@article{ref1,
title="Depression in children and adolescents on the Qinghai-Tibet Plateau: associations with resilience and prosocial behavior",
journal="International journal of environmental research and public health",
year="2021",
author="Liu, Zhengkui and Xuan, Xi and Huang, Changbing and Liang, Yiming and Zhou, Yueyue and Eli, Buzohre and Wang, Jiazhou and Cheng, Jin",
volume="18",
number="2",
pages="e440-e440",
abstract="Depression in children and adolescents has become a serious public health problem worldwide. The objectives of this study were twofold: first, to investigate the  status of depression among children and adolescents on the Qinghai-Tibet Plateau,  the highest plateau in the world, with an average altitude of more than 4200 m  (13,776 feet), and second, to examine the associations among prosocial behavior,  resilience, and depression. A cross-sectional study was conducted among children and  adolescents from Yushu Prefecture on the Qinghai-Tibet Plateau. A total of 11,160  participants aged 10-17 years (M(age) = 14.34 years, SD = 1.77; 51.4% girls) were  included. Self-reported depression, resilience, and prosocial behavior were  assessed. The prevalence of depression was 29.2% in the current study. Higher levels  of prosocial behavior were significantly associated with lower levels of depression  (β = -0.25, p < 0.001). Furthermore, resilience significantly moderated the  relationship between prosocial behavior and depression (β = -0.08, p < 0.001); that  is, resilience enhanced the protective role of prosocial behavior in depression. These findings indicate that resilience may play an important role in the  associations between prosocial behavior and depression, which suggests that  improving resilience is essential for the prevention and intervention of depression  among children and adolescents on the Qinghai-Tibet Plateau.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph18020440",
url="http://dx.doi.org/10.3390/ijerph18020440"
}