Abstract

BackgroundIdentifying important factors contributing to depression is necessary for interrupting risk pathways to minimize adolescent depression. The study aimed to assess the prevalence of depression in high school students and develop a model for identifying risk of depression among adolescents.MethodsCross-sectional study was conducted. A total of 1190 adolescents from two high schools in eastern China participated in the study. Artificial neurol network (ANN) was used to establish the identification model.ResultsThe prevalence of depression was 29.9% among the students. The model showed the top five protective and risk factors including perceived stress, life events, optimism, self-compassion and resilience. ANN model accuracy was 81.06%, with sensitivity 65.3%, specificity 88.4%, and area under the receiver operating characteristic (ROC) curves 0.846 in testing dataset.ConclusionThe ANN showed the good performance in identifying risk of depression. Promoting the protective factors and reducing the level of risk factors facilitate preventing and relieving depression.

Highlights

  • Identifying important factors contributing to depression is necessary for interrupting risk pathways to minimize adolescent depression

  • After coercing outliers and discarding extremes conducted in the SPSS modeler, 1029 students’ questionnaires were included in the study

  • The present study showed social support was important in defensing depression

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Summary

Introduction

Identifying important factors contributing to depression is necessary for interrupting risk pathways to minimize adolescent depression. The study aimed to assess the prevalence of depression in high school students and develop a model for identifying risk of depression among adolescents. Depression is a common syndrome in adolescents, which is decreasing quality of life and potentially leading to significant morbidity and suicidality [1]. Depression is a leading cause of disability of adolescents worldwide [2] and accounts for global burden of disease [3]. The prevalence of depression is still increasing, especially among adolescents [5]. Besides impairing the flourish of adolescents, suicide, the third leading cause of older adolescents’ death is the most devastating concern for

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