Author:
Ding Changmian,Wang Tang,Chen Xiangfan,Li Jingjing,Wang Wei,Huang Danqin,Yan Hong,Li Shiyue
Abstract
Abstract
Background
Adverse childhood experience (ACE), attention deficit hyperactivity disorder (ADHD), and resilience can all contribute to depressive symptoms. However, little is known regarding the complex relationships between these factors and their joint effects on depressive symptoms. This study aimed to explore the underlying mechanism of ACE, ADHD, and resilience on depressive symptoms among men have sex with men (MSM) in China.
Methods
A total of 714 MSM were recruited from gay/bisexual men-serving venues in Wuhan, Changsha, and Nanchang of China. The data was collected using computer-assisted self-interview. The mediated and moderated mediation models were employed to explore the underlying mechanisms between ACE, ADHD, resilience, and depressive symptoms.
Results
Among 714 MSM, 51.4% reported at least one ACE and 13.0% reported three or more. ACE had a direct (β = 1.01, 95% CI: 0.45–1.57) effect on depressive symptoms. ADHD partially mediated the correlation between ACE and depressive symptoms (indirect effect: 0.55; 95% CI: 0.34–0.79). Additionally, the effect of ACE on depressive symptoms was moderated and buffered by resilience (β = −0.09, 95% CI: -0.15 - −0.03).
Conclusion
The findings suggested that, programs and policies that promote resilience and address ADHD might protect Chinese MSM exposed to ACE from depressive symptoms.
Funder
the Humanities and Social Science Foundation of Ministry of Education
the National Natural Science Foundation of China
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference58 articles.
1. Sivasubramanian M, Mimiaga MJ, Mayer KH, Anand VR, Johnson CV, Prabhugate P, Safren SA. Suicidality, clinical depression, and anxiety disorders are highly prevalent in men who have sex with men in Mumbai, India: findings from a community-recruited sample. Psychol Health Med. 2011;16(4):450–62.
2. Stoloff K, Joska JA, Feast D, De Swardt G, Hugo J, Struthers H, McIntyre J, Rebe K. A description of common mental disorders in men who have sex with men (MSM) referred for assessment and intervention at an MSM clinic in Cape Town, South Africa. AIDS Behav. 2013;17(Suppl 1):S77–81.
3. Mills TC, Paul J, Stall R, Pollack L, Canchola J, Chang YJ, Moskowitz JT, Catania JA. Distress and depression in men who have sex with men: the urban Men's health study. Am J Psychiatry. 2004;161(2):278–85.
4. Gao XJZR, Li YF, Ma YL, Chen YL, Ma J, Li ZQ, Jia MH. Depression and related influential factors among men who have sex with men in Kunming. Chin J AIDS STD. 2018;24(02):170–3.
5. Yu LZ, Jiang C, Na J, Li N, Diao WL, Gu Y, Zhao L, Zou Y, Chen Y, Liu L, et al. Elevated 12-Month and lifetime prevalence and comorbidity rates of mood, anxiety, and alcohol use disorders in Chinese men who have sex with men. PLoS One. 2013;8(4):e50762.
Cited by
15 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献