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Associations between resilience and symptoms of depression and anxiety among adolescents: Examining the moderating effects of family environment

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机构: [1]Neurology Department, Xuanwu Hospital of Capital Medical University, Beijing, China. [2]Evidence-based Department, Xuanwu Hospital of Capital Medical University, Beijing, China. [3]Neurology Department, Third Affiliated Hospital, Beijing University of Chinese Medicine, Beijing, China. [4]Shanxi University of Chinese Medicine, Jinzhong, China. [5]Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing, China.
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关键词: Depressive symptoms Anxiety symptoms Moderator Family environment Childhood abuse Adolescents

摘要:
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.Copyright © 2023 Elsevier B.V. All rights reserved.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 精神病学 2 区 临床神经病学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 精神病学
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出版当年[2021]版:
Q1 CLINICAL NEUROLOGY Q1 PSYCHIATRY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q1 PSYCHIATRY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Neurology Department, Xuanwu Hospital of Capital Medical University, Beijing, China.
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通讯机构: [1]Neurology Department, Xuanwu Hospital of Capital Medical University, Beijing, China. [5]Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing, China. [*1]Changping District, Beijing 100096, China. [*2]Xicheng District, Beijing 100053, China.
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