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Research article
Factors influencing cognitive reactivity among young adults at high risk for depression in China: a cross-sectional study
fei fei huang
Fujian Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0003-0197-8687
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: 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. 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.
Methods: A 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.
Results: The 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.
Conclusions: The 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.
Keywords
Depression; Cognitive Reactivity; Young adults; Survey; China
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CURRENT STATUS: Under Review
Version 3
Posted 15 Apr, 2020
No community comments so far
Review #1 received
Received 02 May, 2020
Reviewer #1 agreed
On 15 Apr, 2020
Reviewers invited
Invitations sent on 14 Apr, 2020
Editor assigned
On 13 Apr, 2020
Submission checks complete
On 12 Apr, 2020
Editor invited
On 12 Apr, 2020
No comments provided
Editorial decision: Minor revision
On 06 Apr, 2020
Review #2 received
Received 05 Apr, 2020
Reviewer #2 agreed
On 21 Mar, 2020
Review #1 received
Received 16 Feb, 2020
Reviewer #1 agreed
On 13 Feb, 2020
Editor assigned
On 11 Feb, 2020
Reviewers invited
Invitations sent on 11 Feb, 2020
Submission checks complete
On 10 Feb, 2020
Editor invited
On 10 Feb, 2020
No comments provided
Editorial decision: Major revision
On 22 Jan, 2020
Review #1 received
Received 21 Jan, 2020
Review #2 received
Received 04 Jan, 2020
Reviewer #2 agreed
On 01 Jan, 2020
Reviewers invited
Invitations sent on 21 Dec, 2019
Reviewer #1 agreed
On 21 Dec, 2019
Editor assigned
On 13 Dec, 2019
Submission checks complete
On 11 Dec, 2019
Editor invited
On 09 Dec, 2019
First submitted
On 01 Dec, 2019
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This preprint is under consideration at BMC Public Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Factors influencing cognitive reactivity among young adults at high risk for depression in China: a cross-sectional study
fei fei huang
Fujian Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0003-0197-8687
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 3
Posted 15 Apr, 2020
No community comments so far
Review #1 received
Received 02 May, 2020
Reviewer #1 agreed
On 15 Apr, 2020
Reviewers invited
Invitations sent on 14 Apr, 2020
Editor assigned
On 13 Apr, 2020
Submission checks complete
On 12 Apr, 2020
Editor invited
On 12 Apr, 2020
No comments provided
Editorial decision: Minor revision
On 06 Apr, 2020
Review #2 received
Received 05 Apr, 2020
Reviewer #2 agreed
On 21 Mar, 2020
Review #1 received
Received 16 Feb, 2020
Reviewer #1 agreed
On 13 Feb, 2020
Editor assigned
On 11 Feb, 2020
Reviewers invited
Invitations sent on 11 Feb, 2020
Submission checks complete
On 10 Feb, 2020
Editor invited
On 10 Feb, 2020
No comments provided
Editorial decision: Major revision
On 22 Jan, 2020
Review #1 received
Received 21 Jan, 2020
Review #2 received
Received 04 Jan, 2020
Reviewer #2 agreed
On 01 Jan, 2020
Reviewers invited
Invitations sent on 21 Dec, 2019
Reviewer #1 agreed
On 21 Dec, 2019
Editor assigned
On 13 Dec, 2019
Submission checks complete
On 11 Dec, 2019
Editor invited
On 09 Dec, 2019
First submitted
On 01 Dec, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: 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. 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.
Methods: A 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.
Results: The 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.
Conclusions: The 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.