Prevalence of comorbidity symptoms of anxiety and depression and importance of influencing factors among adolescents in Shaanxi Province: a large-scale school-based survey

Prevalence of comorbidity symptoms of anxiety and depression and importance of influencing factors among adolescents in Shaanxi Province: a large-scale school-based survey. Download PDF Abstract Comorbidity symptoms of anxiety and depression disorders (CAD) is common among adolescents and threaten the health and safety of adolescents. This study estimated the prevalence of CAD and examined its relative important influencing factors for formulating targeted intervention programs.

Data were from the National Student Common Disease and Risk Factors Surveillance program in Shaanxi province, Northwestern China in 2023. Anxiety and depressive symptoms were assessed using the Generalized Anxiety Disorder-7 (GAD-7) and the Center for Epidemiologic Studies Depression Scale (CES-D) respectively. An Extreme Gradient Boosting algorithm (XGBoost) model combined with Shapley additive explanations (SHAP) was applied to explore the relative predictive contribution of behavioral factors by school grade.

A total of 94 472 students were included, in whom 15 113 (16.00%) had CAD, and the prevalence of CAD in senior high school students (22.08%) was higher than junior high students (12.01%). There was a gender specific difference in the prevalence of CAD, the proportion of CAD in boys was lower than in girl in junior high school (10.22% vs. The all health-risk behaviors included in this study can influence the CAD among students, but there importance varied with gender and academic stage.

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