年,社区资源与抑郁症状呈负相关。研究结果在不同种族和族裔群体中没有差异。结果支持开展资产建设活动,增强青少年和家庭中的积极儿童资产,以减少心理健康差距。文中还讨论了对旨在促进少数族裔青年心理健康的项目的启示。

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本文引用的文献

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Comparing two measures of neighborhood quality and internalizing and externalizing behaviors in the adolescent brain cognitive development study.比较青少年大脑认知发展研究中两种邻里质量衡量指标与内化和外化行为的关系。
Soc Psychiatry Psychiatr Epidemiol. 2024 Aug;59(8):1321-1334. doi: 10.1007/s00127-024-02614-4. Epub 2024 Feb 2.
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Residential segregation and Black-White differences in physical and mental health: Evidence of a health paradox?居住隔离与黑-白人群身心健康的差异:健康悖论的证据?
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The relationship between purpose in life and depression and anxiety: A meta-analysis.生活目的与抑郁和焦虑之间的关系:一项元分析。
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Racial, Ethnic, and Cultural Resilience Factors in African American Youth Mental Health.非裔美国青年心理健康中的种族、民族和文化韧性因素。
Annu Rev Clin Psychol. 2023 May 9;19:361-379. doi: 10.1146/annurev-clinpsy-072720-015146. Epub 2023 Feb 28.
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Psychiatry Res. 2023 Mar;321:115106. doi: 10.1016/j.psychres.2023.115106. Epub 2023 Feb 10.
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Annu Rev Gerontol Geriatr. 2021;41(1):269-302.
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Disparities in Pediatric Mental and Behavioral Health Conditions.儿科精神和行为健康状况的差异。
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