Neighborhood disadvantage, childhood adversity, bullying victimization, and adolescent depression: A multiple mediational analysis
Neighborhood disadvantage, childhood adversity, bullying victimization, and adolescent depression: A multiple mediational analysis
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DOI：
10.1016/j.jad.2020.10.041
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发表时间：
2021-01-15
影响因子：
6.6
通讯作者：
Smith, John
中科院分区：
文献类型：
--
作者：
Choi, Jeong-Kyun;Teshome, Tamrat;Smith, John
工作背景：青少年抑郁症的家庭、学校和邻里环境因素在文献中得到了大量的关注;然而，仍然缺乏系统地研究儿童早期邻里结构和社会特征通过家庭和学校逆境影响青少年后期抑郁症状的机制的研究。本研究使用了来自脆弱家庭和儿童福利研究的具有全国代表性的抽样数据，该研究是一项纵向调查，对4，898名儿童沿着他们的父母和教师在儿童出生时以及1岁、3岁、5岁、9岁和15岁时进行的队列调查。公共和限制使用的数据被用来合并个人调查和邻里profiles.Results：我们的研究结果表明，邻里结构性劣势和集体效能感有直接影响不良的童年经历，欺负受害，社会情感的发展，以及对青少年的抑郁症状的间接影响。邻里集体效能，但不是结构性的劣势，被发现直接有助于后来的抑郁症状的青少年。限制：弹性因素，如家庭支持和稳定的关系，没有考虑在目前的研究。由于数据的不可用性，潜在的互惠关系之间的同伴欺凌，社会情绪问题，抑郁症状没有检查。结论：我们的发现，邻里特征有助于青少年抑郁症的发展，强调了健康的邻里环境的重要性，这也为多方面的干预提供了启示，以促进邻里资源和支持系统，以及社区范围的欺凌预防计划和儿童逆境筛查。
Background: Each of the home, school, and neighborhood environmental factors for adolescent depression has received substantial attention in the literature; however, there remains a paucity of research which systematically examines the mechanisms whereby neighborhood structural and social characteristics in early childhood affects later depressive symptoms in adolescence as transmitted through family and school adversities.Methods: The present study used nationally representative sampled data from the Fragile Families and Child Wellbeing Study, a longitudinal survey following a cohort of 4,898 children along with their parents and teachers at the child's birth and at 1, 3, 5, 9, and 15 years of age. Public and restricted-use data were used to merge individual surveys and neighborhood profiles.Results: Our findings suggest that both neighborhood structural disadvantage and collective efficacy have direct impacts on adverse childhood experiences, bullying victimization, and social emotional development as well as indirect impacts on adolescents' depressive symptoms. Neighborhood collective efficacy, but not structural disadvantage, was found to directly contribute to later depressive symptoms of adolescents.Limitations: Resilience factors such as familial support and stable relationships were not considered in the current study. Due to the unavailability of data, potential reciprocal relationships among peer bullying, social emotional problems, and depressive symptoms were not examined.Conclusions: Our finding that neighborhood characteristics contribute to the development of adolescents' depression emphasizes the importance of a healthy neighborhood environment, which also provides implications for multi-faceted interventions to promote neighborhood resources and support systems, as well as community-wide bullying prevention programs and childhood adversity screenings.