Depressive symptoms, social support, and personal health behaviors in young men and women.

This study investigated the relationship of depressive symptoms, social support, and a range of personal health behaviors in 2,091 male and 3,438 female university students from 16 countries. Depressive symptoms and social support were measured using the short Beck Depression Inventory and the Social Support Questionnaire; 9 personal health behaviors were also assessed. After the authors took age, social support, and clustering by country into account, depressive symptoms were significantly associated with lack of physical activity, not eating breakfast, irregular sleep hours, and not using a seat belt in both men and women, and additionally with smoking, not eating fruit, and not using sunscreen among women. Low social support was independently associated with low alcohol consumption, lack of physical activity, irregular sleep hours, and not using a seat belt in men and women. Bidirectional causal pathways are likely to link health behaviors with depressed mood.     

Sex differences in coping with depression

A Depression Coping Questionnaire (DCQ) was devised to compare strategies for coping with depression reported by male and female college students. Discriminant analysis showed that females were significantly more likely than males to report crying, eating, smoking cigarettes, becoming irritable, and confronting their feelings when depressed. Males were significantly more likely than females to report becoming aggressive and engaging in sexual behavior when depressed. Discriminant analysis data from students in Massachusetts showed significant cross-validation with discriminant analysis data from students in California. Comparison of depressed males and females indicated that depressed males reported behaviors of withdrawal such as spending time alone and using stimulating and tranquilizing drugs. Depressed females reported self-blame. Significant multiple correlations between DCQ questions and depression scores on the Beck Depression Inventory (BDI) showed that high BDI scores were associated with isolation and escape in males, and with self-blame and acting out in females. It is concluded that depressed females might benefit most from alleviation of self-blame and adaptive relabeling of depressive symptoms, and depressed males might benefit most from increased self-awareness and active coping.The authors are indebted to Colleen F. Surber, John R. Surber, and Frederick B. Meeker.     

Associations between multiple health risk behaviors and mental health among Chinese college students

Although there is substantial evidence that health risk behaviors increase risks of premature morbidity and mortality, little is known about the multiple health risk behaviors in Chinese college students. Here, we investigated the prevalence of multiple health risk behaviors and its relation to mental health among Chinese college students. A cross-sectional study was conducted in Wuhan, China from May to June 2012. The students reported their health risk behaviors using self-administered questionnaires. Depression and anxiety were assessed using the self-rating depression scale and self-rating anxiety scale, respectively. A total of 2422 college students (1433 males) aged 19.7 ± 1.2 years were participated in the study. The prevalence of physical inactivity, sleep disturbance, poor dietary behavior, Internet addiction disorder (IAD), frequent alcohol use and current smoking was 62.0, 42.6, 29.8, 22.3, 11.6 and 9.3%, respectively. Significantly increased risks for depression and anxiety were found among students with frequent alcohol use, sleep disturbance, poor dietary behavior and IAD. Two-step cluster analysis identified two different clusters. Participants in the cluster with more unhealthy behaviors showed significantly increased risk for depression (odds ratio (OR): 2.21; 95% confidence interval (CI): 1.83, 2.67) and anxiety (OR: 2.32; 95%CI: 1.85, 2.92). This study indicates that a relatively high prevalence of multiple health risk behaviors was found among Chinese college students. Furthermore, the clustering of health risk behaviors was significantly associated with increased risks for depression and anxiety.     

Why would social networks be linked to affect and health practices?

OBJECTIVE: To examine the relation among social integration (SI), affect, and smoking and alcohol consumption. DESIGN: The authors administered social network and psychological questionnaires to 193 adults and then interviewed them on 14 consecutive evenings about their daily social interactions, affect, and smoking and alcohol consumption. MAIN OUTCOME MEASURES: The main outcome measures were positive and negative affect, smoking, and alcohol consumption. RESULTS: Between-subjects analyses found that those with more diverse social networks (high in SI) interacted with more people and smoked and drank less. SI was not, however, associated with affect. In contrast, within-subject analyses found that the more people participants interacted with during a day, the greater their positive affect, drinking, and smoking on that day. However, this occurred primarily for persons low in SI. High-SI persons reported high positive affect irrespective of the number of people with whom they interacted, and their smoking and drinking behaviors were less influenced by number of interactants. CONCLUSION: SI may alter health because it affects responsiveness to the social influences of others.     

Protective behavioral strategies and the relationship between depressive symptoms and alcohol-related negative consequences among college students

Approximately 40% of college students reported engaging in heavy episodic or "binge" drinking in the 2 weeks prior to being surveyed. Research indicates that college students suffering from depression are more likely to report experiencing negative consequences related to their drinking than other students are. The reasons for this relationship have not been well-studied. Hence, the purpose of this study was to determine whether use of protective behavioral strategies (PBS), defined as cognitive-behavioral strategies an individual can use when drinking alcohol that limit both consumption and alcohol-related problems, mediated the relationship between depressive symptoms and alcohol-related negative consequences among college students. Data were obtained from 686 participants from a large, public university who were referred to an alcohol intervention as a result of violating on-campus alcohol policies. Results from structural equation modeling analyses indicated that use of PBS partially mediated the relationship between depressive symptoms and alcohol-related negative consequences. Implications for clinicians treating college students who report experiencing depressive symptoms or consuming alcohol are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved).     

Depression,anxiety, hostility,and physical health

This study assessed the relationship of depression, anxiety, and hostility to physical health in a multicultural student population (N=106). When controlling for a variety of demographic and health risk factors (viz., age, sex, body mass, smoking, alcohol, salt, caffeine, and exercise), hostility, depression, and anxiety were related to higher reported incidences of physical symptoms and somatic illness. Depression and hostility had the strongest relationships with physical health, although the most striking single relationship was between depression and illness. Results suggest that it may be premature to focus our attention on hostility in research on the personality-illness relationship. They also suggest that the health behavior model of the relationship between personality and disease does not provide an adequate explanation, since negative affect was significantly associated with illness even when controlling for a variety of health risk factors. This work was supported, in part, by an intramural grant from the University of Hawaii, #R511.     

Depression, anxiety, hostility, and physical health

This study assessed the relationship of depression, anxiety, and hostility to physical health in a multicultural student population (N=106). When controlling for a variety of demographic and health risk factors (viz., age, sex, body mass, smoking, alcohol, salt, caffeine, and exercise), hostility, depression, and anxiety were related to higher reported incidences of physical symptoms and somatic illness. Depression and hostility had the strongest relationships with physical health, although the most striking single relationship was between depression and illness. Results suggest that it may be premature to focus our attention on hostility in research on the personality-illness relationship. They also suggest that the health behavior model of the relationship between personality and disease does not provide an adequate explanation, since negative affect was significantly associated with illness even when controlling for a variety of health risk factors. This work was supported, in part, by an intramural grant from the University of Hawaii, #R511.     

An MMPI-2 scale to detect malingered depression (Md scale)

A specialized Minnesota Multiphasic Personality Inventory-2 (MMPI-2) validity scale was constructed to detect individuals who are knowledgeable about either depression or MMPI-2 detection strategies and who subsequently attempt to malinger depressive symptoms on the MMPI-2. The Malingered Depression (Md) scale consists of 32 items that discriminated college students who feigned depression from those who were genuinely depressed. Further information about the incremental validity and the utility of the Md scale was obtained in a cross-validation study with additional college students who feigned depression and a sample of students with clinically significant depressive symptoms. The results indicate that the Md scale possesses promising value in detecting malingered symptoms of depression.     

Associations between depression, distress tolerance, delay discounting, and alcohol-related problems in European American and African American college students

Although levels of heavy drinking and alcohol-related problems are high in college students, there is significant variability in the number and type of problems experienced, even among students who drink heavily. African American students drink less and experience fewer alcohol-related problems than European American students, but are still at risk, and little research has investigated the potentially unique patterns and predictors of problems among these students. Depression, distress tolerance, and delay discounting have been implicated in adult substance abuse and may be important predictors of alcohol problem severity among college students. We examined the relationship between these variables and alcohol-related problems among African American and European American students (N = 206; 53% female; 68% European American; 28% African American) who reported recent heavy drinking. In regression models that controlled for drinking level, depression, distress tolerance, and delay discounting were associated with alcohol problems among African American students, but only depression was associated with alcohol problems among European American students. These results suggest that negative affect is a key risk factor for alcohol problems among college student drinkers. For African American students, the inability to tolerate negative emotions and to organize their behavior around future outcomes may also be especially relevant risk factors.     

The relationship between depression and smoking in adolescents

The literature suggests that smokers are more likely to be depressed, while people who are depressed are more likely to smoke. The purpose of the present study was to determine the strength of the relationship between smoking, depression, intention to smoke, and several psychosocial and environmental factors. The participants (98 high school and college students aged 16 to 19 years) completed a paper-and-pencil questionnaire consisting of the Multiscore Depression Inventory (MDI) and items regarding smoking behavior as well as psychosocial and environmental factors. Correlation, stepwise regression, and discriminant analyses were then conducted. It was found that participants were more likely to smoke if their parents smoked, if their scores on the MDI indicated instrumental helplessness and social isolation/withdrawal, or if they were older. Participants were more likely to state intention to smoke in the future if they had MDI scores indicating instrumental helplessness, if they were older, if their parents smoked, if their MDI scores indicated social intro-version, or if they resided with a guardian. Participants were also more likely to have smoked for more years if their parents smoked or if their scores on the MDI indicated instrumental helplessness. Further, participants were more likely to have scores on the MDI indicative of higher depression levels if they had low grades or if their parents smoked.     

Psychosocial and health consequences of adolescent depression in Black and White young adult women.

Depression in adolescent girls may result in negative consequences in young adulthood. The Center for Epidemiologic Studies Depression Scale (CES-D) was administered to 1,727 Black and White girls ages 16 to 18 years who participated in the National Heart, Lung, and Blood Institute's Growth and Health Study. Three years later, women in the depressed groups were more likely to be current smokers, had attained a lower level of education, and reported lower self-worth relative to the nondepressed group. Body dissatisfaction, eating concerns, and loneliness were greater in the depressed groups. Relative to Black women, White women who were moderately depressed during adolescence reported more health care services utilization in young adulthood. Prevention efforts for depressed adolescents should be broadly focused to improve young adult outcomes.     

抑郁症状中学生自我相关生活事件的回忆、再认和启动效应特点

采用Tversky的实验设计,对非抑郁和抑郁症状中学生的回忆、再认和启动效应进行了探讨。实验发现,抑郁症状中学生对自我相关生活事件信息加工存在负性回忆、负性再认、负性启动和负性加工偏向;抑郁症状中学生对自我相关生活事件信息加工的回忆具有情境一致性;对再认材料的不同加工深度影响抑郁症状中学生自我相关生活事件信息加工的再认;抑郁症状中学生对自我相关生活事件信息加工的负性启动主要是由于对负性条目、中性条目的负性偏向加工引起     

Depressive symptom manifestation and help‐seeking among Chinese college students in Taiwan

One longstanding hypothesis in the research of depression among Chinese populations is that they tend to express depressive symptoms in somatic terms, which, in turn, prevent them from seeking assistance from mental health services. This study aimed to examine the manifestation of depressive symptoms and its relationship to help‐seeking attitudes among Chinese college students. The Chinese Beck Depression Inventory‐II (BDI‐II; Beck, Steer, & Brown, 1996 ) and the Attitudes Toward Seeking Professional Psychological Help: Shortened Form (ATSPPH‐SF; Fischer & Farina, 1995 ) were administered to 1039 Chinese college students in a private university in Taiwan. Factor ratio scores analyses revealed that Chinese college students generally emphasized somatic complaints compared to cognitive‐affective complaints in expressing depressive symptoms. Probably‐depressed Chinese students (BDI‐II scores?16), however, placed significantly less emphasis on somatic symptoms than did nondepressed students. Additionally, multiple regression analyses showed that while Chinese students with elevated BDI‐II scores were less likely to seek professional psychological help, neither somatic nor cognitive‐affective symptoms were correlated with their attitudes toward seeking and avoiding professional psychological help. These findings seem to run counter to the common assumption that Chinese people tend to express depression in somatic terms and that somatic complaints help to explain their reluctance to seek professional psychological assistance. The current results suggest that Chinese students with elevated depressive symptoms readily acknowledged and expressed cognitive‐affective symptoms of depression and they were likely to distance themselves from professional psychological help. However, somatic symptoms did not explain their reluctance to utilize mental health services.     

Suicide ideation and depression in university students in Botswana

The study aimed at exploring suicide ideation and its relationship to depression in university students in Botswana. Data were collected from 122 undergraduate students (68.9% females, 31.1% males) with a mean age of 20.02 years. Depressive symptoms were measured with an adapted version of Beck's Depression Inventory-II. In total, 47.5% of the respondents reported suicide ideation, 28.7% reported previous suicide attempts, and the mean depression score was 19.14. Suicide ideation correlated strongly with total depression scores. The level of depression severity was linearly related to suicide ideation but 14.3% of respondents who scored at the level of minimal depression and 53.8% of those who scored at the level of mild depression had also contemplated suicide. The level of education of respondents’ mothers had an inverse relationship with suicide ideation and with depression in that those whose mothers had a tertiary level education were less likely to engage in suicide ideation and had significantly lower depression scores. The results are discussed from within the specific social ecological context of Botswana.     

Personality and health habits

Abstract

Four hundred and fifty-five males and 523 females from a community sample participated in a study on the relationship between seven health practices (sleeping; breakfasting; snacking; being at good weight; smoking; alcohol consumption and physical activity) and seven personality factors (Neuroticism; Social Inadequacy; Rigidity; Hostility; Self-sufficiency; Dominance and Self-esteem).

It was found that the seven health habits did not constitute a homogeneous operationalization of a construct “positive lifestyle.” The intercorrelations between the different health practices were typically low. The results of MANOVAs and subsequent ANOVAs revealed small, but statistically significant differences between subjects reporting positive and those reporting poor health habits. The failure to find significant interactions with sex indicated that the results for males and females were generally similar. Neuroticism and hostility discriminated best between the groups with poor or good health behaviors. This held for sleeping, exercising, breakfasting daily and smoking. In addition, sporting people scored lower on social inadequacy and higher on self-esteem. Further, individuals who do not have a daily breakfast were more self-sufficient. Snacking individuals were generally less rigid and less dominant, but more hostile. In conclusion, most negative health habits were found to be associated with personality attributes which are intimately related to symptom reporting (neuroticism, hostility). Given the generally weak associations, it is concluded that, in order to obtain a more complete picture of the individual's psychosocial risk profile, lifestyle data should be collected together with information on the person's stress and his or her coping qualities.     

Prevalence of depressive symptoms and its correlates among medical students in China: a national survey in 33 universities

We conducted a national survey among medical students in China to estimate the prevalence of depressive symptoms and explore associated risk factors based on an established questionnaire composed of demographic information, life events in the past four weeks before survey, and the validated Chinese version of the 21-item Beck’s Depression Inventory (BDI). The mean age of enrolled 9010 students was 20.7 (standard deviation: 1.6) years. BDI scores indicated that 19.9% had depressive symptoms based on the cut-off score of 14. Socioeconomic factors and student characteristics such as male sex, low monthly income per capita, father’s poor education background, and higher year of study were associated with higher prevalence of depressive symptoms among medical students. Students who studied in comprehensive universities were more likely to have depressive symptoms compared with those from medical universities. Habitual smoking and alcohol drinking, sleep deprivation, and hospitalization or medication for one week or more in the last four weeks also predisposed students to higher risk of depressive symptoms. Our results indicate that depressive symptoms are becoming a highly prevalent health problem among Chinese medical students. Primary and secondary prevention should be prioritized to tackle this issue based on potential risk factors.     

Stability and changes in health behaviours in young adults over a one year period

Abstract

Data concerning 19 health-related behaviours and associated beliefs were collected by questionnaire from 282 students in the Netherlands on two occasions over one year. While all behaviours showed moderate stability, there were variations in the degree of change. The highest stability was reported for sleep time, tooth brushing frequency, seat belt usage and health care service utilization. The least stable behaviours included regular exercise and various dietary measures. Predictors of changes in smoking, dietary fat intake, alcohol consumption and regular exercise were analysed in detail. Beliefs assessed at year 1 in the importance of these activities for health predicted changes in behaviour over the study year independently of prior behaviour levels. Awareness of the risks associated with behaviours, and explicit wishes to modify behaviour patterns (eg stop smoking, exercise more), did not predict change from year 1 to year 2. The results indicated that health behaviours vary in their stability, and that health beliefs may predict future health behaviour changes.     

Why do Women get Depressed and Men get Drunk? An Examination of Attributional Style and Coping Style in Response to Negative Life Events Among Canadian Young Adults

Gender differences in alcohol consumption and depressive symptoms are well known. This study focused on the associations of gender with attributional style, coping style, and negative life events in explaining these differences. The association of gender with each of the predictor and outcome variables was examined. One hundred eight (51 men, 57 women) undergraduate university students, ages 18–21, completed validated measures of depression, alcohol consumption, attributional style, coping style, and negative life events. Participants reported mild-moderate levels of depressive symptoms, similar to comparable samples. In contrast, alcohol consumption was lower than expected. Depressive symptoms were associated with negative events and rumination among both men and women. Pessimism and wine consumption were correlated with depression among women only. Although men consumed more alcohol than did women, a gender difference in depressive symptoms was not found. Potential implications of these findings are discussed.     

National Trends in Prayer Use as a Coping Mechanism for Depression: Changes from 2002 to 2007

To analyze national trends in the use of prayer among individuals with depression, we adopted a cross-sectional design with data from the adult Alternative Medicine supplement of the National Health Interview Survey 2002 and 2007. Prayer use and depression were combined into 4 categories: (a) prayed in the past 12 months and depressed; (b) prayed in the past 12 months and not depressed; (c) never prayed but depressed; and (d) never prayed and not depressed. Chi-square tests and multinomial logistic regressions were performed to analyze group differences. All analyses were adjusted for the complex sample design and conducted in SAS-callable SUDAAN. Use of prayer for depression was steady at 6.9 % across time; however, general prayer increased significantly between 2002 and 2007 (40.2 vs. 45.7). Women, aged 50–64, unmarried, with high school education were more likely to use prayer while depressed compared to those who were neither depressed nor prayed. Lifestyle behaviors (e.g. alcohol, smoking, exercise) were also associated with prayer use and depression. Prayer use for depression remained steady with unique relationships occurring among those who smoke, use alcohol, and have irregular exercise. Individuals’ use of prayer as a potential complementary treatment for depression suggests that it is critical for mental and physical health treatment providers to be aware of the use of prayer as a coping resource.     

Assessing the Impact of Relative Social Position and Absolute Community Resources on Depression and Obesity Among Smokers

We tested two competing hypotheses-relative social position and community resources-in regards to their effect on two co-occurring health problems (depression, and obesity) in a sample of smokers participating in an online smoking cessation intervention. Income and education data at the zip code level from the 2000 Census was linked with individual level data. Logistic regression models were used for each co-occurring problem to determine how each SES variable (individually and interactively) was associated with the presence of co-occurring health problems. We found that lower individual education was related to poorer health for all outcomes (Depression: OR = 1.25; Obesity: OR = 1.24; Both: OR = 1.46), lower community education was only related to obesity (OR = 1.20). Lower individual income was related to higher rates of depressive symptoms (OR = 1.64) and both health problems (OR = 1.55); a significant interaction of individual and community income (Wald = 6.13, p < .05) revealed that high income individuals were less likely to be depressed if they lived in lower-income communities and became more likely to be so as community income increased. Relative social position was confirmed for depression, whereas community resources were prominent only for obesity. Higher individual education most consistently predicted positive health outcomes, making it a potentially powerful target to reduce health disparities.