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A network analysis of depression and anxiety and their influencing factors among adolescents with spinal curvature abnormalities
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Shuwen DONG1, Zhixiang ZHU2, Liwan ZHU1, Xinchang SUN1, Liuxun LI2, Xiaosheng CHEN2, Bin YAN2, Ciyong LU1
Chinese Journal of Public Health | 2025, 41(1) : 42 - 48
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Chinese Journal of Public Health | 2025, 41(1): 42-48
• Epidemiological Research •
A network analysis of depression and anxiety and their influencing factors among adolescents with spinal curvature abnormalities
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Shuwen DONG1, Zhixiang ZHU2, Liwan ZHU1, Xinchang SUN1, Liuxun LI2, Xiaosheng CHEN2, Bin YAN2, Ciyong LU1
Affiliations
  • 1School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
  • 2Department of Spine Surgery, The Shenzhen Second People’s Hospital, Shenzhen 518037, China
Published: 2025-01-10 doi: 10.11847/zgggws1145895
Outline
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Objective

To investigate the current status of depression and anxiety and their influencing factors among adolescents with spinal curvature abnormalities.

Methods

From September 2021 to December 2022, a stratified cluster sampling method was used to select 2 855 adolescents with spinal curvature abnormalities from 28 middle schools in Shenzhen city to complete a questionnaire survey, explore the prevalence of depression and anxiety symptoms in this population, and establish logistic regression and mixed network models.

Results

The number of adolescents with spinal curvature abnormalities who experienced depression and anxiety were 1 260 (44.1%) and 1 219 (42.7%), respectively, and the prevalence gradually increased with age (P<0.001). Among girls, 835 (48.6%) and 811 (47.2%) experienced depression and anxiety, respectively, while among boys, the numbers were 425 (37.4%) and 408 (35.9%), respectively. Girls (OR=1.40, 95%CI: 1.15–1.70), average peer relationships (OR=1.58, 95%CI: 1.19–2.09), average teacher-student relationships (OR=1.70, 95%CI: 1.36–2.11), moderate (OR=1.69, 95%CI: 1.30–2.19) or high (OR=4.61, 95%CI: 3.33–6.38) study pressure, acceptable (OR=1.50, 95%CI: 1.24–1.83) or poor (OR=1.77, 95%CI: 1.24–2.53) body image, sometimes (OR=1.40, 95%CI: 1.11–1.77) or often (OR=2.59, 95%CI: 1.69–3.98) experiencing neck and shoulder pain, sometimes (OR=1.58, 95%CI: 1.26–1.98) or often (OR=1.92, 95%CI: 1.25–2.95) experiencing lower back pain, poor sleep quality (OR=5.09, 95%CI: 4.19–6.18), and screen time ≥2 h/d (OR=1.25, 95%CI: 1.04–1.51) were associated with a higher risk of depression (all P<0.05). Girls (OR=1.37, 95%CI=1.13–1.64), average peer relationships (OR=1.62, 95%CI: 1.23–2.12), moderate (OR=2.14, 95%CI: 1.65–2.77) or high (OR=7.31, 95%CI: 5.30–10.08) study pressure, acceptable (OR=1.40, 95%CI: 1.15–1.69) or poor (OR=1.90, 95%CI: 1.35–2.68) body image, sometimes (OR=1.38, 95%CI: 1.10–1.74) or often (OR=2.20, 95%CI: 1.47–3.30) experiencing neck and shoulder pain, sometimes (OR=1.67, 95%CI: 1.34–2.08) or often (OR=1.76, 95%CI: 1.18–2.64) experiencing lower back pain, poor sleep quality (OR=3.11, 95%CI: 2.58–3.76), and screen time ≥2 h/d (OR=1.25, 95%CI: 1.04–1.50) were associated with a higher risk of anxiety (all P<0.05). In the network analysis, sleep quality (Weight=0.47) and peer relationships (Weight=0.25) had strong direct associations with depression, and study pressure (Weight=0.31) had a strong direct association with anxiety.

Conclusions

The prevalence of depression and anxiety symptoms is high among adolescents with spinal curvature abnormalities in Shenzhen city, and is influenced by factors such as sex, peer relationships, study pressure, body image, neck and shoulder pain, lower back pain, sleep quality, and screen time. Early attention to mental health issues in this population and the timely provision of reasonable and effective interventions are conducive to their physical and mental health development.

spinal curvature abnormalities  /  depressive symptoms  /  anxiety symptoms  /  network analysis  /  regression analysis
董淑文, 朱智祥, 朱立婉, 孙鑫昌, 李柳旬, 陈晓生, 颜滨, 卢次勇. 基于网络分析探究脊柱弯曲异常青少年抑郁、焦虑现状及影响因素. 中国公共卫生, 2025 , 41 (1) : 42 -48 . DOI: 10.11847/zgggws1145895
Shuwen DONG, Zhixiang ZHU, Liwan ZHU, Xinchang SUN, Liuxun LI, Xiaosheng CHEN, Bin YAN, Ciyong LU. A network analysis of depression and anxiety and their influencing factors among adolescents with spinal curvature abnormalities[J]. Chinese Journal of Public Health, 2025 , 41 (1) : 42 -48 . DOI: 10.11847/zgggws1145895
Year 2025 volume 41 Issue 1
97
41
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Article Info
doi: 10.11847/zgggws1145895
  • Receive Date:2024-09-09
  • Online Date:2026-10-25
  • Published:2025-01-10
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History
  • Received:2024-09-09
  • Revised:2024-10-14
  • Accepted:2024-11-27
Affiliations
    1School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    2Department of Spine Surgery, The Shenzhen Second People’s Hospital, Shenzhen 518037, China

Corresponding:

YAN Bin, E-mail:
LU Ciyong, E-mail:
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表12种不同金属材料的力学参数
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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