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      Predictive effect of psychological stress in early puberty on subsequent anxiety and depression


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          Objective Longitudinal data were used in this study to examine the predictive effects of psychological stress in early puberty on subsequent anxiety and depression symptoms.

          Methods Objects from a puberty cohort of 998 children from 4 primary schools in Chongqing were included. Psychological stress was measured during their early puberty, and anxiety and depression were followed up after 4 years. Multiple linear regression was used to analyze the influence of psychological stress on anxiety and depression level in their middle puberty.

          Results The average score of psychological stress during early puberty was (34.79±24.78), and scores of anxiety and depression were (11.20土 10.89) and (12.06±6.69), respectively, with detection rates of 14.03% and 15.63%. Girls had higher anxiety and depression scores than boys ( F = 51.58, 5.48, P<0.05). The depression scores of children with different parents’ educational levelsand perceived parental relationship were different ( F = 6.74, 7.38, 10.49, P<0.05). The results of multiple linear regression showed that girls ( β = 4.38), higher psychological stress ( β = 0.13), older age ( β = 0.89) were risk factors for higher anxiety level. Children with higher psychological stress ( β = 0.05), older age ( β = 0.57), perceived worse parents’ re- lationship ( β = 1.19), lower maternal education ( β = -1.00) had higher depression scores ( P<0.05).

          Conclusion The psychological stress level, and age during early puberty had a positive predictive effect on anxiety and depression after 4 years. Simultaneously, girls were more prone to anxiety, and poor parental relationship and low maternal literacy were risk factors for children’ s depression.


          【摘要】 目的 探究儿童青春早期心理应激对焦虑及抑郁症状水平的预测作用, 为改善儿童青少年心理健康提供参 考。 方法 对象来自重庆市区 4 所小学 998 名男女童组成的青春发育队列, 青春早期测量其心理应激水平, 并在 4 年后随 访其焦虑及抑郁水平, 采用多重线性回归分析青春早期心理应激对焦虑和抑郁水平的影响。 结果 被试者青春早期心理 应激平均得分为 (34.79±24.78) 分, 4 年后焦虑和抑郁平均得分分别为(11.20± 10.89) (12.06±6.69) 分, 检出率分别为 14.03% 和 15.63%。女童焦虑和抑郁得分均髙于男童 ( t 值分别为 51.58, 5.48, P 值均<0.05); 父母文化程度和自觉父母关 系状况不同的儿童抑郁得分差异有统计学意义 ( F 值分别为 6.74, 7.38, 10.49, P 值均<0.05)。多重线性回归结果显示, 女 童 ( β = 4.38)、青春早期应激水平越髙 ( β = 0.13)、年龄越大 ( β = 0.89), 其 4 年后焦虑水平越髙;儿童青春早期应激水平越髙 ( β = 0.05)、年龄越大 ( β = 0.57)、自觉父母关系越差 ( β = 1.19)、母亲文化程度越低 ( β =-1.00), 其抑郁水平越髙 ( P 值均< 0.05)。 结论 青春早期心理应激水平和年龄对随后的焦虑和抑郁状况具有正向预测作用; 女童更容易焦虑, 父母关系不 好和母亲文化程度低与儿童抑郁呈正相关。

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          Author and article information

          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          01 June 2020
          01 June 2020
          : 41
          : 6
          : 830-832
          [1] 1School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing (400016), China
          Author notes
          *Corresponding author: LIU Qin, E-mail: liuqin81622@ 123456163.com
          © 2020 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Self URI (journal-page): http://www.cjsh.org.cn
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Child,Rgeression analysis,Stress, Psychological,Depression,Puberty,Mental health,Anxiety


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