Factors influencing cognitive reactivity among young adults at high risk for depression in China: a cross-sectional study
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.
Posted 15 Apr, 2020
Received 02 May, 2020
On 15 Apr, 2020
Invitations sent on 14 Apr, 2020
On 13 Apr, 2020
On 12 Apr, 2020
On 12 Apr, 2020
On 06 Apr, 2020
Received 05 Apr, 2020
On 21 Mar, 2020
Received 16 Feb, 2020
On 13 Feb, 2020
On 11 Feb, 2020
Invitations sent on 11 Feb, 2020
On 10 Feb, 2020
On 10 Feb, 2020
On 22 Jan, 2020
Received 21 Jan, 2020
Received 04 Jan, 2020
On 01 Jan, 2020
Invitations sent on 21 Dec, 2019
On 21 Dec, 2019
On 13 Dec, 2019
On 11 Dec, 2019
On 09 Dec, 2019
On 01 Dec, 2019
Factors influencing cognitive reactivity among young adults at high risk for depression in China: a cross-sectional study
Posted 15 Apr, 2020
Received 02 May, 2020
On 15 Apr, 2020
Invitations sent on 14 Apr, 2020
On 13 Apr, 2020
On 12 Apr, 2020
On 12 Apr, 2020
On 06 Apr, 2020
Received 05 Apr, 2020
On 21 Mar, 2020
Received 16 Feb, 2020
On 13 Feb, 2020
On 11 Feb, 2020
Invitations sent on 11 Feb, 2020
On 10 Feb, 2020
On 10 Feb, 2020
On 22 Jan, 2020
Received 21 Jan, 2020
Received 04 Jan, 2020
On 01 Jan, 2020
Invitations sent on 21 Dec, 2019
On 21 Dec, 2019
On 13 Dec, 2019
On 11 Dec, 2019
On 09 Dec, 2019
On 01 Dec, 2019
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.