【摘要】：目的了解農(nóng)村地區(qū)兒童抑郁狀況及留守狀態(tài)對抑郁的影響，為進一步開展針對性干預措施提供科學依據(jù)。 方法運用兒童抑郁量表（CDI）、家庭功能量表(APGAR)、生活質量量表（QOL）、特質應對問卷(TCSQ)、親子沖突策略量表(SPC)及自編問卷等對安徽省某農(nóng)村地區(qū)中小學生進行身心健康狀況與相關生活經(jīng)歷調查，了解留守兒童抑郁狀況，并對其抑郁的影響因素進行多因素logistic回歸分析。 結果共計調查3169人，實際有效應答2917人，有效應答率92.0%。農(nóng)村兒童抑郁癥狀檢出率10.4%，留守兒童抑郁癥狀檢出率為12.1%，高于非留守兒童的8.0%（2=12.754，P0.01）。不同監(jiān)護類型的抑郁癥狀檢出率之間差異有統(tǒng)計學意義（2=21.982，P0.01）；以同輩(20.8%)和親戚(19.4%)監(jiān)護抑郁癥狀檢出率最高。兒童家庭功能總分與兒童抑郁量表（CDI）得分呈負相關（Spearmanr=-0.421,P0.01）。消極應對與CDI得分呈正相關(Spearman r＝0.486，P0.01)；積極應對得分與CDI得分呈負相關(Spearman r＝-0.356，P0.01)。留守兒童忽視報告率（70.2%）高于非留守兒童（63.5%），差異有統(tǒng)計學意義（2=14.322，P0.001）；留守兒童軀體虐待、輕度、中度軀體虐待報告率低于非留守兒童，差異有統(tǒng)計學意義（2=14.787，P0.001）、（2=8.828，P=0.003）、（2=17.274，P0.001）。多因素logistic回歸分析顯示留守兒童中，家庭功能、忽視、軀體虐待、學習成績、老師關心、經(jīng)濟狀況、同伴關系是其抑郁的重要影響因素；家庭功能障礙、存在忽視、軀體虐待、學習成績差、同伴關系不大親密的留守兒童抑郁檢出率較高；而在非留守兒童中，家庭功能、忽視、學習成績是其抑郁的重要影響因素。 結論該地區(qū)留守兒童抑郁檢出率高于非留守兒童，兒童抑郁的發(fā)生是多種因素綜合作用的結果，，應該針對影響因素采取有效的干預措施，減少兒童尤其是留守兒童抑郁的發(fā)生。
[Abstract]:Objective to investigate the depression status of children in rural areas and the influence of left behind state on depression, and to provide scientific basis for further targeted intervention. Methods Children's Depression scale (CDI), Family function scale (APGAR), quality of Life scale (QOL), trait coping questionnaire (TCSQ), Parent-Child conflict Strategy scale (SPC) and self-designed questionnaire were used to evaluate the physical and mental health of primary and middle school students in a rural area of Anhui Province. A survey of life experiences, Objective: to investigate the depression status of children left behind and to analyze the influencing factors of depression by multivariate logistic regression analysis. Results A total of 3169 people were investigated and 2917 effective responses were obtained, and the effective response rate was 92.0%. The detectable rate of depressive symptoms of rural children was 10.4, and that of left-behind children was 12.1cm, which was higher than that of non-left-behind children (8.0%) (2 / 12.754 / P0.01). There were significant differences in the prevalence of depressive symptoms among different types of monitoring (20.982P0.01), and the highest rates of depressive symptoms were observed in the peer group (20.8%) and relatives (19.4%). There was a negative correlation between the total score of children's family function and the score of Child Depression scale (Spearmanr-0.421, P0.01). There was a positive correlation between negative coping and CDI score (Spearman rn 0.486, P0.01), and a negative correlation between positive coping score and CDI score (Spearman r-0.356, P0.01). The report rate of neglect in left-behind children (70.2%) was significantly higher than that in non-left-behind children (63.5%), the difference was statistically significant (20.32%), and the reported rate of physical abuse in left-behind children was significantly lower than that in non-left-behind children (P 0.001, P 0.001, 28.828P0.001, 28.828P0.003), (, 17.274p0.001), and the reported rate of physical abuse in left-behind children was significantly lower than that in non-left-behind children (P 0.001, 28.828P0.001, 28.828P0.003), (, 17.274p0.001). Multivariate logistic regression analysis showed that family function, neglect, physical abuse, academic achievement, teachers' concern, financial status, peer relationship were the important factors of depression in left-behind children, and family dysfunction, neglect and physical abuse were important factors. The depression rate of left-behind children with poor academic achievement and less intimate peer relationship was higher, while in non-left-behind children, family function, neglect and academic achievement were the important influencing factors of depression. Conclusion the incidence of depression in children left behind in this area is higher than that in non-left-behind children. The occurrence of depression in children is the result of multiple factors. Effective intervention measures should be taken to reduce the incidence of depression in children, especially those left behind.
【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R749.4

【參考文獻】

相關期刊論文 前10條

1 周平艷;;國內外抑郁影響因素的研究綜述[J];保山師專學報;2008年03期

2 王文晶;李卉;王瑞娟;;社會工作視角下農(nóng)村“留守兒童”問題的分析與對策[J];長春理工大學學報(社會科學版);2008年05期

3 楊玉鳳;;兒童的虐待與忽視及其干預對策[J];中國兒童保健雜志;2006年04期

4 吳歆;劉芳;;兒童、青少年抑郁癥的診斷和治療進展[J];中國兒童保健雜志;2008年02期

5 遲希新;留守兒童道德成長問題的心理社會分析[J];教師教育研究;2005年06期

6 呂繁，顧nr;家庭APGAR問卷及其臨床應用[J];國外醫(yī)學(醫(yī)院管理分冊);1995年02期

7 舒明躍;兒童青少年抑郁癥[J];國外醫(yī)學(精神病學分冊);2004年03期

8 劉志軍;;留守兒童的定義檢討與規(guī)模估算[J];廣西民族大學學報(哲學社會科學版);2008年03期

9 陳琳;張洪波;王君;胡海利;吳紅花;朱軍禮;;合肥市329名打工妹抑郁癥狀及其與社會資本和社會網(wǎng)絡的關系[J];中華疾病控制雜志;2009年03期

10 韓彥超;宗艷紅;張彥恒;王衛(wèi)華;回秀清;王向群;;抑郁癥的軀體癥狀[J];中國健康心理學雜志;2008年05期

本文編號：2119806