本文關(guān)鍵詞：武漢地區(qū)9~17歲青少年抑郁與生長(zhǎng)發(fā)育關(guān)系的研究　出處：《華中科技大學(xué)》2012年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 青少年 生長(zhǎng)發(fā)育 抑郁 青春期發(fā)動(dòng)時(shí)相

【摘要】：目的了解湖北省武漢市9~17歲青少年抑郁的發(fā)生情況，探討男女青少年抑郁與生長(zhǎng)發(fā)育的關(guān)系，制定青少年身心健康干預(yù)方針。 方法采用現(xiàn)場(chǎng)流行病學(xué)方法選取武漢城鄉(xiāng)地區(qū)小學(xué)、初中、高中各一所，以年級(jí)分層，班級(jí)為單位隨機(jī)整群抽取青少年3007人。使用一般情況調(diào)查表、青春期發(fā)動(dòng)自評(píng)問(wèn)卷（PDS）、兒童抑郁量表（CDI）進(jìn)行問(wèn)卷調(diào)查，并采用全國(guó)體質(zhì)調(diào)研統(tǒng)一標(biāo)準(zhǔn)測(cè)量選定青少年的身高、體重、皮脂厚度等指標(biāo)，采用Tanner分期標(biāo)準(zhǔn)評(píng)定第二性征，Prader睪丸模型比擬法測(cè)量睪丸容積。所有資料使用SPSS17.0進(jìn)行描述性分析、t檢驗(yàn)、2檢驗(yàn)、方差分析和logistic回歸分析。 結(jié)果共調(diào)查人數(shù)3007人，男生1578名(52.5%)，女生1429名（47.5%）；城區(qū)學(xué)生1631(54.2%)，農(nóng)村1376名(45.8%)。 抑郁與人口學(xué)特征及相關(guān)因素的關(guān)系：(1)性別：女生抑郁檢出率為20.36%，男生抑郁檢出率為17.43%，女生抑郁的危險(xiǎn)性是男生的1.212倍；(2)戶(hù)籍：農(nóng)村青少年抑郁檢出率為21.90%，，城市青少年抑郁檢出率為16.15%，農(nóng)村青少年患抑郁的危險(xiǎn)性是城市青少年的1.436倍，農(nóng)村男生的抑郁檢出風(fēng)險(xiǎn)是城市男生的1.458倍；(3)年齡和年級(jí)：隨著年齡和年級(jí)增加女生抑郁危險(xiǎn)性增加，男生抑郁檢出率則無(wú)此遞增趨勢(shì)；(4)家庭結(jié)構(gòu)：女生抑郁隨著家庭結(jié)構(gòu)的復(fù)雜程度增加其危險(xiǎn)性增加，不同家庭結(jié)構(gòu)中男生抑郁差別無(wú)統(tǒng)計(jì)學(xué)意義；(5)家庭經(jīng)濟(jì)條件差是青少年抑郁的危險(xiǎn)因素；(6)有氧體育鍛煉是青少年抑郁的保護(hù)因素。 青春期發(fā)育與抑郁的關(guān)系：(1)生長(zhǎng)發(fā)育：男生自評(píng)偏瘦和很胖為抑郁的危險(xiǎn)因素，女生自評(píng)偏胖和很胖為抑郁的危險(xiǎn)因素，男生隨著B(niǎo)MI分組的上升患抑郁的風(fēng)險(xiǎn)增加2.244倍，女生隨著B(niǎo)MI分組的上升患抑郁的風(fēng)險(xiǎn)增加3.796倍；(2)性發(fā)育：自評(píng)發(fā)育早晚被排除在男生抑郁影響因素之外，自評(píng)發(fā)育早的女生其罹患抑郁的危險(xiǎn)性是自評(píng)發(fā)育正常的女生的1.540倍，為女生罹患抑郁的危險(xiǎn)因素。女生青春期發(fā)動(dòng)時(shí)相提前危險(xiǎn)性是青春期發(fā)動(dòng)時(shí)相正常的1.387倍，為女生罹患抑郁的危險(xiǎn)因素。女生乳房發(fā)育提前危險(xiǎn)性是乳房發(fā)育時(shí)相正常的1.612倍，為女生罹患抑郁的危險(xiǎn)因素。女生月經(jīng)初潮提前危險(xiǎn)性是月經(jīng)來(lái)潮時(shí)相正常的2.116倍，為女生罹患抑郁的危險(xiǎn)因素。 結(jié)論男生抑郁與戶(hù)籍、家庭經(jīng)濟(jì)條件、體育鍛煉、生長(zhǎng)發(fā)育自評(píng)、BMI密切相關(guān)；女生抑郁與年齡、年級(jí)、家庭結(jié)構(gòu)、家庭經(jīng)濟(jì)條件、體育鍛煉、生長(zhǎng)發(fā)育自評(píng)、BMI、性發(fā)育自評(píng)、青春期發(fā)動(dòng)時(shí)相、乳房發(fā)育時(shí)相和月經(jīng)初潮時(shí)相密切相關(guān)。
[Abstract]:Objective to investigate the incidence of depression in adolescents aged 17 years old in Wuhan, Hubei Province, and to explore the relationship between depression and growth and development of adolescents, and to formulate the intervention policy of adolescents' physical and mental health. Methods three hundred and seven adolescents were randomly selected from primary, junior and senior middle schools in urban and rural areas of Wuhan with stratified grade and class as the unit. General information questionnaire was used. The self-assessment questionnaire of puberty and CDI were used to measure the height, weight and sebum thickness of selected adolescents. The testicular volume was measured by using the Tanner staging criteria to evaluate the secondary sex sign Prader testicular model analogy. All the data were analyzed by SPSS17.0. Variance analysis and logistic regression analysis. Results the total number of investigated was 3007, 1578 male students were 52.5 and 1429 female students were 47.5%. The students in urban area were 1631 and 54.2, and 1376 students in rural areas were 45. 85.8. The relationship between depression and demographic characteristics and related factors: sex: the prevalence rate of depression in girls was 20.36 and that in boys was 17.43%. The risk of depression of girls was 1.212 times higher than that of boys. (2) Household registration: the prevalence rate of depression was 21.90% among rural adolescents and 16.15% among urban adolescents. The risk of depression among rural adolescents was 1.436 times higher than that of urban adolescents. The risk of depression detection in rural boys was 1.458 times higher than that in urban boys. (3) Age and grade: with the increase of age and grade, the risk of depression of girls increased, but the rate of depression in boys did not increase; (4) Family structure: depression in female students increased with the complexity of family structure, but there was no significant difference in depression among male students in different family structures. 5) the poor family economic condition is the risk factor of adolescent depression. Aerobic physical exercise is the protective factor of adolescent depression. The relationship between puberty development and depression: growth and development: Self-rated lean and very fat were risk factors of depression in male students, and self-rated fat and very fat in girls were risk factors of depression. The risk of depression increased 2.244-fold in male with the increase of BMI and 3.796 times in female with the increase of BMI. (2) sexual development: the self-rated development was excluded from the influence factors of male depression, and the risk of depression was 1.540 times higher in girls with early self-assessment development than that in girls with self-rated normal development. The risk factors of depression in girls were 1.387 times higher than those in normal puberty. The risk of breast development in girls was 1.612 times higher than that in normal breast development. The risk of menarche in girls is 2.116 times higher than that in menarche, which is the risk factor of depression in girls. Conclusion Depression in male students is closely related to household registration, family economic condition, physical exercise, self-evaluation of growth and development and BMI. Depression and age, grade, family structure, family economic condition, physical exercise, self-evaluation of growth and development, sexual development self-evaluation, puberty initiation phase. Breast development phase is closely related to menarche.
【學(xué)位授予單位】：華中科技大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類(lèi)號(hào)】：R179

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