初中生抑郁障碍检出率及影响因素分析  

A study on the detection rate and influencing factors of depression among junior middle school students

作　　者：屠春雨[1] 周伟[1] 马岩[1] 方益荣[1] 

机构地区：[1]绍兴市疾病预防控制中心,浙江绍兴312071

出　　处：《浙江预防医学》2015年第8期784-787,共4页Zhejiang Journal of Preventive Medicine

基　　金：国家自然科学基金(30972494);绍兴市公益性技术应用研究计划项目(2012B70060)

摘　　要：目的：了解初中生抑郁障碍检出率，分析其影响因素。方法采用整群随机抽样方法选取绍兴市城乡中学各1所七至九年级初中生为调查对象，使用儿童抑郁障碍自评量表（DSRSC）对其抑郁症状进行评估。结果调查发放问卷3500份，问卷回收率为97.06％。调查的3397名初中生抑郁障碍检出率为37.74％，抑郁平均得分为（13.24±5.01）。多因素分析结果显示，女生、高年级和非独生子女（OR 值分别为1.312、1.284和1.390，95％ CI 分别为1.126～1.528、1.170～1.409和1.195～1.618）是抑郁高发人群；自认为学习负担轻、关系密切朋友数多、性格外向和对自己体型满意的初中生（OR 值分别为0.661、0.728、0.875和0.678，95％CI 分别为0.589～0.742、0.666～0.796、0.813～0.942和0.625～0.735）不容易检出抑郁。结论绍兴市初中生抑郁障碍检出率较高，应针对抑郁障碍有关因素采取干预措施。Objective To explore the detection rate of depression among junior middle students in Shaoxing city,and to analyze its influencing factors.Methods Based on the cluster random sampling method,A total 3 397 students from junior middle school were recruited to be evaluated by Depression Self -Rating Scale for Children （DSRSC）.Results The overall detection rate of depression was 37.74%.The average score was （1 3.24 ±5.01 ）.Multiple -factors analysis showed that female （OR =1 .31 2,95%CI =1 .1 26 -1 .528）,senior grade （OR =1 .284,95%CI =1 .1 70 -1 .409）and non -only -child （OR =1 .390,95%CI =1 .1 95 -1 .61 8）were the risk factors of depression,light study burden （OR =0.661 ,95%CI =0.589 -0.742）,more close friends （OR =0.728,95%CI =0.666 -0.796）,outgoing personality （OR=0.875,95%CI =0.81 3 -0.942）and satisfaction with body figure （OR =0.678,95%CI =0.625 -0.735）were the protective factors of depression.Conclusion The prevalence of depression among junior middle school students in Shaoxing was high.Intervention measures need to be strengthened for the psychological health especially among population with depressive symptoms.

关 键 词：抑郁症状 影响因素 初中生 

分 类 号：R749.4[医药卫生—神经病学与精神病学]