Individual, family, school, and community risk and protective factors for depressive symptoms in adolescents: A comparison of risk profiles for substance use and depressive symptoms

Individual, family, school, and community risk and protective factors for depressive symptoms in adolescents: A comparison of risk profiles for substance use and depressive symptoms
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DOI:
10.1007/s11121-005-3407-2
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发表时间:
2005-06-01
期刊:
影响因子:
3.5
通讯作者:
Patton, G
Patton, G
中科院分区:
医学2区
文献类型:
--
作者:
Bond, L;Toumbourou, JW;Patton, G

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本研究探讨了青少年抑郁症状与物质使用风险和保护因素之间的关系。为衡量年轻人社区、家庭、学校、同侪群体和物质使用的个人特征而开发的调查问卷被用来评估与自我报告的抑郁症状的关联。数据由澳大利亚维多利亚州 8984 名中学生的代表性样本提供。男性抑郁症状的患病率为 10.5% (95% CI 9.2,12.0),女性为 21.7% (95% CI 20.3,23.7)。抑郁症状与所有领域的因素相关,其中与家庭领域的关联最强。研究发现,升高的风险和保护因素的数量与抑郁症状之间存在密切的关系,在调整物质使用后仍保持这种关系。用户和非物质用户的关联模式相似。研究结果表明,针对药物使用因素的预防计划有可能对抑郁症产生影响。
This study examines the relationship between adolescent depressive symptoms and risk and protective factors identified for substance use. A questionnaire, developed to measure these factors in a young persons community, family, school, peer group, and individual characteristics for substance use, was used to assess associations with self-reported depressive symptoms. Data were provided by a representative sample of 8984 secondary school students in Victoria, Australia. The prevalence of depressive symptoms was 10.5% (95% CI 9.2,12.0) for males and 21.7% (95% CI 20.3,23.7) for females. Depressive symptoms were associated with factors in all domains, with the strongest associations in the family domain. Strong relationships were found between the number of elevated risk and protective factors and depressive symptoms, maintained after adjusting for substance use. Patterns of associations were similar for users and nonsubstance users. The findings indicate that prevention programs targeting factors for substance use have the potential to impact on depression.