学业成绩目标与青少年抑郁症状之间的关系:澳大利亚前瞻性队列研究。

IF 19.9 1区 医学 Q1 PEDIATRICS Lancet Child & Adolescent Health Pub Date : 2024-04-17 DOI:10.1016/S2352-4642(24)00051-8
Thomas Steare MSc , Prof Glyn Lewis PhD , Katherine Lange PhD , Gemma Lewis PhD
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引用次数: 0

摘要

背景:学生对学业能力的定义有两个方面:发展技能和理解能力(掌握)与与同龄人的比较(表现),以及实现目标(接近)与避免失败(逃避)。我们旨在研究成就目标与青少年抑郁症状之间的纵向联系:我们分析了 "澳大利亚儿童纵向研究"(Longitudinal Study of Australian Children)中幼儿园组(招募年龄为 4-5 岁;出生日期为 1999 年 3 月至 2000 年 2 月;招募时间为 2004 年 3 月至 2004 年 11 月)和婴儿组(招募年龄为 0-1 岁;出生日期为 2003 年 3 月至 2004 年 2 月;招募时间为 2004 年 3 月至 2005 年 1 月)的数据。参与者通过医疗保险登记数据库确定,并按邮政编码进行分层随机抽样,以代表澳大利亚人口。在12-13岁时使用成就目标问卷(四个分量表中每个分量表的分值从1到7不等)测量成就目标,在14-15岁(两个队列)和16-17岁(仅幼儿园队列)时使用简短情绪和感觉问卷(分值从0到26不等,分值越高表示症状越严重)测量抑郁症状。分析采用线性多层次回归和传统回归,并对混杂因素进行调整,分析对象为有暴露、混杂因素和结果数据的参与者:我们纳入了幼儿园队列中的 3200 名参与者(女性 1585 人,男性 1615 人)和婴儿队列中的 2671 名参与者(女性 1310 人,男性 1361 人)。掌握-接近目标每增加1分,抑郁症状严重程度得分就会降低(幼儿园,-0-33 [95% CI -0-52 to -0-15];婴儿,-0-29 [-0-54 to -0-03]),而掌握-回避目标每增加1分,抑郁症状严重程度得分就会增加(幼儿园,0-35 [95% CI 0-21 to 0-48];婴儿,0-44 [0-25 to 0-64])。在幼儿园组群中,表现回避目标每增加 1 分,抑郁症状严重程度得分就会增加,而在婴儿组群中则不会(幼儿园组群,0-26 [95% CI 0-11 to 0-41];婴儿组群,-0-04 [-0-27 to 0-19])。我们几乎没有发现抑郁症状严重程度与成绩目标之间存在关联的证据:青少年的抑郁症状与他们的成绩目标有关,这可能是未来试验的目标风险因素,以调查旨在增强与掌握目标一致的因素(即学习技能和理解学科,而不是评估与同龄人相比的能力)的校本干预措施能否预防青少年抑郁症:亨利-戴尔爵士奖学金由威康信托基金会和英国皇家学会共同资助。
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The association between academic achievement goals and adolescent depressive symptoms: a prospective cohort study in Australia

Background

Students define academic competence across two axes: developing skills and understanding (mastery) versus comparisons with peers (performance), and achieving goals (approach) versus avoiding failure (avoidance). We aimed to examine the longitudinal association between achievement goals and adolescent depressive symptoms.

Methods

We analysed data from the Kindergarten (recruited at age 4–5 years; born between March, 1999, and February, 2000; recruited from March, 2004 to November, 2004) and Baby (recruited at age 0–1 years; born between March, 2003, and February, 2004; recruited from March, 2004 to January, 2005) cohorts of the Longitudinal Study of Australian Children. Participants were identified through the Medicare enrolment database and sampled using a randomised selection stratified by postcode to represent the Australian population. Achievement goals were measured at age 12–13 years with the Achievement Goal Questionnaire (ranges from 1 to 7 on each of the four subscales), and depressive symptoms with the Short Mood and Feelings Questionnaire (score ranges from 0 to 26, with higher scores indicating more severe symptoms) at ages 14–15 years (both cohorts) and 16–17 years (Kindergarten cohort only). Analyses were linear multilevel and traditional regressions, with confounder adjustment, for participants with available data on the exposures, confounders, and outcome.

Findings

We included 3200 participants (1585 female and 1615 male) from the Kindergarten cohort and 2671 participants (1310 female and 1361 male) from the Baby cohort. A 1-point increase in mastery-approach goals was associated with decreased depressive symptom severity score (Kindergarten, –0·33 [95% CI –0·52 to –0·15]; Baby, –0·29 [–0·54 to –0·03]), while a 1-point increase in mastery-avoidance goals was associated with increased depressive symptom severity score (Kindergarten, 0·35 [95% CI 0·21 to 0·48]; Baby, 0·44 [0·25 to 0·64]). A 1-point increase in performance-avoidance goals was associated with increased depressive symptom severity score in the Kindergarten cohort but not the Baby cohort (Kindergarten, 0·26 [95% CI 0·11 to 0·41]; Baby, –0·04 [–0·27 to 0·19]). We found little evidence of an association between depressive symptom severity and performance-approach goals.

Interpretation

Depressive symptoms in adolescents were associated with their achievement goals, which could be targetable risk factors for future trials to investigate whether school-based interventions that aim to enhance factors consistent with mastery goals (ie, learning skills and understanding the subject, rather than assessing competence in comparison to peers) could prevent depression in adolescents.

Funding

Sir Henry Dale Fellowship jointly funded by the Wellcome Trust and the Royal Society.

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来源期刊
Lancet Child & Adolescent Health
Lancet Child & Adolescent Health Psychology-Developmental and Educational Psychology
CiteScore
40.90
自引率
0.80%
发文量
381
期刊介绍: The Lancet Child & Adolescent Health, an independent journal with a global perspective and strong clinical focus, presents influential original research, authoritative reviews, and insightful opinion pieces to promote the health of children from fetal development through young adulthood. This journal invite submissions that will directly impact clinical practice or child health across the disciplines of general paediatrics, adolescent medicine, or child development, and across all paediatric subspecialties including (but not limited to) allergy and immunology, cardiology, critical care, endocrinology, fetal and neonatal medicine, gastroenterology, haematology, hepatology and nutrition, infectious diseases, neurology, oncology, psychiatry, respiratory medicine, and surgery. Content includes articles, reviews, viewpoints, clinical pictures, comments, and correspondence, along with series and commissions aimed at driving positive change in clinical practice and health policy in child and adolescent health.
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