Prevalence of depression and its associated factors among adolescents in China during the early stage of the COVID-19 outbreak

PeerJ

article

Han Qi¹  Rui Liu¹  Yuan Feng¹  Jia Luo¹  Si Man Lei²  Teris Cheung³  Gabor S. Ungvari⁴  Xu Chen¹  Yu-Tao Xiang⁶ 

[1] The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University;Faculty of Education, University of Macau;School of Nursing, Hong Kong Polytechnic University;Division of Psychiatry, School of Medicine, University of Western Australia;The University of Notre Dame Australia;Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau;Centre for Cognitive and Brain Sciences, University of Macau

关键词: Adolescents;    China;    COVID-19;    Depression;    Prevalence;   

DOI  :  10.7717/peerj.12223

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

Background The outbreak of the 2019 coronavirus disease outbreak (COVID-19) had a detrimental impact on adolescents’ daily life and studying, which could increase the risk of depression. This study examined the prevalence of depressive symptoms (depression hereafter) among Chinese adolescents and its associated factors. Methods An online survey was conducted during the COVID-19 outbreak in China. Adolescents aged 11–20 years who currently lived in China were invited to participate in the study. Data were collected with the “SurveyStar” platform using the Snowball Sampling method. Depression was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). Results A total of 9,554 adolescents participated in the study. The prevalence of depression was 36.6% (95% CI [35.6%–37.6%]); the prevalence of mild and moderate-severe depression was 9.2% (95% CI [8.9%–9.5%]) and 27.4% (95% CI [26.9%–27.9%]), respectively. Female gender (OR = 1.235, P < 0.001), senior secondary school grade (OR = 1.513, P < 0.001), sleep duration of <6 h/day (OR = 2.455, P 10,000) (OR = 1.245, P = 0.038) were significantly associated with higher risk of depression. Concern about COVID-19 (OR = 0.632, P < 0.001), participating in distance learning (OR = 0.728, P8 h/day (OR = 0.726, P 30 min/day, and study duration of ≥4 h/day (OR = 0.835, P < 0.001) were associated with lower risk of depression. Conclusion Depression was common among adolescents in China during the COVID-19 outbreak. Considering the negative impact of depression on daily life and health outcomes, timely screening and appropriate interventions are urgently needed for depressed adolescents during the COVID-19 outbreak.

【 授权许可】

CC BY