【摘要】：目的調(diào)查濰坊市青春期學生的焦慮抑郁流行現(xiàn)狀,探討其焦慮抑郁等情緒障礙發(fā)生的影響因素。方法在2016年5~9月期間抽取濰坊市小學、初中、高中年齡處于10~18歲的青春期不同階段學生435名,根據(jù)《中國精神障礙分類方案與診斷標準第3版》(CCMD-3)進行焦慮抑郁診斷。采用焦慮性情緒障礙篩查表(the screen for child anxiety related emotional disorders,SCARED)、抑郁障礙自評量表(depression self-rating scale for children,DSRSC)評定焦慮抑郁學生的焦慮抑郁情緒,采用自編的青春期焦慮抑郁影響因素調(diào)查問卷調(diào)查所有學生焦慮抑郁發(fā)生的危險因素。結(jié)果本次調(diào)查的435名青春期學生中,90名存在焦慮抑郁情況,發(fā)生比例為20.6%,平均年齡為(12.38±3.58)歲,女生在青春期焦慮抑郁的發(fā)生情況多于男生(26.5%vs.15.7%,P=0.026)。多因素logistic回歸分析示,個人健康欠佳(OR=0.387,P=0.001)、父母陪伴時間少(OR=0.671,P=0.020)、父親文化程度低(OR=0.338,P=0.001)、母親文化程度低(OR=0.262,P=0.001)、父母關(guān)系差(OR=1.049,P=0.008)、教育方式不良(OR=0.471,P=0.016)是青春期學生焦慮抑郁發(fā)生的危險因素。結(jié)論青春期學生存在較多的焦慮抑郁等情緒問題,以青春期早期的女生多見,焦慮抑郁的發(fā)生與個人健康欠佳、父母陪伴時間少、父親文化程度低、母親文化程度低、父母關(guān)系差、教育方式不良等因素密切相關(guān)。
[Abstract]:Objective to investigate the prevalence of anxiety and depression among adolescent students in Weifang, and to explore the influencing factors of anxiety and depression. Methods from May to September 2016, 435 students from primary school, junior middle school and senior middle school in Weifang City were selected from different stages of puberty. According to the Chinese Classification Scheme and Diagnostic criteria for Mental Disorder (CCMD-3), anxiety and depression were diagnosed. (the screen for child anxiety related emotional disorders,SCARED and depression self-rating scale for children,DSRSC were used to assess the anxiety and depression of students with anxiety and depression. The risk factors of anxiety and depression in all students were investigated by self-designed questionnaire. Results among 435 adolescent students, 90 students had anxiety and depression, the incidence rate was 20.6and the average age was (12.38 鹵3.58) years. The incidence of anxiety and depression in girls was higher than that in boys (26.5vs.15.7P0.026). Multivariate logistic regression analysis showed that poor personal health (OR=0.387,P=0.001), less time spent with parents (OR=0.671,P=0.020), low father education (OR=0.338,P=0.001), low maternal education (OR=0.262,P=0.001), poor parental relationship (OR=1.049,P=0.008) and poor education style (OR=0.471,P=0.016) were the risk factors of anxiety and depression among adolescent students. Conclusion there are many emotional problems in adolescent students, such as anxiety and depression, the occurrence of anxiety and depression is poor, the time of parents accompanying is less, the education of father is low, and the education of mother is low. The poor relationship between parents and poor education methods are closely related to other factors.
【作者單位】： 山東省濰坊市益都中心醫(yī)院;山東省青州市中醫(yī)院;
【分類號】：R749

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