中国南方城市中小学生焦虑倾向流行病学调查  

An epidemiologic study of anxiety state in adolescents in south China

作　　者：姚敏[1] 陈燕萍[1] 周惠清[2] 宋艳艳[3] 李定国[2] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院儿内科,上海200437 [2]上海交通大学医学院附属新华医院消化内科,上海200092 [3]上海交通大学医学院统计教研室,上海200025

出　　处：《临床儿科杂志》2009年第2期165-168,共4页Journal of Clinical Pediatrics

基　　金：上海市教育发展基金会课题(No.2005001)

摘　　要：目的分析中国南方城市中小学生焦虑倾向患病率、分布特征及与肠易激综合征(irrita blebowel syndrome,IBS)的关系。方法采用多级整群随机抽样方法,对中国南方16727名城市中小学生进行流行病学问卷调查。结果16727名学生中有焦虑倾向为26.49%,男性为21.43%,女性为31.77%,两者差异有统计学意义(P<0.01);在儿童焦虑性倾向筛查(SCARED)量表5个领域的分值比较中,IBS学生高于非IBS学生及IBS就诊学生高于未就诊学生。结论焦虑倾向发生率随年龄的增长而上升,良好的家庭环境和学校教育能有效地降低焦虑程度;精神心理因素在IBS发病中起重要作用。Objectives To explore the prevalence of anxiety state, its distribution characteristics and the relationship with irritable bowel syndrome （IBS） among adolescents in south China. Methods A stratified, randomized study by cluster sampling was employed to recruit 16 727 students from high and primary schools in south Chinese cities. All students were requested to fill in a questionnaire. Results The prevalence of anxiety tendency was 26.49%, with 21.43% among male and 31.77% among female, with significant difference between boys and girls （P 〈 0.01）. IBS students reported higher scores on all SCARED subscales than non-IBS students. IBS students with health seeking also reported higher scores on all SCARED subscales than IBS students without health seeking. Conlusions The prevalence of anxiety state is increasing with age. Good family and school environments are quiet important for adolescents, mental health and can decrease adolescents＇ anxiety. Emotional factors play an important role in the morbidity of IBS.

关 键 词：焦虑 青少年 肠易激综合征 

分 类 号：R181.3[医药卫生—流行病学]