In China, parents have high expectations for children’s academic performance. Examinations are of major importance for high school students and may cause anxious responses if they cannot handle. The present study will examine whether exercise is an important factor related to depression. However, no clear evidence indicated that all levels of exercise contributing to increasing positive mental health and decreasing negative health. Exercise is beneficial for mental health and may protect against depression. Other factors like exercise, nutrition diet, anxious responses when facing examinations, having a clear goal, and optimism were unsure whether to be the significant factors contributing to depression among adolescents. In addition, self-compassion was inversely associated with psychological distress. Therefore, identifying the key factors from a variety of factors and the students at risk of depression are essential for prevention and treatment of depression.
But the key components for these strategies and programs remain unclear and need to pay priority attention in future depression research. Preventions targeting at high-risk groups are promising. Prevention measures could target at reducing the modifiable risk factors and improving levels of protective factors for adolescents at high-risk. A targeted prevention strategy is suggested for its effective efforts in preventing the development of depression in adolescents at risk. Little is known about which factors in combination of environmental factors and individual factors mostly influencing depression. Protective factors such as resilience, mindfulness, self-efficacy and social support were inversely associated with depression.Īlthough studies have tended to focus on correlation of some risk factors and protective factors with depression separately, the key important factors in analyzing these factors at the same time remain poorly understood. Risk factors such as life events, and perceived stress were associated with depression. Many factors have been discovered to be associated with depression. It is essential to timely recognize the key factors contributing to the prevalence of depression. Therefore, preventive measures are becoming increasing important. Despite the multiple inventions and treatment, about 1/3 patients failed to achieve remission from treatment attempts. Besides impairing the flourish of adolescents, suicide, the third leading cause of older adolescents’ death is the most devastating concern for adolescent depression. Depression in adolescence was also associated with adulthood psychosocial impairments and mental health disorders. The prevalence of depression is still increasing, especially among adolescents. Lifetime prevalence of depression was reported as 20% in teenagers at late adolescence. Depression is also a leading cause of disability of adolescents worldwide and accounts for global burden of disease. Promoting the protective factors and reducing the level of risk factors facilitate preventing and relieving depression.ĭepression is a common syndrome in adolescents, which is decreasing quality of life and potentially leading to significant morbidity and suicidality. The ANN showed the good performance in identifying risk of depression. ANN model accuracy was 81.06%, with sensitivity 65.3%, specificity 88.4%, and area under the receiver operating characteristic (ROC) curves 0.846 in testing dataset. The model showed the top five protective and risk factors including perceived stress, life events, optimism, self-compassion and resilience. The prevalence of depression was 29.9% among the students. Artificial neurol network (ANN) was used to establish the identification model. A total of 1190 adolescents from two high schools in eastern China participated in the study. MethodsĬross-sectional study was conducted. The study aimed to assess the prevalence of depression in high school students and develop a model for identifying risk of depression among adolescents. Identifying important factors contributing to depression is necessary for interrupting risk pathways to minimize adolescent depression.
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