Skip to main content

ORIGINAL RESEARCH article

Front. Psychol.
Sec. Health Psychology
Volume 15 - 2024 | doi: 10.3389/fpsyg.2024.1375698

The impact pathways of personality and psychosocial stress on depression among adult community residents in China: a fuzzy-set qualitative comparative analysis

Provisionally accepted
Xi Yang Xi Yang 1,2Liuruyu Yu Liuruyu Yu 3*Shengming Zhang Shengming Zhang 4Zhaoguo Wei Zhaoguo Wei 1,2Gaoqiang Xie Gaoqiang Xie 3*Jianhong Wang Jianhong Wang 1,2*
  • 1 Shenzhen KangNing Hospital, Shenzhen, China
  • 2 Shenzhen Mental Health Centre, Shenzhen, Guangdong, China
  • 3 Clinical Research Institute, Peking University, Beijing, Beijing Municipality, China
  • 4 Affiliated Mental Health Center, Southern University of Science and Technology, Shenzhen, China

The final, formatted version of the article will be published soon.

    Objective: Depression is the common mental illness with high incidence, which is one of the greatest contributors to the global burden of diseases. Various factors are associated with depression and the working mode is complex. Instead of studying single-factor effects, this study aimed to explore the combination of high-risk factor sets for depression among adult community residents.We conducted a cross-sectional survey in Shenzhen, China from January 2021 to March 2021. A simple sampling method was used to enrolled participants. A total of 1965 adult residents completed the survey and were tested using the Patient Health Questionnaire-9 (PHQ-9), Eysenck personality Questionnaire-revised Short Scale for Chinese(EPQ-RSC), Questionnaires of psychosocial stress survey for groups (PSSG). The fs-QCA method was used to explore the high-risk factor sets for depression among adult community residents.The prevalence of depression among adult residents in Shenzhen, China was 6.36%. The mean scores of PHQ-9 were higher among women and single residents.The combination of low extroversion(e)-high neuroticism(N) in personality trait, combined with high life event(V)-high negative emotional responses to events(G)high positive emotional responses to events(O)-high positive coping styles to events(I) (e*N*V*G*O*I) was high-risk factor sets for depression. The overall consistency was 0.843, and the overall coverage was 0.330.Our study suggested that together with the personality traits including neuroticism and introversion, stressful life events could be the crucial incentive factors regardless of coping strategies was used by adult community residents. This study provides data for developing comprehensive interventions such as regulating neuroticism and introversion levels, and reduce stressors in adult community residents could help preventing depression.

    Keywords: Depression, personality traits, life events, psychological stress, Fs-QCA

    Received: 26 Jan 2024; Accepted: 05 Jul 2024.

    Copyright: © 2024 Yang, Yu, Zhang, Wei, Xie and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Liuruyu Yu, Clinical Research Institute, Peking University, Beijing, 100191, Beijing Municipality, China
    Gaoqiang Xie, Clinical Research Institute, Peking University, Beijing, 100191, Beijing Municipality, China
    Jianhong Wang, Shenzhen KangNing Hospital, Shenzhen, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.