青春期早中期抑郁症状的轨迹:与学校教学和社会氛围的关联。

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Scandinavian Journal of Public Health Pub Date : 2024-10-24 DOI:10.1177/14034948241277048
Cristian Bortes
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引用次数: 0

摘要

研究目的:青春期是心理健康发展的关键时期,但探索环境因素如何影响抑郁症状发展的研究仍然有限。本研究探讨了青春期早中期抑郁症状的发展轨迹及其与学校氛围各个方面的关系:研究样本包括瑞典 101 所学校的 3671 名七年级学生(12-13 岁),他们在七、八、九年级三个时间点接受了纵向跟踪调查。抑郁症状轨迹是通过潜类增长模型确定的。教学和社会氛围问卷对学校氛围进行了评估,并采用多项式逻辑回归法根据社会人口和学校氛围因素对轨迹成员进行预测:结果:抑郁症状出现了四种不同的发展模式:"持续低症状"(76.7%)、"低增加"(10.9%)、"持续高症状"(7.9%)和 "高减少"(4.5%)。性别、父母教育程度和总共 19 项研究中的 6 项特定学校氛围因素,在很大程度上区分了这些轨迹班级。教师的积极期望和校长的大力参与与较好的轨迹相关,而教学活动、教师支持和学校与家庭之间的沟通与较差的轨迹相关,这表明人们对这些因素与抑郁症状轨迹之间关系的理解存在细微差别: 结论:研究发现,与抑郁症状相关的学校因素很少,这凸显了在这一成长阶段为青少年提供支持时,考虑学校环境以外的外部因素的重要性。尽管研究结果是多方面的,但主要是积极的人际关系,尤其是教师的期望,是促进青少年心理健康的重要因素。
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Trajectories of depressive symptoms in early to mid-adolescence: associations with school pedagogical and social climate.

Aims: Adolescence is a critical period for mental health development, yet research exploring how contextual factors influence the development of depressive symptoms remains limited. This study explored trajectories of depressive symptoms during early to mid-adolescence and their association with various aspects of school climate.

Methods: The study sample comprised 3671, 7th-grade students (aged 12-13 years) from 101 schools across Sweden, followed longitudinally across three time points spanning grades 7, 8 and 9. Depressive symptom trajectories were identified using latent class growth modelling. The Pedagogical and Social Climate questionnaire assessed school climate, and multinomial logistic regression was employed to predict trajectory membership based on sociodemographic and school climate factors.

Results: Four distinct developmental patterns of depressive symptoms emerged: 'Sustained low symptoms' (76.7%), 'Low-increasing' (10.9%), 'Sustained high symptoms' (7.9%), and 'High-decreasing' (4.5%). Gender, parental education and six specific school climate factors, out of the total 19 examined, significantly distinguished these trajectory classes. Positive teacher expectations and strong principal involvement were associated with more favourable trajectories, whereas teaching activities, teacher support and communication between school and home were associated with less favourable trajectories, suggesting a nuanced understanding of their relationship with depressive symptom trajectories.

Conclusions: Few school factors were found to be relevant to depressive symptoms, highlighting the importance of considering external factors beyond the school environment in supporting adolescents during this developmental stage. Although the findings are multifaceted, it is primarily positive interpersonal relationships, especially through teacher expectations, that stand out as significant factors in promoting youth mental health.

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来源期刊
Scandinavian Journal of Public Health
Scandinavian Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
2.90%
发文量
135
审稿时长
4-8 weeks
期刊介绍: The Scandinavian Journal of Public Health is an international peer-reviewed journal which has a vision to: publish public health research of good quality; contribute to the conceptual and methodological development of public health; contribute to global health issues; contribute to news and overviews of public health developments and health policy developments in the Nordic countries; reflect the multidisciplinarity of public health.
期刊最新文献
A taste of ambrosia: Do Olympic medalists live longer than Olympic losers? The diagnosis of cerebral palsy in two Danish national registries: a validation study. Meaningfulness and mortality: exploring the sense of coherence in Eastern Finnish men. What is wellness? Investigating the importance of different domains of wellness among laypeople and experts: A survey study. Validation of the short version of Cognitive Emotion Regulation Questionnaire for adolescents in Norway.
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