| Abstract |
[Abstract] Objective: To reveal the epidemiology of adolescents at high risk of depression in Qingyuan City and to study the relationship between their depressive symptoms and family environmental factors and social support system. Methods: A stratified random sampling method was used to randomly select 31 secondary schools in Qingyuan City, and then two classes were randomly selected from each grade level of each secondary school, for a total of 181 classes, with all students in the classes as the respondents. Demographic characteristics were assessed by a self-compiled general situation questionnaire, and depression symptoms, family environment and social support were assessed by the Center for Epidemiological Studies Depression Scale (CES-D), the Family Environment Scale (FES-F), and the Adolescent Social Support Scale Chinese version (ASSS-CV). Results: 8745 students were used as respondents, and 8291 valid questionnaires were obtained, with a total effective rate of 94.8%. 3076 adolescents (37.1%) had depressive symptoms, i.e., adolescents at high risk for depression. Multifactorial logistic binary regression analysis showed that female and high school students were risk factors, while 0-6 years old caregivers with parents, intact family structure, without sleep problems, and less than 1 hour of daily electronic device use for non-study purposes were protective factors. The total scores of the FES-F and ASSS-CV and their subscale scores were significantly lower in adolescents at high risk of depression than in those without depressive symptoms, with statistically significant differences (P<0.05). Conclusion: The detection rate of adolescents at high risk of depression in Qingyuan was high, with females and high school students as risk factors, while parents aged 0-6 are parents, intact family structure, without sleep problems, and less than 1 hour of daily use of electronic devices for non-study purposes were protective factors. Adolescents at high risk of depression are less likely to receive understanding and support from family and society.
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