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The impact of self-efficacy on first onset and prognosis of major depressive disorder: findings from a longitudinal study in a sample of Chinese first-year university students

Published online by Cambridge University Press:  10 August 2021

JianLi Wang Open the ORCID record for JianLi Wang [Opens in a new window] ,
Debiao Liu ,
Guoliang Li ,
Jin Zhu ,
Song Yue ,
Xiang Li ,
Ying Li ,
Yili Wu ,
Bin Wang  and
Yan Liu
JianLi Wang*
Affiliation:
Shandong Key Laboratory of Behavioral Medicine, School of Mental Health, Jining Medical University, Jining 272013, China The Royal's Institute of Mental Health Research, University of Ottawa, Ottawa K1Z 7K4, Canada School of Epidemiology and Public Health, University of Ottawa, Ottawa K1Z 7K4, Canada
Debiao Liu
Affiliation:
Shandong Key Laboratory of Behavioral Medicine, School of Mental Health, Jining Medical University, Jining 272013, China
Guoliang Li
Affiliation:
Shandong Key Laboratory of Behavioral Medicine, School of Mental Health, Jining Medical University, Jining 272013, China
Jin Zhu
Affiliation:
Shandong Key Laboratory of Behavioral Medicine, School of Mental Health, Jining Medical University, Jining 272013, China Shandong Collaborative Innovation Center for Diagnosis & Treatment & Behavioral Interventions of Mental Disorders, Institute of Mental Health, Jining Medical University, Jining 272013, China Center of Evidence-based Medicine, Jining Medical University, Jining 272013, China
Song Yue
Affiliation:
Shandong Key Laboratory of Behavioral Medicine, School of Mental Health, Jining Medical University, Jining 272013, China Department of Pathology, Weifang Medical University, Weifang 261053, China
Xiang Li
Affiliation:
Shandong Key Laboratory of Behavioral Medicine, School of Mental Health, Jining Medical University, Jining 272013, China
Ying Li
Affiliation:
Library of Jining Medical University, Jining 272067, China
Yili Wu
Affiliation:
Shandong Key Laboratory of Behavioral Medicine, School of Mental Health, Jining Medical University, Jining 272013, China Shandong Collaborative Innovation Center for Diagnosis & Treatment & Behavioral Interventions of Mental Disorders, Institute of Mental Health, Jining Medical University, Jining 272013, China Center of Evidence-based Medicine, Jining Medical University, Jining 272013, China
Bin Wang
Affiliation:
The Second Affiliated Hospital of Jining Medical University, Jining 272051, China
Yan Liu*
Affiliation:
Shandong Key Laboratory of Behavioral Medicine, School of Mental Health, Jining Medical University, Jining 272013, China Shandong Collaborative Innovation Center for Diagnosis & Treatment & Behavioral Interventions of Mental Disorders, Institute of Mental Health, Jining Medical University, Jining 272013, China Center of Evidence-based Medicine, Jining Medical University, Jining 272013, China
*
Authors for correspondence: JianLi Wang, E-mail: Jianli.Wang@theroyal.ca; Yan Liu, E-mail: hakunaly@163.com
Authors for correspondence: JianLi Wang, E-mail: Jianli.Wang@theroyal.ca; Yan Liu, E-mail: hakunaly@163.com
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Abstract

Background

Self-efficacy is a pivotal factor in the etiology and prognosis of major depression. However, longitudinal studies on the relationship between self-efficacy and major depressive disorder (MDD) are scarce. The objectives were to investigate: (1) the associations between self-efficacy and the 1-year and 2-year risks of first onset of MDD and (2) the associations between self-efficacy and the 1-year and 2-year risks of the persistence/recurrence of MDD, in a sample of first-year university students.

Methods

We followed 8079 first-year university students for 2 years from April 2018 to October 2020. MDD was ascertained by the Chinese version of the Composite International Diagnostic Interview (CIDI-3.0) based on self-report. Self-efficacy was measured by the 10-item General Self-efficacy (GSE) scale. Random effect logistic regression modeling was used to estimate the associations.

Results

Among participants without a lifetime MDD, the data showed that participants with high baseline GSE scores were associated with a higher risk of first onset of MDD over 2 years [odds ratio (OR) 1.04, 95% confidence interval (CI) 1.01–1.08]. Among those with a lifetime MDD, participants with high baseline GSE scores were less likely to have had a MDD over 2 years (OR 0.93, 95% CI 0.88–0.99) compared to others.

Conclusions

A high level of GSE may be protective of the risk of persistent or recurrent MDD. More longitudinal studies in university students are needed to further investigate the impact of GSE on the first onset of MDD.

Keywords

Self-efficacymajor depressive disorderuniversity/college studentlongitudinal studyChinaincidence

Information

Type
Original Article
Information
Psychological Medicine , Volume 52 , Issue 1 , January 2022 , pp. 178 - 183
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

This article has been updated since its original publication. A correction notice detailing the update can be found here: https://doi.org/10.1017/S0033291721003627

References

Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd-Allah, F., Abdulkader, R. S., … Zuhlke, L. J. (2017). Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2016: A systematic analysis for the global burden of disease study 2016. The Lancet, 390(10100), 1260–1344. https://doi.org/10.1016/S0140-6736(17)32130-X.Google Scholar
Bandura, A. (1986). Social foundations of thought and action: Social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Bandura, A., Caprara, G. V., Barbaranelli, C., Gerbino, M., & Pastorelli, C. (2003). Role of affective self-regulatory efficacy in diverse spheres of psychosocial functioning. Child Development, 74, 769–782. https://doi.org/10.1111/1467-8624.00567.CrossRefGoogle ScholarPubMed
Brenninkmeijer, V., Lagerveld, S. E., Blonk, R. W. B., Schaufeli, W. B., & Wijngaards-de Meij, L. D. N. V. (2019). Predicting the effectiveness of work-focused CBT for common mental disorders: The influence of baseline self-efficacy, depression and anxiety. Journal of Occupational Rehabilitation, 29, 31–41. https://doi.org/10.1007/s10926-018-9760-3.CrossRefGoogle ScholarPubMed
Cutrona, C. E., & Troutman, B. R. (1986). Social support, infant temperament, and parenting self-efficacy: A mediational model of postpartum depression. Child Development, 57, 1507–1518. https://doi.org/10.1111/j.1467-8624.1986.tb00475.x.CrossRefGoogle ScholarPubMed
Ehrenberg, M. F., Cox, D. N., & Koopman, R. F. (1991). The relationship between self-efficacy and depression in adolescents. Adolescence, 26, 361–374.Google ScholarPubMed
Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process. Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48(1), 150–170. https://doi.org/10.1037/0022-3514.48.1.150.CrossRefGoogle ScholarPubMed
Han, X., & Yang, H. (2009). The application of Nolen-Hoeksema rumination response scale in the Chinese population. Chinese Journal of Clinical Psychology, 17, 549–551.Google Scholar
Hoven, M., Lebreton, M., Engelmann, J. B., Denys, D., Luigjes, J., & van Holst, R. J. (2019). Abnormalities of confidence in psychiatry: An overview and future perspectives. Translational Psychiatry 9, 268. https://doi.org/10.1038/s41398-019-0602-7.CrossRefGoogle ScholarPubMed
Huang, Y., Xie, S., Lu, J., Xu, J., Dang, W., Li, Y., … Chi, R. (2010). Community-based evaluation of the reliability and validity of Chinese version of Composite International Diagnostic Interview-3.0. Chinese Mental Health Journal, 24(1), 21–24.Google Scholar
Kavanagh, D. J., & Wilson, P. H. (1989). Prediction of outcome with group cognitive therapy for depression. Behaviour Research and Therapy, 27(4), 333–343. https://doi.org/10.1016/0005-7967(89)90003-X.CrossRefGoogle ScholarPubMed
Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S., & Üstün, T. B. (2007). Age of onset of mental disorders: A review of recent literature. Current Opinion in Psychiatry, 20(4), 359–364. https://doi.org/10.1097/YCO.0b013e32816ebc8c.CrossRefGoogle ScholarPubMed
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., … Wang, P. S. (2003). The epidemiology of major depressive disorder: Results from the national comorbidity survey replication (NCS-R). Journal of the American Medical Association, 289(23), 3095–3105. https://doi.org/10.1001/jama.289.23.3095.CrossRefGoogle Scholar
Kessler, R. C., & Üstün, B. B. (2004). The World Mental Health (WMH) survey initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13(2), 93–121. https://doi.org/10.1002/mpr.168.CrossRefGoogle Scholar
Kroenke, K., & Spitzer, R. L. (2001). The PHQ-9. Journal of General Internal Medicine, 16(9), 606–613.CrossRefGoogle ScholarPubMed
Muris, P. (2002). Relationships between self-efficacy and symptoms of anxiety disorders and depression in a normal adolescent sample. Personality and Individual Differences, 32, 337–348. https://doi.org/10.1016/S0191-8869(01)00027-7.CrossRefGoogle Scholar
Patten, S. B., Williams, J. V. A., Lavorato, D. H., Wang, J. L., McDonald, K., & Bulloch, A. G. M. (2015). Descriptive epidemiology of major depressive disorder in Canada in 2012. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 60(1), 23–30. https://doi.org/10.1177/070674371506000106.CrossRefGoogle ScholarPubMed
Rabe-Hesketh, S., & Skrondal, A. (2008). Multilevel and longitudinal modeling using STATA (2nd Ed.). College Station, TX: A Stata Press Publication, StataCorp LP.Google Scholar
Schwarzer, R., & Jerusalem, M. (1995). Generalized self-efficacy scale. In Weinman, J., Wright, S. & Johnston, M. (Eds.), Measures in health psychology: A user's portfolio. Causal and control beliefs (pp. 35–37). Windsor, UK: NFER-NELSON.Google Scholar
Seligman, M. (1975). Helplessness: On depression, development, and death. New York, NY: W.H. Freeman & Company.Google Scholar
Stankov, L., Morony, S., & Lee, Y. P. (2014). Confidence: The best non-cognitive predictor of academic achievement? Educational Psychology, 34(1), 9–28. https://doi.org/10.1080/01443410.2013.814194.CrossRefGoogle Scholar
STATACorp. (2019). STATA Software, Release 16. College Station.Google Scholar
Strecher, V. J., McEvoy DeVellis, B., Becker, M. H., & Rosenstock, I. M. (1986). The role of self-efficacy in achieving health behavior change. Health Education & Behavior, 13(1), 73–92. https://doi.org/10.1177/109019818601300108.Google ScholarPubMed
Tak, Y. R., Brunwasser, S. M., Lichtwarck-Aschoff, A., & Engels, R. C. M. E. (2017). The prospective associations between self-efficacy and depressive symptoms from early to middle adolescence: A cross-lagged model. Journal of Youth and Adolescence, 46, 744–756. https://doi.org/10.1007/s10964-016-0614-z.CrossRefGoogle ScholarPubMed
Taneichi, H., Asakura, M., Sairenchi, T., Haruyama, Y., Wada, K., & Muto, T. (2013). Low self-efficacy is a risk factor for depression among male Japanese workers: A cohort study. Industrial Health, 51, 452–458. https://doi.org/10.2486/indhealth.2013-0021.CrossRefGoogle ScholarPubMed
Wang, C., Hu, Z., & Liu, Y. (2001). Validation of the general self-efficacy scale. Chinese Journal of Applied Psychology, 7(1), 37–40.Google Scholar
Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., … Vos, T. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the global burden of disease study 2010. The Lancet, 382(9904), 1575–1586. https://doi.org/10.1016/S0140-6736(13)61611-6.CrossRefGoogle ScholarPubMed
Xie, Y. (1998). Preliminary evaluation of the psychometric properties of the Simple Coping Questionnaire. Chinese Journal of Clinical Psychology, 6(2), 114–115.Google Scholar
Zhang, J., & Schwarzer, R. (1995). Measuring optimistic self-beliefs – A Chinese adaptation of the general self-efficacy scale. Psychologia: An International Journal of Psychology in the Orient, 38(3), 174–181.Google Scholar
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