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Prevalence of depressive symptoms among urban school adolescents in Vietnam: The role of youth, family, and school relationships - 04/08/24

Doi : 10.1016/j.jeph.2024.202758 
Huong Thi Thu Nguyen a, , Bach Xuan Tran b, c, Hoat Ngoc Luu d, Laurent Boyer e, Guillaume Fond e, Pascal Auquier e, Carl A. Latkin c, Tham Thi Nguyen f, Melvyn W.B. Zhang g, Roger C.M. Ho h, i, Cyrus S.H. Ho h
a Hanoi Medical University, Hanoi 100000, Viet Nam 
b Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Viet Nam 
c Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA 
d Phenikaa University, Yen Nghia, Ha Dong, Hanoi 100803, Viet Nam 
e EA 3279, CEReSS, Research Centre on Health Services and Quality of Life, Aix Marseille University, 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France 
f Institute of Health Economics and Technology (iHEAT), Hanoi 100000, Viet Nam 
g Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore 308232, Singapore 
h Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore 
i Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore 

Corresponding author at: Hanoi Medical University, Hanoi 100000, Viet Nam.Hanoi Medical UniversityHanoi100000Viet Nam

Abstract

Background

Adolescents frequently encounter a spectrum of psychiatric conditions, predominantly depressive and anxiety disorders, along with various behavioral disturbances.

Objective

This investigation aims to delineate the prevalence of depressive disorders among adolescents in urban Vietnam and to elucidate the interrelationships between familial and school-related dynamics and adolescent depression.

Materials and Methods

A cross-sectional survey was conducted in 2022, involving 507 students aged 15 to 17 from high schools in Hanoi, Vietnam. Reynolds Adolescent Depression Scale - Second Edition (RADS-2) was used to assess the presence of depressive symptoms. Social-demographic characteristics, adolescent-family and adolescent-school relationships, and academic environment characteristics of high school students were interviewed. Multivariate Tobit regression models were employed to discern contributory factors across four domains of RADS-2.

Results

Among the 507 adolescents, the mean scores on the RADS scale were 15.1 ± 4.2 for the dysphoric mood domain, 16.4 ± 4.0 for the anhedonia-negative domain, 13.1 ± 4.4 for the negative self-evaluation domain, and 12.4 ± 3.7 for the somatic complaints domain. The analysis indicated that adolescents with suboptimal parental relationships, absence of confidants, frequent parental conflicts, exposure to parental arguments, substantial exam-related stress, or overwhelming academic demands were more likely to exhibit elevated depressive symptoms. Conversely, adolescents who were satisfied with their friendships at school and received care, support from teachers or friends, and involved in school's extracurricular activities lower exhibited levels of depression.

Conclusions

Findings reveal the significant impact of family and peer relationships, as well as academic stress, on the development of depressive symptoms. These significant results inform the design and development of future interventions aimed at mitigating depression risks among high school students, emphasizing the crucial roles of both educational institutions and family dynamics.

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Keywords : Depression, Adolescent-family relationships, Adolescent-school relationships, High school students, Vietnam


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Vol 72 - N° 5

Article 202758- octobre 2024 Retour au numéro
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