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Symptoms of depression and anxiety in Chinese adolescents: heterogeneity and associations with executive function
BACKGROUND: Depression and anxiety are common symptoms associated with significant morbidity in adolescents. Few studies have explored the relationship between latent profiles of adolescent depression-anxiety symptoms and executive function (EF), which is also a major pediatric public health concern...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10244834/ https://www.ncbi.nlm.nih.gov/pubmed/37286986 http://dx.doi.org/10.1186/s12888-023-04810-z |
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author | Sun, Jing Wang, Shaoxia Mu, Guoxia Liu, Jingru Su, Rina Zhang, Xiang Fang, Jianqun Wang, Yanrong |
author_facet | Sun, Jing Wang, Shaoxia Mu, Guoxia Liu, Jingru Su, Rina Zhang, Xiang Fang, Jianqun Wang, Yanrong |
author_sort | Sun, Jing |
collection | PubMed |
description | BACKGROUND: Depression and anxiety are common symptoms associated with significant morbidity in adolescents. Few studies have explored the relationship between latent profiles of adolescent depression-anxiety symptoms and executive function (EF), which is also a major pediatric public health concern. METHODS: The sample included 1,306 participants who were recruited from two schools in Ningxia. The Depression Self-Rating Scale for Children (DSRSC) and the Screen for Child Anxiety Related Emotional Disorders (SCARED) were used to assess the level of depression-anxiety symptoms in adolescents, and their executive function state was assessed using the Behavior Rating Inventory of Executive Function-Self-Report version (BRIEF-SR). Latent profile analysis (LPA) was carried out using Mplus 7.0 to explore the most likely number of profiles based on the subscales of DSRSC and SCARED. The relationship between adolescents’ executive function and depression-anxiety symptoms were analyzed by multivariable logistic regression, and the odds ratio were used to test the impact of this relationship. RESULTS: The LPA results show that the three-profile model was the best-fitting model for adolescent depression and anxiety symptoms. The proportions of Profile-1 (“Healthy Group”), Profile-2 (“Anxiety Disorder Group”), and Profile-3 (“Depression-Anxiety Disorder Group”) were 61.4%, 23.9%, and 14.7%, respectively. Additional analyses using multivariable logistic regression suggested that poor shifting capacity and emotional control were significantly more likely to be classified into the depression and/or anxiety groups, and worse working memory, task completion, and better inhibition were significantly more likely to be classified into the anxiety group. CONCLUSIONS: The findings contribute to our understanding of the heterogeneity of adolescents’ depression-anxiety symptoms and highlight the important role of executive function in influencing mental health outcomes. These findings will guide the improvement and delivery of interventions for the treatment of anxiety and depression in adolescents, mitigating functional impairments in patients and reducing disease risk. |
format | Online Article Text |
id | pubmed-10244834 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-102448342023-06-08 Symptoms of depression and anxiety in Chinese adolescents: heterogeneity and associations with executive function Sun, Jing Wang, Shaoxia Mu, Guoxia Liu, Jingru Su, Rina Zhang, Xiang Fang, Jianqun Wang, Yanrong BMC Psychiatry Research BACKGROUND: Depression and anxiety are common symptoms associated with significant morbidity in adolescents. Few studies have explored the relationship between latent profiles of adolescent depression-anxiety symptoms and executive function (EF), which is also a major pediatric public health concern. METHODS: The sample included 1,306 participants who were recruited from two schools in Ningxia. The Depression Self-Rating Scale for Children (DSRSC) and the Screen for Child Anxiety Related Emotional Disorders (SCARED) were used to assess the level of depression-anxiety symptoms in adolescents, and their executive function state was assessed using the Behavior Rating Inventory of Executive Function-Self-Report version (BRIEF-SR). Latent profile analysis (LPA) was carried out using Mplus 7.0 to explore the most likely number of profiles based on the subscales of DSRSC and SCARED. The relationship between adolescents’ executive function and depression-anxiety symptoms were analyzed by multivariable logistic regression, and the odds ratio were used to test the impact of this relationship. RESULTS: The LPA results show that the three-profile model was the best-fitting model for adolescent depression and anxiety symptoms. The proportions of Profile-1 (“Healthy Group”), Profile-2 (“Anxiety Disorder Group”), and Profile-3 (“Depression-Anxiety Disorder Group”) were 61.4%, 23.9%, and 14.7%, respectively. Additional analyses using multivariable logistic regression suggested that poor shifting capacity and emotional control were significantly more likely to be classified into the depression and/or anxiety groups, and worse working memory, task completion, and better inhibition were significantly more likely to be classified into the anxiety group. CONCLUSIONS: The findings contribute to our understanding of the heterogeneity of adolescents’ depression-anxiety symptoms and highlight the important role of executive function in influencing mental health outcomes. These findings will guide the improvement and delivery of interventions for the treatment of anxiety and depression in adolescents, mitigating functional impairments in patients and reducing disease risk. BioMed Central 2023-06-07 /pmc/articles/PMC10244834/ /pubmed/37286986 http://dx.doi.org/10.1186/s12888-023-04810-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Sun, Jing Wang, Shaoxia Mu, Guoxia Liu, Jingru Su, Rina Zhang, Xiang Fang, Jianqun Wang, Yanrong Symptoms of depression and anxiety in Chinese adolescents: heterogeneity and associations with executive function |
title | Symptoms of depression and anxiety in Chinese adolescents: heterogeneity and associations with executive function |
title_full | Symptoms of depression and anxiety in Chinese adolescents: heterogeneity and associations with executive function |
title_fullStr | Symptoms of depression and anxiety in Chinese adolescents: heterogeneity and associations with executive function |
title_full_unstemmed | Symptoms of depression and anxiety in Chinese adolescents: heterogeneity and associations with executive function |
title_short | Symptoms of depression and anxiety in Chinese adolescents: heterogeneity and associations with executive function |
title_sort | symptoms of depression and anxiety in chinese adolescents: heterogeneity and associations with executive function |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10244834/ https://www.ncbi.nlm.nih.gov/pubmed/37286986 http://dx.doi.org/10.1186/s12888-023-04810-z |
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