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The association between dietary patterns and depression symptoms among adolescents: A cross-sectional study in Indonesia

Rofingatul Mubasyiroh, Rika Rachmalina, Andi Agus Mumang, Rozana Ika Agustiya and 6 more

Social Sciences & Humanities Open | Aug 19, 2026

Abstract

Abstract

Background Mental health and dietary patterns are important factors for adolescent well-being, but evidence on the relationship between overall dietary patterns and depression among Indonesian adolescents remains limited. This study investigates the relationship between dietary patterns and depression in Indonesian adolescents. Methods A cross-sectional study was conducted with 228 school-aged adolescents (15-18 years old) from four schools. Depressive symptoms were assessed using the Kessler Psychological Distress Scale-10 (K-10), and dietary patterns were derived from a non-quantitative Food Frequency Questionnaire (FFQ). Multivariate logistic regression was used to analyze the association between dietary patterns and depressive symptoms. Results The study found that 17.5% of adolescents had depressive disorders. Five major dietary patterns were identified: nutrient-dense foods, modern Western foods, Indonesian traditional foods, animal protein and complex carbohydrates, and dairy products or probiotic foods. After adjusting for confounders, lower quintiles of modern-Western foods (q2 and q3) were significantly associated with a lower depression risk (ORadj = 0.07 [0.01–0.74]; p = 0.028 and ORadj = 0.09 [0.01–0.83]; p = 0.033) compared to the highest quintile (q5). The second quintile of Indonesian-traditional foods (q2) was also significantly associated with a lower risk of depression (ORadj = 0.02 [0.00–0.32]; p = 0.005). Conclusion This study indicates that the association between dietary patterns and depression in adolescents is observed only for the modern Western and Indonesian traditional dietary patterns. However, this relationship is not linear; therefore, caution is needed when interpreting it.

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Authors

Researchers on this paper

Rofingatul Mubasyiroh

first | Center for Plant Conservation | ORCID 0000-0001-5416-9512

Rika Rachmalina

middle | Center for Plant Conservation | ORCID 0000-0002-8290-3208

Andi Agus Mumang

middle | National Institute of Science and Technology

Rozana Ika Agustiya

middle | Center for Plant Conservation | ORCID 0000-0003-1351-4396

Nur Handayani Utami

middle | Center for Plant Conservation | ORCID 0000-0003-4113-9394

Irmansyah Irmansyah

middle | Center for Plant Conservation

Nariyah Handayani

middle | Kementerian Kesehatan Republik Indonesia

Salimar Salimar

middle | Center for Plant Conservation | ORCID 0009-0006-8530-8830

Sugiatmi Sugiatmi

middle | Universitas Muhammadiyah Jakarta

Raflizar Raflizar

last | Center for Plant Conservation

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Citation

BibTeX

@article{Mubasyiroh2026association,
  title = {The association between dietary patterns and depression symptoms among adolescents: A cross-sectional study in Indonesia},
  author = {Rofingatul Mubasyiroh and Rika Rachmalina and Andi Agus Mumang and Rozana Ika Agustiya and Nur Handayani Utami and Irmansyah Irmansyah and Nariyah Handayani and Salimar Salimar and Sugiatmi Sugiatmi and Raflizar Raflizar},
  journal = {Social Sciences & Humanities Open},
  year = {2026},
  doi = {10.1016/j.ssaho.2026.103413},
  url = {https://doi.org/10.1016/j.ssaho.2026.103413}
}

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