The impact of parental divorce on the comorbidity of depression and social anxiety symptoms in adolescents and young adults: evidence from symptom and Bayesian network analysis
摘要
Divorce has become a fact for more families and could bring unfavorable outcomes in offspring’s mental health. Yet, the relation between parental divorce and children’s depression and social anxiety remains unclear. The current study, adopting the symptomatic perspective, aims to identify the symptomatic characteristics and developmental trajectories of depression and social anxiety related to parental divorce.
MethodsThis study used a convenience sampling method, collecting data from 5,372 college students, and after the filtering process, 3,617 participants (females = 2303 (63.6%), Mean age = 18.8) were left for further analysis. The patient health questionnaire-9 (PHQ-9) and social anxiety scale (SAS) were used. Participants were divided into two groups according to their parents’ marital status. Both groups’ symptomatic network and directed acyclic graph network were constructed.
ResultsThe divorced group scored significantly higher on all symptoms except “Concentration” (PHQ7), “Motor” (PHQ8), “Suicide” (PHQ9), and “Anxiety in unfamiliar situation” (SAS2). “Guilt”(PHQ-6) appears to be the most prominent symptomatic feature with the highest bridge expected influence value. The robust triggering relation exists between “Anxiety in unfamiliar situation” and “Anxiety in normal situation” (SAS3), and does not differ between the two groups.
Conclusion“Guilt” (PHQ-6) was identified as the symptomatic characteristic related to parental divorce, and the generalization of anxiety from specific situations to unfamiliar situations exists across the two groups. The findings suggest that improving self-esteem and reducing feelings of guilt and shame may help alleviate both depression and social anxiety, especially for adolescents who have experienced parental divorce.