浙江省绍兴市初中生负性生活事件现状与心理健康的关联研究  

Relationship between the prevalence of negative life events and depressive and anxiety symptoms and dissatisfaction of school life among middle school students in Shaoxing city, Zhejiang province

作　　者：邢超[1] 陶芳标[2] 屠春雨[3] 方益荣[1] 傅利军[1] 马岩[1] 李明[1] 

机构地区：[1]浙江省绍兴市疾病预防控制中心健康危害因素预防控制科,312071 [2]安徽医科大学公共卫生学院 [3]绍兴市人民医院

出　　处：《中华健康管理学杂志》2015年第6期450-455,共6页Chinese Journal of Health Management

基　　金：国家自然科学基金（30972494）;浙江省医药卫生一般研究计划项目（2012KYB215）

摘　　要：目的调查初中生负性生活事件现状，探讨其与心理健康症状之间的关联。方法采用中学生生活事件多维评定问卷、儿童抑郁症状障碍自评量表、儿童焦虑性情绪障碍筛查表、青少年学校生活满意度问卷对绍兴市2所初中的3197名学生进问卷调查，其中城区中学1134名，乡镇中学2063名，平均年龄为（13．73±1．03）岁。采用z。检验、多因素logistic回归模型分析负性生活事件与心理健康症状间的关联性。结果初中生负性生活事件总发生率为84．9％，主要为考试成绩不理想（48．6％）、达不到老师期望（46．2％）、父母唠叨（41．4％）、学习偏科（37．9％）、挨父母骂（27．6％）。发生负性生活事件的学生抑郁症状（41．1％）、焦虑症状（22．6％）、学校生活不满意（26．0％）检出率均高于不发生负性生活事件的学生（20．9％、3．5％、16．5％），差异有统计学意义（χ^2值分别为71．33、94．78、19．83，P值均〈0．001）；随着负性生活事件维度数量和（或）事件数量增加，其相关心理健康症状的检出率均呈现出逐渐升高的态势，差异有统计学意义（P值均〈0．001）。多因素logistic回归分析显示，负性生活事件是抑郁症状、焦虑症状和学校生活不满意的危险因素，其OR值95％C1分别为2．483（1．951～3．160）、7．245（4．411—11．899）、1．733（1．325-2．267），当负性生活事件维度数量≥4和（或）事件数量≥12时，发生相关心理健康症状的风险均增大2倍以上。结论绍兴市初中生负性生活事件现状不容乐观，与抑郁症状、焦虑症状和学校生活不满意的发生密切相关。Objective To understand the prevalence of negative life events and its association with depressive, anxiety symptoms and dissatisfaction of school life among middle school students in Shaoxing, and to provide scientific evidence for further interventions. Methods A total number of 3 197 students （including 1 134 urban and 2 063 town adolescents） were recruited from 2 middle schools in Shaoxing, their average age was （13.73 ± 1.03） years. The Multidimensional Life Events Rating Questionnaire for Middle School Students （MLERQ）, Depression Self-rating Scale for Children （DSRSC） and Screening for Child Anxiety Related Emotional Disorders （SCARED） were used to assess the mental health status, while the school life satisfaction was evaluated by the School Life Satisfaction Rating Questionnaire for Adolescents （SLSRQA）, and the data were analyzed by descriptive statistics and multivariate logistic regression models. Results The prevalence of the negative life events was 84.9%, unsatisfactory examination performance （48.6%）, unreached the teacher＇s expectation （46.2%）, parental chatter （41.4%）, unbalanced learning （37.9%）, and getting parents scold （27.6%） constituted the main negative life events. The prevalence of depressive symptom, anxiety symptom, and dissatisfaction of school life were significantly higher among middle school students living with negative life events （41.1%, 22.6%, 26.0%） than those without negative life events （20.9%, 3.5%, 16.5%）, （Z2=71.33, 94.78, 19.83, P〈0.001）. The prevalence of the psychosomatic health involvement significantly increased with the increase of the number of the dimensions and events （P〈 0.001）. The multivariate logistic regression showed that negative life events were the risk factors of depression, anxiety and dissatisfaction of school life. Their OR values were 2.483 （1.951-3.160）, 7.245 （4.411- 11.899） and 1.733 （1.325-2.267）, respectively. The risk of occurring mental symptoms among children wit

关 键 词：生活变动事件 问卷调查 统计学 心理测定学 学生 

分 类 号：G444[哲学宗教—心理学]