The prevalence and incidence of major depressive disorder in 8079 Chinese university freshmen before and during COVID-19

Liu, Debiao; Li, Baohua; Hao, Fengcheng; Liu, Ning; Su, Zhonghua; Yun-feng, Tang; Wang, Bin; Wang, JianLi; Liu, Yan

doi:10.1016/j.jad.2022.03.022

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…Indeed, emotional blunting—the reduced ability to feel positive or negative emotions—is a common symptom of depression and anxiety disorders (Christensen et al, 2022). Thus, the observed decrease in negative affect aligns with research showing elevations in depression and anxiety following the start of the pandemic (Liu et al, 2022).…”

Section: Discussionsupporting

confidence: 87%

Subjective well‐being and school engagement before versus during the COVID‐19 pandemic: What good are positive emotions?

Faria

Pedras

Inman

et al. 2023

J of Research on Adolesc

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The present study overcomes the limited empirical evidence on the association between well‐being and school engagement in times of adversity by exploiting available data from two large and comparable samples of eighth graders; one obtained prior to the COVID‐19 pandemic and the second obtained during the pandemic. Results suggest that adolescents were less engaged with their learning context during the pandemic, as well as lower in positive and negative affect, but slightly more satisfied with life. Through SEM we found a stronger positive association between positive affect and school engagement in the COVID‐19 group compared with the pre‐COVID‐19 group. This finding highlights the important role of positive affect in supporting better academic functioning in the aftermath of a global crisis.

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Section: Discussionsupporting

confidence: 87%

Subjective well‐being and school engagement before versus during the COVID‐19 pandemic: What good are positive emotions?

Faria

Pedras

Inman

et al. 2023

J of Research on Adolesc

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show abstract

“…158 new-onset MDD cases were diagnosed at 1-year follow-up, accounting for 2.23% (95%CI: 1.91-2.60%) of freshmen who had completed the baseline and 1-year follow-up survey [ 39 ]. The missing values in the New-onset MDD group and the Non-MDD group were 1 (0.63%) and 45 (0.66%), respectively.…”

Section: Resultsmentioning

confidence: 99%

Perceived parenting styles and incidence of major depressive disorder: results from a 6985 freshmen cohort study

Cheng

Liu

et al. 2023

BMC Psychiatry

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Background Even though a fair amount of studies focus on depression among college students, the effect of perceived parenting styles on the incidence of major depressive disorder (MDD) among representative freshmen in Chinese context is scarcely studied. The aim of this study is to investigate the effect of parenting styles on MDD in Chinese freshmen. Methods A total of 9,928 Chinese freshmen were recruited in 2018. 6985 valid questionnaires were collected at one-year follow-up. Composite International Diagnostic Interview 3.0 (CIDI-3.0) was used for the diagnosis of MDD. Egna Minnen Beträffande Uppfostran (EMBU) questionnaire and Beck Depression Inventory-II (BDI-II) were used to assess parenting styles and baseline depressive symptoms, respectively. The associations between parenting styles and MDD incidence was analyzed with logistic regression. Results The incidence of MDD in freshmen was 2.23% (95%CI: 1.91-2.60%). Maternal overprotection (OR = 1.03, 95%CI: 1.01–1.05) and disharmony relationship between parents (OR = 2.35, 95% CI: 1.42–3.89) increased the risk of new-onset MDD in freshmen, respectively. Mild depressive symptoms (OR = 2.06, 95%CI: 1.06–4.02), moderate (OR = 4.64, 95%CI: 2.55–8.44) and severe depressive symptoms (OR = 7.46, 95%CI: 2.71–20.52) at baseline increased the risk of new-onset MDD. Conclusions Maternal overprotection, disharmony relationship between parents and baseline depressive symptoms are risk factors for new-onset MDD in Chinese freshmen.

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“…This is also true in emerging adults, where depression rates have risen over the past few years, which has resulted in a social concern for this group because of the importance of the developmental period for cognitive and emotional processing [ 2 ]. A meta-analysis including studies from multiple countries suggested that about 34% of emerging adults suffered from depressive symptoms [ 3 ], and approximately 6.6% of emerging adults in China suffered from severe depressive symptoms [ 4 ], compared with 8% in Turkey and 13% in Australia [ 5 ]. Worryingly, suicide rates are higher among emerging adults with severe depressive symptoms [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

The influence of childhood trauma and chronotype on suicide attempts in Chinese emerging adults with severe depressive symptoms

Yu,

Feng,

et al. 2024

BMC Psychol

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Background Studies have investigated how adults with severe depressive symptoms are more likely to attempt suicide, and these adults often have traumatic experiences and chaotic sleep/wake rhythms. Thus, this study using Latent class analysis aimed to investigate the relationship between childhood trauma class, chronotype, and suicide attempts among emerging adults with severe depressive symptoms. Methods This study was conducted among emerging adults with severe depressive symptoms covering 63 Universities in Jilin Province, China. A total of 1,225 emerging adults (mean age = 19.6 ± 1.78) constructed the final sample. In addition to measuring socio-demographic characteristics, the Childhood Trauma Questionnaire-Short Form, the Single-Item Chronotyping, and a single item for suicide attempts were used to evaluate childhood trauma, chronotype, and suicide attempts, respectively. Latent class analysis was applied to identify the classes of childhood trauma within emerging adults who had severe depressive symptoms. Hierarchical logistic regression models were run to investigate the effects of socio-demographic characteristics, chronotype, and childhood trauma class on suicide attempts. Results Three latent classes were identified: the Low-risk for childhood trauma class, the Neglect class, and the High-risk for childhood abuse class. Those who suffered sexual, emotional, and physical abuse at the same time were divided into the High-risk for childhood abuse class, and were significantly more likely to experience suicide attempts than those in the Neglect class (OR = 1.97, 95%CI = 1.34–2.89, p < 0.001) and the Low-risk for childhood trauma class (OR = 2.28, 95% CI = 1.50-3.46, p < 0.001). In terms of chronotype, the results showed that the chaotic type was a risk factor for suicide attempts when compared with the evening type (OR = 0.46, 95%CI = 0.27–0.78, p < 0.01), the moderately active type (OR = 0.53, 95%CI = 0.31–0.89, p < 0.05), and the daytime type (OR = 0.42, 95%CI = 0.21–0.86, p < 0.05). Overall, the significant risk factors for suicide attempts included being female, living in an urban area, having experienced sexual, emotional, and physical abuse simultaneously, and having a chaotic chronotype. Conclusion Emerging adults suffering sexual, emotional, and physical abuse at the same time and identifying with chaotic chronotype showed a higher risk of attempting suicide. The findings provided a clinical reference to quickly identify those at high risk of suicide attempts among emerging adults with severe depressive symptoms.

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The prevalence and incidence of major depressive disorder in 8079 Chinese university freshmen before and during COVID-19

Cited by 7 publications

References 22 publications

Subjective well‐being and school engagement before versus during the COVID‐19 pandemic: What good are positive emotions?

Subjective well‐being and school engagement before versus during the COVID‐19 pandemic: What good are positive emotions?

Perceived parenting styles and incidence of major depressive disorder: results from a 6985 freshmen cohort study

The influence of childhood trauma and chronotype on suicide attempts in Chinese emerging adults with severe depressive symptoms

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