an increasing trendp < 0.001
The third category accounted for 11.5 %, and their initial levels of depression and anxiety were above the cutoff, and depression symptoms presented stable while anxiety symptoms showed an increasing trend, which was named “risk group” (Intercept I dep = 13.08, p < 0.001, I anx = 54.10, p = 0.039; slope S dep = 0.15, p = 0.416, S anx = 0.82, p = 0.039).