Search

Background: Suicidal ideation (SI) is severe comorbidity of depression that has been extensively studied in the past. Residence differences between SI have rarely been systematically studied, especially in parental rearing behavior. This large-scale explored the residence differences in the prevalence and correlation of SI adolescent patients with depression.Methods: A total of 1417 patients with depression were recruited, and their demographic data and clinical data were collected. The Children's Depression Inventory (CDI) and the Egna Minnen Beträffande Uppfostran (EMBU) scale were used to assess depression, and parental rearing behavior, respectively.Results: The prevalence of suicidal ideation was higher in urban patients than in rural patients (43.7 % vs.37.7 %, P < 0.05). Patients with SI scored higher on total CDI scores, parental punishment, parental rejection, and paternal overprotection compared to their respective patients without SI. In the urban group, patients with SI had lower parental emotional warmth scores and higher parental intervention scores compared to patients without SI. Logistic regression analysis showed that total CDI score, gender, alcohol consumption, father's emotional warmth, father's rejection, and mother's intervention were significantly associated with SI in urban patients (P < 0.05); total CDI score and mother's rejection were significantly associated with SI in rural patients (P < 0.05).Limitations: No causal relationship could be drawn due to the cross-sectional design.Conclusions: The results of this study showed significant residential differences in risk and associated factors for SI among adolescents with depression. Focusing on the parenting styles of adolescent patients can help with the early identification and intervention of SI. [ABSTRACT FROM AUTHOR]

Background: The specific impacts of attitudes toward aging on depressive symptoms have not been widely reported in previous studies in China.Objectives: The aim is to examine the associations between attitudes toward aging, perceived social support, and depressive symptoms among older adults stratified by rural and urban dwelling.Methods: This study used a cross-sectional data including 7209 participants, among which 64.6% were urban adults and 35.4% were rural adults. Several multiple liner regression models were used to analysis the data. Three social support types were analyzed as moderators of the relationship between the attitudes toward aging and depressive symptoms.Results: Positive attitudes toward aging (β=-0.139, P<0.001), negative attitudes toward aging (β=0.284, P<0.001) were significantly associated with lower depressive symptoms among older Chinese adults. Support from family (β=-0.087, P<0.001), friends (β=-0.047, P<0.01) and the government (β=-0.035, P<0.01) were all significantly associated with urban older adults' levels of depressive symptoms. Only family support (β=-0.109, P<0.001) was associated with lower depressive symptoms among rural older adults'. In addition, family support buffered the effect of negative attitudes toward aging on depressive symptoms for all the older adults, while the moderation effects of support from friends and government only worked for urban elderly.Limitations: A cross-sectional design is limited to establish causal associations.Conclusions: Addressing depression among older adults should focus on improving attitudes toward aging and expanding the availability of social support. Moreover, deeper reforms are needed to address inequalities between urban and rural areas in China. [ABSTRACT FROM AUTHOR]

Abstract: Objectives: To determine if levels of personal stigma towards depression and agreement with health professionals about treatment differ between rural–urban populations. Methods: Data from a telephone survey conducted in Alberta (n=3047, response rate=75.2%) was analyzed. Participants responded to a case vignette describing a depressed individual and questionnaires assessing attitudes towards treatments, and personal stigma against depression. The relation between rural–urban status and agreement with health professionals about treatment was assessed using logistic regression. Stigma scores in relation to rural–urban status were analyzed using multivariate linear regression. Results: Urban respondents were more likely than rural participants to agree with health professionals about depression treatments. This was found overall, and in women. After adjustment for income and education, rural–urban status was no longer significant. Urban participants had lower stigma scores in overall analysis. After adjustment for income and education, stigma scores remained higher among rural men. Education was associated with lower stigma scores among both men and women in fully adjusted models. The ability to recognize depression was associated with lower stigma scores. Conclusions: Differences exist in rural–urban population about treatments for depression and stigma towards depression. The rural–urban differences in stigma and agreement with health professionals about treatment may be largely explained by educational levels. [Copyright &y& Elsevier]