Past Issues
Associations among Multi-systematic Factors and Depressive Symptoms in Adolescent Students
Chia-Jung Hsieh, Chueh Chang, Shu-Jen Shiau, Nae-Fang Miao, Hsiu-Ju Chang, Shen-Chieh Chang, Winston W. Shen
Objective: The risks of depression among adolescents are from multi-systematic
(personal, family/parental, and school) factors. But there are little known
about the correlation between those risk factors of depressive symptoms and multisystematic
characteristics. The objective of the study was to investigate the association
between depressive symptoms and their personal, family/parental, and
school risk factors in school-based adolescents. Methods: The authors conducted
a cross-sectional randomized study on adolescent school population with probability
proportional sampling to choose sample sizes in each school district. Data were
collected face-to-face through training visits to subjects. After having screened
1,009 subjects with response rate of 99.11%, the authors received 1,000 copies of
valid questionnaire (including Beck Depression Inventory-II, Maudsley Personality
Inventory, and the adaptability, partnership, growth, affection, and resolve [APGAR]
index as well as the in formation of their school background. Results: The
prevalence of adolescents (14.75 ± 0.90 years) with depressive symptoms was
25.8%. Their risk factors for having depressive symptoms in logistic regression
were those who had higher score in neuroticism (OR = 1.21, p < 0.05), who had
lower score in extroversion (OR = 0.83, p < 0.05), and who had poorer family
function (OR = 0.89, p < 0.05) after adjusting the effects of sex and history of
substance use (-2 log likelihood = 710.48, d.f. = 9, p < 0.001). Conclusion: Our
study data showed an association between depressive symptoms and multi-systematic
risk factors. Based on the study findings, the authors recommend that the
comprehensive program should include multiple intervention components, and
that each of those components needs to be addressed for risk factors in different
domains.
Key Word | extroversion, neuroticism, family function, Beck Depression Inventory-II |
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