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Using Decision Trees to Examine Environmental and Behavioural Factors Associated with Youth Anxiety, Depression, and Flourishing

Author

Listed:
  • Katelyn Battista

    (School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Karen A. Patte

    (Department of Health Sciences, Brock University, St. Catharines, ON L2S 3A1, Canada)

  • Liqun Diao

    (Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Joel A. Dubin

    (School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
    Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Scott T. Leatherdale

    (School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

Abstract

Modifiable environmental and behavioural factors influence youth mental health; however, past studies have primarily used regression models that quantify population average effects. Decision trees are an analytic technique that examine complex relationships between factors and identify high-risk subgroups to whom intervention measures can be targeted. This study used decision trees to examine associations of various risk factors with youth anxiety, depression, and flourishing. Data were collected from 74,501 students across Canadian high schools participating in the 2018–2019 COMPASS Study. Students completed a questionnaire including validated mental health scales and 23 covariates. Decision trees were grown to identify key factors and subgroups for anxiety, depression, and flourishing outcomes. Females lacking both happy home life and sense of connection to school were at greatest risk for higher anxiety and depression levels. In contrast with previous literature, behavioural factors such as diet, movement and substance use did not emerge as differentiators. This study highlights the influence of home and school environments on youth mental health using a novel decision tree analysis. While having a happy home life is most important in protecting against youth anxiety and depression, a sense of connection to school may mitigate the negative influence of a poor home environment.

Suggested Citation

  • Katelyn Battista & Karen A. Patte & Liqun Diao & Joel A. Dubin & Scott T. Leatherdale, 2022. "Using Decision Trees to Examine Environmental and Behavioural Factors Associated with Youth Anxiety, Depression, and Flourishing," IJERPH, MDPI, vol. 19(17), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10873-:d:903320
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    References listed on IDEAS

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    1. O'Neil, A. & Quirk, S.E. & Housden, S. & Brennan, S.L. & Williams, L.J. & Pasco, J.A. & Berk, M. & Jacka, F.N., 2014. "Relationship between diet and mental health in children and adolescents: A systematic review," American Journal of Public Health, American Public Health Association, vol. 104(10), pages 31-42.
    2. Liu, Yanhong & Carney, JoLynn V. & Kim, Hyunhee & Hazler, Richard J. & Guo, Xiuyan, 2020. "Victimization and students’ psychological well-being: The mediating roles of hope and school connectedness," Children and Youth Services Review, Elsevier, vol. 108(C).
    3. Keyes, C.L.M. & Simoes, E.J., 2012. "To flourish or not: Positive mental health and all-cause mortality," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2164-2172.
    4. Wei-Yin Loh, 2014. "Fifty Years of Classification and Regression Trees," International Statistical Review, International Statistical Institute, vol. 82(3), pages 329-348, December.
    5. Lucy Hone & Aaron Jarden & Grant Schofield, 2014. "Psychometric Properties of the Flourishing Scale in a New Zealand Sample," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 119(2), pages 1031-1045, November.
    6. Arantxa Gorostiaga & Jone Aliri & Nekane Balluerka & Joanes Lameirinhas, 2019. "Parenting Styles and Internalizing Symptoms in Adolescence: A Systematic Literature Review," IJERPH, MDPI, vol. 16(17), pages 1-19, September.
    7. Danielle R. Eugene & Jandel Crutchfield & Erica D. Robinson, 2021. "An Examination of Peer Victimization and Internalizing Problems through a Racial Equity Lens: Does School Connectedness Matter?," IJERPH, MDPI, vol. 18(3), pages 1-18, January.
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