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中国青少年应对方式与抑郁症状的共同发展及双向关联:跨分析水平的趋同发现

Codevelopment and Bidirectional Associations between Coping Styles and Depressive Symptoms in Chinese Adolescents: Convergent Findings across Levels of Analyses.

作者信息

Xie Zhaoyang, Bi Kaiwen, Lam Hodar, Yip Paul S F, Cui Lijuan

机构信息

School of Psychology and Cognitive Science, East China Normal University, Shanghai, China.

School of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

出版信息

Res Child Adolesc Psychopathol. 2025 Jul 23. doi: 10.1007/s10802-025-01348-4.

Abstract

The codevelopment of positive and negative coping styles and adolescent depression and their relationships at both the between-person and within-person levels remain poorly understood, particularly among adolescents in East Asia. This large-sample Chinese cohort study seeks to address these gaps through a three-wave design. A total of 4,548 Chinese high school students (50.70% female; M = 16.87, SD = 0.81) were surveyed at baseline. This study employed latent growth curve modeling (LGCM) and the random intercept cross-lagged panel model (RI-CLPM). Univariate LGCMs revealed, on average, a decline in both positive and negative coping styles and an increase in depressive symptoms. Parallel LGCMs demonstrated that, relative to other adolescents, adolescents reporting steeper decreases in positive coping styles and less steep decreases in negative coping styles reported steeper increases in depressive symptoms (between-person effects). In the RI-CLPM, which affords clearer temporal order and within-person causal inference, we found that (1) adolescents reporting more negative coping relative to their own average in a given wave reported more depressive symptoms in the next wave (unidirectional within-person effect) and (2) adolescents reporting more positive coping relative to their own average at T2 reported fewer depressive symptoms at T3, and vice versa (bidirectional within-person effects). These within-person lagged effects are generalizable across genders, having siblings or not, and being from rural areas vs. urban areas. In conclusion, this study underscores the nuanced and largely convergent relationships between coping styles and adolescent depressive symptoms across levels of analysis.

摘要

积极应对方式与消极应对方式的共同发展与青少年抑郁及其在个体间和个体内水平上的关系仍未得到充分理解,尤其是在东亚青少年中。这项大样本的中国队列研究旨在通过三波设计来填补这些空白。共有4548名中国高中生(50.70%为女性;M = 16.87,SD = 0.81)在基线时接受了调查。本研究采用了潜在增长曲线模型(LGCM)和随机截距交叉滞后面板模型(RI-CLPM)。单变量LGCM显示,平均而言,积极和消极应对方式均呈下降趋势,抑郁症状呈上升趋势。平行LGCM表明,相对于其他青少年,积极应对方式下降幅度较大且消极应对方式下降幅度较小的青少年,其抑郁症状上升幅度较大(个体间效应)。在RI-CLPM中,该模型提供了更清晰的时间顺序和个体内因果推断,我们发现:(1)在某一波次中报告相对自己平均水平更多消极应对的青少年,在下一波次中报告有更多抑郁症状(个体内单向效应);(2)在T2时报告相对自己平均水平更多积极应对的青少年,在T3时报告的抑郁症状较少,反之亦然(个体内双向效应)。这些个体内滞后效应在性别、有无兄弟姐妹以及来自农村地区与城市地区等方面具有普遍性。总之,本研究强调了应对方式与青少年抑郁症状在不同分析水平上的细微且基本一致的关系。

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