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https://elib.bsu.by/handle/123456789/323010| Заглавие документа: | Prevalence of subthreshold depression and its related factors in Chinese college students: A cross-sectional study |
| Авторы: | Ge, P. Tan, C. Liu, J.-X. Cai, Q. Zhao, S.-Q. Hong, W.-Y. Liu, K.-M. Qi, J.-L. Hu, C. Yu, W.-L. Li, Y.-M. You, Y. Guo, J.-H. Hao, M.-Y. Chen, Y. Pan, L.-T. Liu, D.-Y. Yan, M.-Y. Zhang, J.-Z. Li, Q.-Y. Sun, B.-Y. Han, X. Mo, F. Wu, Y.-B. Bian, Y. |
| Тема: | ЭБ БГУ::ОБЩЕСТВЕННЫЕ НАУКИ::Психология |
| Дата публикации: | 2024 |
| Издатель: | Elsevier Ltd |
| Библиографическое описание источника: | Heliyon Volume2024; 10(12): e32595 |
| Аннотация: | Objective: To investigate the prevalence of subthreshold depression among Chinese college students and to explore the related factors. Methods: The research subjects were Chinese college students participating in the “2022 Psychology and Behavior Investigation of Chinese Residents (PBICR-2022)". Data on respondents' general characteristics, quality of life, perceived pressure, family communication, perceived social support, self-efficacy, and depression status were gathered. To investigate the association between each variable and the risk of subthreshold depression, statistical analyses, including chi-square tests and rank sum tests were conducted. Furthermore, a binary stepwise logistic regression was employed to establish the regression model of the factors related to subthreshold depression among Chinese college students. Results: A prevalence of subthreshold depression of about 39.7 % was found among the 8934 respondents. Logistic regression analysis revealed that respondents who are female, have chronic diseases, are in debt, experience significant impacts from epidemic control policies, have lower self-assessed quality of life, experience challenges in family communication, perceive lower social support, have lower self-efficacy, and feel higher perceived pressure are more likely to develop subthreshold depression compared to the control group. (P < 0.05). Conclusion: The prevalence rate of subthreshold depression among Chinese college students was found to be approximately 40 %. Female college students suffering from chronic diseases, with households in debt, greatly impacted by epidemic control policies, and experiencing high perceived stress, may be at risk for subthreshold depression among Chinese college students. On the other hand, strong family communication, perceived social support, and self-efficacy were identified as potential protective factors. In order to facilitate timely screening, diagnosis, and treatment of subthreshold depression in Chinese college students, it is crucial for the government, local communities, colleges, and families to prioritize the mental health of college students and implement targeted measures accordingly. |
| URI документа: | https://elib.bsu.by/handle/123456789/323010 |
| DOI документа: | 10.1016/j.heliyon.2024.e32595 |
| Scopus идентификатор документа: | 85195867591 |
| Финансовая поддержка: | The research instruments utilized in this study were divided into 3 elements. The first part investigated the general characteristics of the respondents. The second part investigated the depression status of the respondents by the Patient Health Questionnaire-9 (PHQ-9). The third part is a series of other standard scales, including the EuroQol Five Dimensions Questionnaire Visual Analogue Scale (EQ-5D-VAS), the Perceived Stress Scale-4 items (PSS-4), the Family Communication Scale (FCS-10), the Perceived Social Support Scale Short Form-3 items (PSSS-SF3), and the New General Self-efficacy Scale Short Form-3 items (NGSES-SF3). The instruments were used to investigate respondents' quality of life, perceived stress, family communication status, perceived social support status, and self-efficacy levels.In terms of scale scores, compared with low quality of life group, high quality of life group was less likely to have subthreshold depression (OR = 0.597, 95%CI 0.535\u20130.665, P < 0.001). Compared with low perceived stress group, high perceived stress group was more likely to have subthreshold depression (OR = 1.739, 95%CI 1.558\u20131.940, P < 0.001). Compared with low family communication group, high family communication group was less likely to have subthreshold depression (OR = 0.689, 95%CI 0.617\u20130.771, P < 0.001). Compared with those with low perceived social support, those with high perceived social support were less likely to have subthreshold depression (OR = 0.599, 95 %CI 0.534\u20130.673, P < 0.001). People in the high self-efficacy group were less likely to have subthreshold depression than those in the low self-efficacy group (OR = 0.550, 95%CI 0.466\u20130.649, P < 0.001).This study employed multivariate binary logistic regression to investigate the general characteristics of the respondents and the correlation between the scoring of certain scales and the risk of subthreshold depression. Female college students, individuals with chronic diseases, those with family debt, and those whose lives are greatly affected by epidemic control policies are at a higher risk of developing subthreshold depression. Conversely, individuals with high self-evaluation of their quality of life, low perceived stress, high family communication, a good understanding of social support, and high self-efficacy are at a lower risk of developing subthreshold depression.These findings are in line with previous research. Compared to men, women may be more likely to experience mental health problems due to their tendency towards greater emotional intensity and sensitivity [60]. Research has indicated that female college students are more prone to developing depression than their male counterparts. This is attributed to academic performance, physical appearance, and lifestyle habits, as well as the pressure from school and life [61]. Research indicates that female college students are more susceptible to subthreshold depression than their male counterparts. Existing research shows that there is a high correlation between chronic diseases and psychological diseases such as depression [62]. Moussavi et al. investigated the correlation between chronic diseases, including angina, arthritis, asthma, and diabetes, and mental health using data from the World Health Survey. The findings indicate that individuals with one or more chronic diseases are at a greater risk of experiencing depression and other related psychological disorders than those without such conditions. Research has shown that the financial burden of family debt is related to the risk of subthreshold depression. Family debt can exacerbate financial difficulties. College students who do not have family debt are less likely to experience financial stress and are therefore less susceptible to subthreshold depression compared to those who have debt [63]. Moreover, the COVID-19 pandemic and the consequent measures taken to control the epidemic have had a significant impact on people's mental health, including subthreshold depression [64]. This study's scale score grading results are consistent with previous research conclusions. B\u00FCsselmann et al. (2018) found that a higher quality of life among German respondents can alleviate symptoms of depression and reduce the severity of emotions such as despair [65].The study found that individuals with a high self-evaluation of their quality of life were less likely to experience subthreshold depression when controlling for other relevant variables. This may be due to the close relationship between quality of life and psychological distress factors. Individuals with higher self-rated quality of life may be less affected by negative emotions, resulting in a lower risk of subthreshold depression [66]. Secondly, Gao et al.'s study in 2020 in China showed that stress, especially peer pressure, increased the tendency of college students to experience depression [67].This study found a significant positive correlation between perceived stress and the risk of subthreshold depression. This is because individuals experiencing excessive psychological pressure are more likely to experience negative emotions, which can lead to depressive symptoms [68]. Furthermore, a systematic review of middle-aged and elderly individuals in Asian countries has shown that strong social support can alleviate depressive symptoms. Notably, family support and communication have been found to be particularly effective in promoting healthy attitudes in Asian countries when compared to Western countries [69].Research has shown that college students and the general adult population share similar psychological states. Additionally, high self-efficacy has been found to boost individuals' confidence, increase their perception of certainty about themselves and their social environment, and reduce their pressure to face uncertainty and the associated risks of subthreshold depression [70].This study was supported by the University of Macau Foundation (MYRG106 (Y1- L3)-ICMS13-BY), University of Macau Foundation (MYRG2015-00190-ICMSQRCM), University of Macau Foundation (MYRG2022-00257-ICMS) and University of Macau Foundation (SKL-QRCM-IRG2023-032). This study was supported by the University of Macau Foundation (MYRG106 (Y1- L3)-ICMS13-BY), University of Macau Foundation (MYRG2015-00190-ICMSQRCM), University of Macau Foundation (MYRG2022-00257-ICMS) and University of Macau Foundation (SKL-QRCM-IRG2023-032) |
| Лицензия: | info:eu-repo/semantics/openAccess |
| Располагается в коллекциях: | Статьи факультета философии и социальных наук |
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