title: Potential causal relationship between depressive symptoms and academic achievement in the Hawaiian high schools health survey using contemporary longitudinal latent variable change models.
abstract: There is a relatively consistent negative relationship between adolescent depressive symptoms and educational achievement (e.g., grade point average [GPA]). However, the causal direction for this association is less certain due to the lack of longitudinal data with both indicators measured across at least 2 time periods and due to the lack of application of more sophisticated contemporary statistical techniques. We present multivariate results from a large longitudinal cohort-sequential study of high school students (N = 7,317) with measures of self-reported depressive symptoms and self-reported GPAs across multiple time points (following McArdle, 2009, and McArdle, Johnson, Hishinuma, Miyamoto, & Andrade, 2001) using an ethnically diverse sample from Hawai'i. Contemporary statistical techniques included bivariate dynamic structural equation modeling (DSEM), multigroup ethnic and gender DSEMs, ordinal scale measurement of key outcomes, and imputation for incomplete longitudinal data. The findings suggest that depressive symptoms affect subsequent academic achievement and not the other way around, especially for Native Hawaiians compared with female non-Hawaiians. We further discuss the scientific, applied, and methodological-statistical implications of the results, including the need for further theorizing and research on mediating variables. We also discuss the need for increased prevention, early intervention, screening, identification, and treatment of depressive symptoms and disorders. Finally, we argue for utilization of more contemporary methodological-statistical techniques, especially when violating parametric test assumptions.
authors.affiliation: Department of Psychiatry, University of Hawai'i at Mānoa, Honolulu, HI 96813, USA. hishinumae@dop.hawaii.edu
authors.forename: Earl S
authors.initials: ES
authors.lastname: Hishinuma
authors.forename: Janice Y
authors.initials: JY
authors.lastname: Chang
authors.forename: John J
authors.initials: JJ
authors.lastname: McArdle
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Hamagami
mesh_terms: D000293:Adolescent; D002648:Child; D003863:Depression / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology*; D004522:Educational Status; D005260:Female; D006254:Hawaii / Q000453:epidemiology / Q000208:ethnology; D006306:Health Surveys; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008960:Models, Psychological; D044468:Native Hawaiian or Pacific Islander; D057566:Self Report; D012737:Sex Factors