Abstract
BackgroundUnderstanding the factors influencing cognitive reactivity (CR) may help identify individuals at risk for first episode depression and relapse and facilitate routine access to preventative treatments. However, few studies have examined the relationship between CR and depression in Asian countries. This study was performed to assess the current status of CR among Chinese young adults and explore influencing factors.MethodsA national cross-sectional online study using convenience sampling was conducted among 1597 healthy young adults in China (response rate: 93.94%) with a mean age of 24.34 (SD = 5.76) years.ResultsThe mean CR score was 51.36 ± 18.97 (range 0–130). Binary logistic regression showed that a low level of CR was associated with the following factors: high self-compassion, high social support, high resilience, high monthly household income, and living in a rural area, with odds ratios (ORs) ranging from 0.14 to 0.70. Young adults in full-time employment, experiencing poor sleep, with high neuroticism, who reported frequent sad mood, and who had a high intensity of negative life events had increased CR to depression, with ORs ranging from 1.18 to 6.66. The prediction probability of these factors was 75.40%. Causal relationships among the influencing factors and CR could not be explored.ConclusionsThe self-reported CR levels among Chinese young adults were moderate. Enhancing self-compassion, resilience, and social support for young adults and reducing negative life events, neuroticism, and poor sleep may help decrease CR. These findings may help healthcare providers or researchers determine how to cultivate and improve the CR of young adults by establishing documented policies and/or improving intervention efficacies.
Highlights
Understanding the factors influencing cognitive reactivity (CR) may help identify individuals at risk for first episode depression and relapse and facilitate routine access to preventative treatments
Few groups have examined the association between CR and positive psychological resources [18] that are considered to protect individuals from depression. We extended this knowledge of protective factors in depression to include personal factors and interpersonal factors, and explored the associations between these factors and CR
CR scores of the young adults The participants were classified into two normal group (NG) and risk for depression group (RDG) according to the LEIDS-RR-CV cut-off score
Summary
Understanding the factors influencing cognitive reactivity (CR) may help identify individuals at risk for first episode depression and relapse and facilitate routine access to preventative treatments. Young adults are often overlooked, misdiagnosed, or undetected compared to older adults, possibly due to the uncertainties (e.g., initiating the roles and responsibilities of adulthood) young people experience being accompanied by irritability and mood fluctuations [7]. Among those who do not meet the diagnostic criteria for major depression, 10 to 35% experience episodes of low mood or sub-threshold depression that significantly impair their quality of life. These alarming statistics underscore the importance of identifying signs of depression in young adults and identifying those at risk of depression, which may provide clinical targets for depression prevention and early interventions [3]
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