Resilience, Lifestyle and Symptoms of Anxiety and Depression in Adolescence: the Young-HUNT Study

Overview

Journal Soc Psychiatry Psychiatr Epidemiol

Specialties Psychiatry
Public Health
Social Sciences

Date 2012 Aug 9

PMID 22872359

Citations 74

Authors

Marit Skrove

Pal Romundstad

Marit S Indredavik

Affiliations

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Abstract

Purpose: This study investigated the symptoms of anxiety and depression in adolescence, their associations with lifestyle and resilience and the possibility that resilience factors can attenuate the associations between unhealthy lifestyle and symptoms of anxiety and depression.

Methods: Adolescents (n = 7,639) aged 13-18 years completed a questionnaire regarding lifestyle and health. Symptoms of anxiety and depression were measured by the SCL-5, a five-item shortened version of the Hopkins Symptom Checklist. Resilience factors included questions on friends and family relations and two sub-scales of the Resilience Scale for Adolescents; Family cohesion and Social competence.

Results: Of the total population, 13% reported symptoms of anxiety and depression. Resilience characteristics were associated with lower symptom levels (ORs ranging from 0.2 to 0.6), and substance use and infrequent physical activity with higher symptom levels (ORs ranging from 2.1 to 4.0). The associations with substance use were strengthened by social competence, but attenuated by family cohesion. The association with physical activity was attenuated by both social competence and family cohesion.

Conclusion: Symptoms of anxiety and depression were frequent in adolescents and were associated with unhealthy lifestyle factors as substance use and low physical activity. Resilience characteristics seemed to protect against symptoms and markedly influenced the associations between lifestyle factors and symptoms of anxiety and depression. The importance of family and other supportive relationships should be emphasized in treatment and prevention of anxiety and depression in adolescence.

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References

Mistry R, McCarthy W, Yancey A, Lu Y, Patel M . Resilience and patterns of health risk behaviors in California adolescents. Prev Med. 2009; 48(3):291-7. PMC: 2692484. DOI: 10.1016/j.ypmed.2008.12.013. View

Derdikman-Eiron R, Indredavik M, Bratberg G, Taraldsen G, Bakken I, Colton M . Gender differences in subjective well-being, self-esteem and psychosocial functioning in adolescents with symptoms of anxiety and depression: findings from the Nord-Trøndelag Health Study. Scand J Psychol. 2011; 52(3):261-7. DOI: 10.1111/j.1467-9450.2010.00859.x. View

Larun L, Nordheim L, Ekeland E, Hagen K, Heian F . Exercise in prevention and treatment of anxiety and depression among children and young people. Cochrane Database Syst Rev. 2006; (3):CD004691. DOI: 10.1002/14651858.CD004691.pub2. View

de Moor M, Boomsma D, Stubbe J, Willemsen G, de Geus E . Testing causality in the association between regular exercise and symptoms of anxiety and depression. Arch Gen Psychiatry. 2008; 65(8):897-905. DOI: 10.1001/archpsyc.65.8.897. View

Veselska Z, Geckova A, Orosova O, Gajdosova B, van Dijk J, Reijneveld S . Self-esteem and resilience: the connection with risky behavior among adolescents. Addict Behav. 2008; 34(3):287-91. DOI: 10.1016/j.addbeh.2008.11.005. View

Biddle S, Asare M . Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med. 2011; 45(11):886-95. DOI: 10.1136/bjsports-2011-090185. View

Boyd C, Kostanski M, Gullone E, Ollendick T, Shek D . Prevalence of anxiety and depression in Australian adolescents: comparisons with worldwide data. J Genet Psychol. 2000; 161(4):479-92. DOI: 10.1080/00221320009596726. View

Sanders C, Field T, Diego M, Kaplan M . Moderate involvement in sports is related to lower depression levels among adolescents. Adolescence. 2001; 35(140):793-7. View

Rutter M . Implications of resilience concepts for scientific understanding. Ann N Y Acad Sci. 2007; 1094:1-12. DOI: 10.1196/annals.1376.002. View

10.

Klineberg E, Clark C, Bhui K, Haines M, Viner R, Head J . Social support, ethnicity and mental health in adolescents. Soc Psychiatry Psychiatr Epidemiol. 2006; 41(9):755-60. DOI: 10.1007/s00127-006-0093-8. View

11.

Costello E, Copeland W, Angold A . Trends in psychopathology across the adolescent years: what changes when children become adolescents, and when adolescents become adults?. J Child Psychol Psychiatry. 2011; 52(10):1015-25. PMC: 3204367. DOI: 10.1111/j.1469-7610.2011.02446.x. View

12.

Hong X, Li J, Xu F, Tse L, Liang Y, Wang Z . Physical activity inversely associated with the presence of depression among urban adolescents in regional China. BMC Public Health. 2009; 9:148. PMC: 2693135. DOI: 10.1186/1471-2458-9-148. View

13.

Frojd S, Ranta K, Kaltiala-Heino R, Marttunen M . Associations of social phobia and general anxiety with alcohol and drug use in a community sample of adolescents. Alcohol Alcohol. 2011; 46(2):192-9. DOI: 10.1093/alcalc/agq096. View

14.

Lewinsohn P, Roberts R, Seeley J, Rohde P, Gotlib I, Hops H . Adolescent psychopathology: II. Psychosocial risk factors for depression. J Abnorm Psychol. 1994; 103(2):302-15. DOI: 10.1037//0021-843x.103.2.302. View

15.

Patton G, Hibbert M, Rosier M, Carlin J, Caust J, Bowes G . Is smoking associated with depression and anxiety in teenagers?. Am J Public Health. 1996; 86(2):225-30. PMC: 1380332. DOI: 10.2105/ajph.86.2.225. View

16.

Ussher M, Owen C, Cook D, Whincup P . The relationship between physical activity, sedentary behaviour and psychological wellbeing among adolescents. Soc Psychiatry Psychiatr Epidemiol. 2007; 42(10):851-6. DOI: 10.1007/s00127-007-0232-x. View

17.

Viner R, Ozer E, Denny S, Marmot M, Resnick M, Fatusi A . Adolescence and the social determinants of health. Lancet. 2012; 379(9826):1641-52. DOI: 10.1016/S0140-6736(12)60149-4. View

18.

van Lang N, Ferdinand R, Ormel J, Verhulst F . Latent class analysis of anxiety and depressive symptoms of the Youth Self-Report in a general population sample of young adolescents. Behav Res Ther. 2005; 44(6):849-60. DOI: 10.1016/j.brat.2005.06.004. View

19.

Tambs K, Moum T . How well can a few questionnaire items indicate anxiety and depression?. Acta Psychiatr Scand. 1993; 87(5):364-7. DOI: 10.1111/j.1600-0447.1993.tb03388.x. View

20.

Hankin B, Abramson L, Moffitt T, Silva P, McGee R, Angell K . Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. J Abnorm Psychol. 1998; 107(1):128-40. DOI: 10.1037//0021-843x.107.1.128. View