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Liu JM, Gao M, Zhang R, Wong NML, Wu J, Chan CCH, Lee TMC. A machine-learning approach to model risk and protective factors of vulnerability to depression. J Psychiatr Res 2024; 175:374-380. [PMID: 38772128 DOI: 10.1016/j.jpsychires.2024.04.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Revised: 04/17/2024] [Accepted: 04/25/2024] [Indexed: 05/23/2024]
Abstract
There are multiple risk and protective factors for depression. The association between these factors with vulnerability to depression is unclear. Such knowledge is an important insight into assessing risk for developing depression for precision interventions. Based on the behavioral data of 496 participants (all unmarried and not cohabiting, with a college education level or above), we applied machine-learning approaches to model risk and protective factors in estimating depression and its symptoms. Then, we employed Random Forest to identify important factors which were then used to differentiate participants who had high risk of depression from those who had low risk. Results revealed that risk and protective factors could significantly estimate depression and depressive symptoms. Feature selection revealed four key factors including three risk factors (brooding, perceived loneliness, and perceived stress) and one protective factor (resilience). The classification model built by the four factors achieved an ROC-AUC score of 75.50% to classify the high- and low-risk groups, which was comparable to the classification performance based on all risk and protective factors (ROC-AUC = 77.83%). Based on the selected four factors, we generated a mood vulnerability index useful for identifying people's risk for depression. Our findings provide potential clinical insights for developing quick screening tools for mood disorders and potential targets for intervention programs designed to improve depressive symptoms.
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Affiliation(s)
- June M Liu
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, China; Laboratory of Neuropsychology and Human Neuroscience, The University of Hong Kong, Hong Kong, China
| | - Mengxia Gao
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, China; Laboratory of Neuropsychology and Human Neuroscience, The University of Hong Kong, Hong Kong, China
| | - Ruibin Zhang
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China
| | - Nichol M L Wong
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, China; Laboratory of Neuropsychology and Human Neuroscience, The University of Hong Kong, Hong Kong, China; Department of Psychology, The Education University of Hong Kong, Hong Kong, China
| | - Jingsong Wu
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Chetwyn C H Chan
- Department of Psychology, The Education University of Hong Kong, Hong Kong, China.
| | - Tatia M C Lee
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, China; Laboratory of Neuropsychology and Human Neuroscience, The University of Hong Kong, Hong Kong, China.
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Zhang J, Wang E, Zhang L, Chi X. Internet addiction and depressive symptoms in adolescents: joint trajectories and predictors. Front Public Health 2024; 12:1374762. [PMID: 38894983 PMCID: PMC11183533 DOI: 10.3389/fpubh.2024.1374762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Accepted: 05/20/2024] [Indexed: 06/21/2024] Open
Abstract
Objective Internet addiction and depressive symptoms are common mental health problems in adolescents. Due to the comorbidity of Internet addiction and depressive symptoms, their mutual relationship influences their developmental trajectories over time. Thus, this study aimed to identify the joint trajectories of Internet addiction and depressive symptoms, and examined the individual, family, and school antecedents of these trajectories among Chinese adolescents. Methods Using a battery of self-report scales, three waves of data collection were conducted in a Chinese adolescent sample (N = 1,301). The co-developmental trajectories of Internet addiction and depressive symptoms were extracted by adopting parallel-process latent class growth modeling (PPLCGM). Multinomial logistic regression was performed to assess predictive factors. Results Four unique joint trajectory classes were detected: the Health Group (n = 912, 70.1%), Comorbidity-Worsening Group (n = 85, 6.5%), Asymptomatic-Comorbid Risk Group (n = 148, 11.4%), and Prominent Depressive Symptoms-Remission Group (n = 156, 12.0%). Individual, family, and school factors (e.g., gender, positive youth development, family function, academic performance) significantly predicted the membership in these distinct co-developmental trajectories. Conclusion Our findings illustrate that the joint development of Internet addiction and depressive symptoms among adolescents presents a heterogeneous distribution, which could better inform prevention and intervention strategies since each co-developmental trajectory may represent unique experience for adolescents who need targeted treatment. Various individual, family, and school factors are important predictors that play different roles in distinguishing the joint trajectories of Internet addiction and depressive symptoms during this critical developmental transition period.
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Affiliation(s)
- Junjie Zhang
- Collaborative Innovation Center of Assessment for Basic Education Quality, Beijing Normal University, Beijing, China
| | - Enna Wang
- School of Psychology, Northwest Normal University, Lanzhou, China
| | - Long Zhang
- Faculty of Humanities and Social Sciences, City University of Macau, Macau, China
- Mental Health Education Center, Yunnan College of Business Management, Kunming, Yunnan, China
| | - Xinli Chi
- School of Psychology, Shenzhen University, Shenzhen, China
- The Shenzhen Humanities and Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, China
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Fang M, Ferro MA, Dubin JA, Oremus M. The association between adverse childhood experiences and depression symptoms in older adults in China: An analysis of the China health and retirement study. INTERNATIONAL JOURNAL OF MENTAL HEALTH 2022. [DOI: 10.1080/00207411.2022.2123696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Mingying Fang
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| | - Mark A. Ferro
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| | - Joel A. Dubin
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
- Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, Canada
| | - Mark Oremus
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
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Xia H, Han X, Cheng J, Liu D, Wu Y, Liu Y. Effects of negative life events on depression in middle school students: The chain-mediating roles of rumination and perceived social support. Front Psychol 2022; 13:781274. [PMID: 36033071 PMCID: PMC9413075 DOI: 10.3389/fpsyg.2022.781274] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 07/12/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundNegative life events in middle school students have a significant impact on depression. However, the mechanism of this association is not fully understood. This study used rumination and perceived social support as mediating variables to explore the influence of negative life events on depression.Materials and methodsDue to the COVID-19 pandemic and social distancing, a convenient sampling method was adopted to collect information about middle school students in Shandong Province by means of online questionnaire. Adolescent Self-Rating Life Events Check List, Ruminative Responses Scale, Perceived Social Support Scale and Children’s Depression Inventory were used. Descriptive statistics and correlation analysis were conducted for four variables of middle school students, including life events, depression, rumination thinking and perceived social support, and the chain mediated effect was tested by using process plug-in. All statistically analysis was conducted by SPSS 23.0.Results493 middle school students (16.7000 ± 0.9500 years) including 343 female students (69.6000%) from Shandong Province recruited. Results showed that the total effect between life events and depression was significant (effect = 0.2535, 95%CI: 0.2146, 0.2924). The total indirect effect was significant (effect = 0.1700, 95%CI: 0.1349, 0.2072). The indirect effect was significant (effect = 0.0988, 95%CI: 0.0741, 0.1252) with rumination as the mediating variable. The indirect effect of pathway with perceived social support as the mediating variable was significant (effect = 0.0476, 95%CI: 0.0295, 0.0674). The indirect effect of pathway with rumination and perceived social support as mediating variables was also significant (effect = 0.0236, 95%CI: 0.0147, 0.0339).ConclusionThis study indicated that ruminant thinking and perceived social support had a significant chain mediating effect on adolescents’ life events and depression. Life events can not only directly affect depressive emotions, but also indirectly affect depressive emotions by affecting ruminant thinking and perceived social support. The results of this study not only provide new directions for the relationship between life events and depression, but also provide possible approaches for future prevention and intervention of depression in middle school students.
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Affiliation(s)
- Hui Xia
- School of Mental Health, Jining Medical University, Jining, China
| | - Xuexue Han
- School of Mental Health, Jining Medical University, Jining, China
| | - Jing Cheng
- School of Mental Health, Jining Medical University, Jining, China
- Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Debiao Liu
- School of Mental Health, Jining Medical University, Jining, China
| | - Yili Wu
- School of Mental Health, Jining Medical University, Jining, China
- School of Mental Health and The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, China
- Key Laboratory of Alzheimer’s Disease of Zhejiang Province, Institute of Aging, Zhejiang Provincial Clinical Research Center for Mental Disorders, Wenzhou, China
- Oujiang Laboratory, Zhejiang Lab for Regenerative Medicine, Vision and Brain Health, Wenzhou, China
- Yili Wu, ;
| | - Yan Liu
- School of Mental Health, Jining Medical University, Jining, China
- Shandong Key Laboratory of Behavioral Medicine, School of Mental Health, Jining Medical University, Jining, China
- Shandong Collaborative Innovation Center for Diagnosis & Treatment & Behavioral Interventions of Mental Disorders, Institute of Mental Health, Jining Medical University, Jining, China
- Center of Evidence-Based Medicine, Jining Medical University, Jining, China
- *Correspondence: Yan Liu,
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Poon KT, Wong WY. Stuck on the Train of Ruminative Thoughts: The Effect of Aggressive Fantasy on Subjective Well-Being. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP6390-NP6410. [PMID: 30486717 DOI: 10.1177/0886260518812796] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Previous studies have focused almost exclusively on identifying the antecedents of aggression and violence; as such, there are virtually no experimental data about the psychological consequences of fantasizing aggressive and violent actions. The present experiment aimed to fill this significant informational void in the literature by testing whether aggressive fantasy would influence people's rumination tendency and subjective well-being. We hypothesized that aggressive fantasy would make people more likely to ruminate, which would thereby lower their subjective well-being. To test this prediction, we recruited a sample of participants, who were adults in the United States (overall valid N = 113; 39 men; mean age = 36.27, SD = 11.27), and they were randomly assigned to either the aggressive fantasy condition or the control condition. At the beginning of the experiment, participants were asked to think of a person they despised and describe the characteristics of the despised person. Next, participants in the aggressive fantasy condition fantasized aggressive and violent actions toward the despised target, while participants in the control condition fantasized a control experience. Finally, their state rumination and subjective well-being were assessed. The results showed that, relative to participants who did not fantasize aggression, those who engaged in aggressive fantasy reported higher levels of rumination and lower levels of subjective well-being. Further analysis showed that enhanced rumination significantly mediated the effect of aggressive fantasy on subjective well-being. The present findings contribute to the literature by providing new insights into the psychological consequences of aggressive and violent responses and the underlying mechanism.
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Affiliation(s)
- Kai-Tak Poon
- The Education University of Hong Kong, Tai Po, Hong Kong
| | - Wing-Yan Wong
- The Education University of Hong Kong, Tai Po, Hong Kong
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Predictors of rumination and co-rumination: the role of attachment dimensions, self-compassion and self-esteem. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01799-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Piqueras JA, Salvador MDC, Soto-Sanz V, Mira F, Pérez-González JC. Strengths Against Psychopathology in Adolescents: Ratifying the Robust Buffer Role of Trait Emotional Intelligence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17030804. [PMID: 32012879 PMCID: PMC7037399 DOI: 10.3390/ijerph17030804] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2019] [Revised: 01/22/2020] [Accepted: 01/24/2020] [Indexed: 01/22/2023]
Abstract
The aim of this study was to unravel the interrelated effects of trait emotional intelligence (Trait EI), mindfulness, and irrational beliefs on adolescent mental health. A random sample of students from three secondary schools in Spain and eight secondary schools in Portugal was recruited. We conducted four-step hierarchical regression analyses. We also conducted regression analyses to examine the role of mindfulness skills and catastrophizing as mediators of the link between emotional intelligence and psychosocial problems. Finally, the SPSS PROCESS computing tool was used to perform conditional process analysis (model 6). A total of 1370 adolescents from Spain (n = 591) and Portugal (n = 779) participated in this study (mean age = 14.97, SD = 1.50; range = 12-18). The mediation analyses confirmed that adolescent mental health was determined by Trait EI directly, and by mindfulness skills and catastrophizing thoughts in an indirect way. Together, the four variables explained 44% of psychopathology, with EI being the most powerful predictor, which ratify the robust buffer role and incremental validity of Trait EI against youth mental health. The identified pathways provide keys for emotional education interventions aimed at promoting adolescent mental health.
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Affiliation(s)
- José A. Piqueras
- Department of Health Psychology, Faculty of Social and Health Sciences, Campus of Elche, Miguel Hernandez University (UMH), Elche 03202, Spain; (J.A.P.); (F.M.)
| | - Maria do Céu Salvador
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, University of Coimbra, Coimbra 3001-115, Portugal;
| | - Victoria Soto-Sanz
- Department of Health Psychology, Faculty of Social and Health Sciences, Campus of Elche, Miguel Hernandez University (UMH), Elche 03202, Spain; (J.A.P.); (F.M.)
- Correspondence: ; Tel.: +34-966-658-343
| | - Francisco Mira
- Department of Health Psychology, Faculty of Social and Health Sciences, Campus of Elche, Miguel Hernandez University (UMH), Elche 03202, Spain; (J.A.P.); (F.M.)
| | - Juan-Carlos Pérez-González
- Emotional Education Laboratory (EDUEMO Lab), National University of Distance Education (UNED), 28040 Madrid, Spain
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Allard ES, Yaroslavsky I. Attentional Disengagement Deficits Predict Brooding, but Not Reflection, Over a One-Year Period. Front Psychol 2019; 10:2282. [PMID: 31681088 PMCID: PMC6802600 DOI: 10.3389/fpsyg.2019.02282] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 09/23/2019] [Indexed: 11/13/2022] Open
Abstract
A growing literature suggests that rumination is linked to attentional disengagement deficits in depression. This is particularly the case with brooding, a maladaptive form of rumination. However, research on the potential constructive association between attentional disengagement and self-reflection, a putative adaptive form of rumination, is sparse. Thus, the goal of the present study was to examine whether visual attentional disengagement deficits differentially predict dispositional brooding and self-reflection tendencies. Depressed participants (n = 17), those in remission from depression (n = 42), and their peers with no depression histories (n = 70) completed clinical interviews, the Ruminative Response Scale (RRS), and an eye-tracking task that measured attentional disengagement from pleasant (happy) and unpleasant (sad) facial images during a laboratory visit, and the RRS at 4 month intervals over a 1-year period. Results revealed that slow disengagement from sad faces, and rapid disengagement from happy faces, was specifically associated with brooding tendencies concurrently and across follow-up. Attentional disengagement was unrelated to self-reflection. The disengagement-brooding associations remained after controlling for depression status and anxiety disorder histories, suggesting that attentional control deficits may be a state-independent marker of brooding. Theoretical and clinical implications for these associations are discussed.
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Affiliation(s)
- Eric S. Allard
- Department of Psychology, Cleveland State University, Cleveland, OH, United States
| | - Ilya Yaroslavsky
- Department of Psychology, Cleveland State University, Cleveland, OH, United States
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Mediating effects of emotion regulation strategies in the relations between stressful life events and life satisfaction in a longitudinal sample of early adolescents. J Sch Psychol 2018; 70:16-26. [DOI: 10.1016/j.jsp.2018.06.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Revised: 02/20/2018] [Accepted: 06/21/2018] [Indexed: 01/19/2023]
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