Depression, Stress, Youth
Conditions
Keywords
Adolescent, Depression, Stress, Resilience
Brief summary
The present study aims to develop a new predictive index to predict future depression of adolescents by using factors including individual, interpersonal and environmental. The index can be used to predict likelihood of students who are non-probable depression cases convert into probable depression cases. In addition, the investigators also test the factors of depression remission. It can hence be used in school setting to identify high-risk students, and provide them with secondary interventions that are designed by considering modifiable significant variables identified in this unique, large-scale, longitudinal study.
Detailed description
A 12-month longitudinal study will be conducted in secondary school settings. The investigators will investigate incidence of probable depression (i.e., from non-depression, CESD\<16, at baseline to probable depression, CESD≥16, at month 12) and remission of probable depression. The investigators will investigate factors that can prospectively predict new cases/remission of probable depression, including both well-documented risk/protective factors and some under-examined but potentially important local factors (e.g. school/academic stress, psychological resilience). The relative importance of the risk/protective factors at different socio-ecological levels will be compared and their combined effect will be identified. Based on the selected factors, the investigators will derive a new prediction index called the Adolescent Depression Prediction Index (ADPI) in a model building sample and test its performance in predicting incidence of depression in a validation sample among secondary school students in Hong Kong.
Interventions
The anonymous structured questionnaire will be self-administered by the participating students in the absence of their teachers in class-room settings.
Sponsors
Study design
Eligibility
Inclusion criteria
* Secondary 1 (seventh year of formal education) to Secondary 4 Chinese students, who are studying local mainstream schools in Hong Kong. * Able to read Chinese and speak either Cantonese or Mandarin.
Exclusion criteria
* Eligible students whose parents refuse to give consent to take part in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of probable depression | 12 months | To examine the incidence of probable depression from non-depression (CESD\<16) at baseline to probable depression (CESD\>=16) at month 12. |
| Adolescent Depression Prediction Index (ADPI) | 12 months | To develop a new prediction index ADPI and test test its performance in predicting incidence of depression. |
Countries
Hong Kong