Prevalence and associated factors of depression among Korean adolescents


Autoři: Je-Yeon Yun aff001;  Halin Chung aff003;  Jin-ah Sim aff003;  Young Ho Yun aff003
Působiště autorů: Seoul National University Hospital, Seoul, Republic of Korea aff001;  Yeongeon Student Support Center, Seoul National University College of Medicine, Seoul, Republic of Korea aff002;  Department of Biomedical Science, Seoul National University College of Medicine, Seoul, Republic of Korea aff003;  Department of Family Medicine, Seoul National University Hospital, Seoul, Republic of Korea aff004;  Department of Biomedical Informatics, Seoul National University College of Medicine, Seoul, Republic of Korea aff005
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223176

Souhrn

This study aimed to identify factors significantly associated with recent depressive mood with respect to health-related behavioral patterns at the individual level, perceived safety in the school environment, and willingness to share concerns with family and social networks. Self-reported responses to questions regarding recent feelings of depression, health-related behaviors in physical, psychological, and spiritual subdomains, school refusal and perceived safety at school, and perceived social support were obtained from 1,991 in-school adolescents (mean [SD] age = 15.3 [1.7] years; male/female = 936/1055). Multivariate logistic regression analyses were used to identify explanatory factors significantly associated with recent depression, defined as feelings of sadness or hopelessness for more than 2 weeks (during the last 12 months) that interfered with everyday functioning. Of the 1,991 students, 271 (13.6%) reported recent depression. Multivariate logistic regression analyses revealed higher odds of recent depression in adolescents with frequent thoughts of school refusal (odds ratio [95% confidence interval] = 3.25 [2.44–4.32]) and those who engaged in regular physical exercise (1.57 [1.19–2.07]), whereas a positive mindset (0.65 [0.49–0.86]), perceived safety at school (0.62 [0.47–0.82]), and perceived social support from one’s mother (0.54 [0.40–0.72]) were associated with lower odds of recent depression. Taken together, our findings suggest that parents and teachers should talk regularly with adolescents about recent life (dis)satisfaction and stressors, particularly when they report frequent thoughts of school refusal. Perceived social support would increase perceived safety on school grounds and make it easier for teenagers to share their concerns with parents, thereby reducing the risk for depressive symptoms. School-based programs that promote a positive mindset would be helpful in preparing students for the challenges of adulthood.

Klíčová slova:

Adolescents – Behavior – Depression – Emotions – Exercise – Psychological stress – Regression analysis – Schools


Zdroje

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PLOS One


2019 Číslo 10