Depression and lifestyle among university students: A one-year follow-up study

IF 2.5 4区 医学 Q2 PSYCHIATRY European Journal of Psychiatry Pub Date : 2024-02-07 DOI:10.1016/j.ejpsy.2024.100250
Lorenzo Roldán-Espínola , Pau Riera-Serra , Miquel Roca , Mauro García-Toro , Victoria Coronado-Simsic , Adoración Castro , Guillem Navarra-Ventura , Gemma Vilagut , Itxaso Alayo , Laura Ballester , María Jesús Blasco , José Almenara , Ana Isabel Cebrià , Enrique Echeburúa , Andrea Gabilondo , Carolina Lagares , José Antonio Piqueras , Victoria Soto-Sanz , Philippe Mortier , Ronald C. Kessler , Margalida Gili
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Abstract

Background and objectives

University stage is a risk period for development of mental disorders and major depression disorder (MDD) is one of the most prevalent disorders. There is increasing evidence about the influence of lifestyle factors on depression onset and maintenance, nevertheless there is a great heterogeneity between analyzed lifestyle factors and few longitudinal studies has been carried out. The current study aims to longitudinally assess the influence of lifestyle on MDD courses among first-year university students.

Methods

First-onset and persistence of MDD and lifestyle trajectories are measured using baseline and 12-months follow-up online surveys. Multivariate logistic regression analyses were performed to study longitudinal risk/protective associations between lifestyle factors and MDD.

Results

1,292 participants were included. Mean age of included participants at baseline was 18.5 (SD= 1.16) and 75.7 % were female. First-onset and persistence of MDD at T2 were 10.3 % and 38.9 % respectively. Maintenance of healthy sleep (Adjusted Odds Ratio (aOR) = 0.26; 95 % CI =0.12–0.58) and physical activity (aOR = 0.24; 95 % CI = 0.10–0.58) were protectively associated against MDD first-onset. Adoption of healthy levels of social support showed a protective effect against MDD persistence (aOR = 0.17; 95 % CI = 0.07–0.44).

Conclusions

Lifestyle should be considered in order to improve depression prevention strategies among university students. Sleep, physical activity, and social support seem to have a crucial role in the onset and persistence of depression among this population.

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大学生抑郁与生活方式:为期一年的跟踪研究
背景和目的大学阶段是精神疾病的高发期,而重度抑郁症(MDD)是最常见的精神疾病之一。越来越多的证据表明,生活方式因素对抑郁症的发病和维持有影响,然而,所分析的生活方式因素之间存在很大的异质性,而且很少有纵向研究。本研究旨在纵向评估生活方式对大一学生多发性抑郁症病程的影响。方法通过基线调查和 12 个月的随访在线调查测量多发性抑郁症的首次发病和持续发病情况以及生活方式轨迹。结果共纳入 1,292 名参与者。基线参与者的平均年龄为 18.5 岁(SD= 1.16),75.7% 为女性。多发性抑郁症的首次发病率和持续发病率在T2分别为10.3%和38.9%。保持健康的睡眠(调整比值比 (aOR) = 0.26; 95 % CI = 0.12-0.58)和体育锻炼(aOR = 0.24; 95 % CI = 0.10-0.58)对首次发病的 MDD 有保护作用。采用健康水平的社会支持对多发性抑郁症的持续具有保护作用(aOR = 0.17; 95 % CI = 0.07-0.44)。睡眠、体育锻炼和社会支持似乎对大学生抑郁症的发生和持续起着至关重要的作用。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
40
审稿时长
43 days
期刊介绍: The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.
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