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<p>The current study used a person-centered analytic approach to identify distinct classes of depressive symptoms among Black adolescents in under-resourced, urban communities and examined demographic and contextual factors related to class differences. Participants were 403 Black adolescents (ages 11–15, 54% female) who completed self-report surveys. Latent class analysis identified three depressive symptom classes: A <i>Moderate Anhedonia/Mild Dysphoric Mood</i> class endorsing moderate affective symptoms with lower cognitive and somatic symptoms; a <i>High Cognitive-Affective-Somatic</i> class endorsing high cognitive, affective, and somatic symptoms; and a <i>Mild Somatic Complaints</i> class with moderate endorsement of somatic symptoms and lower cognitive and affective symptoms. Girls were more likely to be in the High Cognitive-Affective-Somatic class and the Mild Somatic Complaints than the Moderate Anhedonia/Mild Dysphoric Mood class. Youth with fathers who had higher levels of schooling were more likely to be in the High Cognitive-Affective-Somatic class than both the Moderate Anhedonia/Mild Dysphoric Mood and Somatic Complaints classes. Additionally, youth with more community violence exposure were more likely to be in the High Cognitive-Affective-Somatic class than the Moderate Anhedonia/Mild Dysphoric Mood, whereas youth with lower levels of community violence exposure were more likely to be in the Mild Somatic Complaints class than both the Moderate Anhedonia/Mild Dysphoric Mood and High Cognitive-Affective-Somatic classes. Finally, youth with more peer and family support were more likely to be in the Mild Somatic Complaints class than the High Cognitive-Affective-Somatic class. These findings highlight the heterogeneity of depressive symptom expression among Black adolescents and the importance of sociocultural considerations in clinical practice.</p>

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Examining Patterns of Depressive Symptoms Among Black Youth in Economically Disinvested Urban Communities: A Latent Class Analysis

  • 期刊论文

  • 发表日期：

    2025年4月1日

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  • Jasmine Alli,
  • Noni Gaylord-Harden,
  • Esther Jenkins

摘要

The current study used a person-centered analytic approach to identify distinct classes of depressive symptoms among Black adolescents in under-resourced, urban communities and examined demographic and contextual factors related to class differences. Participants were 403 Black adolescents (ages 11–15, 54% female) who completed self-report surveys. Latent class analysis identified three depressive symptom classes: A Moderate Anhedonia/Mild Dysphoric Mood class endorsing moderate affective symptoms with lower cognitive and somatic symptoms; a High Cognitive-Affective-Somatic class endorsing high cognitive, affective, and somatic symptoms; and a Mild Somatic Complaints class with moderate endorsement of somatic symptoms and lower cognitive and affective symptoms. Girls were more likely to be in the High Cognitive-Affective-Somatic class and the Mild Somatic Complaints than the Moderate Anhedonia/Mild Dysphoric Mood class. Youth with fathers who had higher levels of schooling were more likely to be in the High Cognitive-Affective-Somatic class than both the Moderate Anhedonia/Mild Dysphoric Mood and Somatic Complaints classes. Additionally, youth with more community violence exposure were more likely to be in the High Cognitive-Affective-Somatic class than the Moderate Anhedonia/Mild Dysphoric Mood, whereas youth with lower levels of community violence exposure were more likely to be in the Mild Somatic Complaints class than both the Moderate Anhedonia/Mild Dysphoric Mood and High Cognitive-Affective-Somatic classes. Finally, youth with more peer and family support were more likely to be in the Mild Somatic Complaints class than the High Cognitive-Affective-Somatic class. These findings highlight the heterogeneity of depressive symptom expression among Black adolescents and the importance of sociocultural considerations in clinical practice.