不良家庭经历、体育活动和抑郁症在美国青少年国家样本中的关联。

Fanghong Dong
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引用次数: 0

摘要

问题:充分参与体育活动可以培养青少年的适应能力,并有助于减轻不良家庭经历(AFEs)的影响,如抑郁症。然而,累积afe暴露、身体活动和抑郁症之间的关系尚不清楚。本研究的目的是确定急性发作和青少年抑郁之间的关系,以及体育活动是否会调节这种关系。方法:对2016-2017年全国儿童健康调查中的29617名12-17岁青少年进行二次分析。采用二项logistic回归检验急性发作、儿童抑郁和体育活动之间的关系。协变量包括个人水平、社会水平和社会水平因素。研究结果:这项研究表明,7.3%的美国青少年被诊断患有抑郁症。在美国儿童中,有一种AFEs的青少年患抑郁症的几率是没有AFEs的儿童的1.6倍(校正OR: 1.6, 95% CI: 1.37-1.86),有三种或三种以上AFEs的青少年患抑郁症的几率是没有AFEs的儿童的3.4倍(校正OR: 3.39, 95% CI: 2.78-4.13)。对于至少有一种急性发作的儿童来说,每周进行1-3天的体育锻炼仍然是儿童抑郁的重要保护因素(调整后的OR: 0.73, 95% CI: 0.62-0.87)。结论:这些结果提示临床关注更多的青少年AFEs。创伤知情护理,以解决多种类型的创伤和身体活动干预,以减少抑郁症状可能特别重要。
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The association of adverse family experiences, physical activity, and depression in a national sample of US adolescents

Problems

Sufficient engagement in physical activity could foster resilience in adolescents and help alleviate the impact of adverse family experiences (AFEs), such as depression. However, the association between cumulative AFEs exposure, physical activity, and depression remains unclear. The aims of this study are to determine the relationship between AFEs and adolescent depression and whether physical activity moderates this relationship.

Methods

Secondary analyses were conducted on 29,617 adolescents aged 12–17 years from the 2016–2017 National Survey of Children's Health. Binomial logistic regression was used to examine the relationship among AFEs, child depression, and physical activity. Covariates include individual-level, social-level, and societal-level factors.

Findings

This study reveals that 7.3% of US adolescents had a depression diagnosis. The odds of having a depression diagnosis among US children were 1.6 times (adjusted OR: 1.6, 95% CI: 1.37–1.86) greater for adolescents with one type of AFEs, and 3.4 times greater (adjusted OR: 3.39, 95% CI: 2.78–4.13) for adolescents with three or more AFEs, compared with children living without AFEs. Physical activity for 1–3 days per week remained a significant, substantial protector of childhood depression among children with at least one type of AFEs (adjusted OR: 0.73, 95% CI: 0.62–0.87).

Conclusions

These results suggest a clinical concern for adolescents with more AFEs. Trauma-informed care to address multiple types of trauma and physical activity interventions to reduce depression symptoms may be particularly important.

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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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