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The path of depression in rural children: A fuzzy-set qualitative comparative analysis across multiple provinces in China.
- Source :
-
Journal of affective disorders [J Affect Disord] 2024 Nov 15; Vol. 365, pp. 237-245. Date of Electronic Publication: 2024 Aug 22. - Publication Year :
- 2024
-
Abstract
- Objectives: This study explores the combinations of conditional variables contributing to depressive symptoms in rural children.<br />Methods: We analyzed data from 715 children from a rural mental health database, conducting detailed follow-up investigations on 129 children in Zhejiang and Henan provinces. We used fuzzy set Qualitative Comparative Analysis (fsQCA) and regression analysis to identify causal pathways leading to depression.<br />Results: The results indicate that depression in rural children does not stem from a single, necessary condition but arises from multiple factors. Our findings highlight significant contributions from both maternal and paternal involvement. Specifically, maternal involvement, combined synergistically with peer support and problematic behaviors, as well as paternal involvement, together with peer support and anxiety, significantly affects depressive outcomes. Additionally, anxiety and strong peer relationships independently have a substantial impact on these outcomes. Effective mitigation strategies involve active parental engagement and robust peer support, reducing the influence of risk factors such as problematic behaviors and anxiety.<br />Limitations: The generalizability of the results is limited by cultural and geographical variations. The study also does not account for all potential factors influencing depression in rural children.<br />Conclusion: Depression in rural children results from multiple interacting factors. Tailored interventions addressing these specific combinations are recommended.<br />Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br /> (Copyright © 2024 Elsevier B.V. All rights reserved.)
- Subjects :
- Humans
China epidemiology
Male
Female
Child
Risk Factors
Social Support
Depression epidemiology
Depression psychology
Fuzzy Logic
Parenting psychology
Depressive Disorder epidemiology
Depressive Disorder psychology
Anxiety epidemiology
Anxiety psychology
Adolescent
Problem Behavior psychology
Rural Population statistics & numerical data
Peer Group
Subjects
Details
- Language :
- English
- ISSN :
- 1573-2517
- Volume :
- 365
- Database :
- MEDLINE
- Journal :
- Journal of affective disorders
- Publication Type :
- Academic Journal
- Accession number :
- 39173922
- Full Text :
- https://doi.org/10.1016/j.jad.2024.08.095