南京城区青少年攻击性行为及相关影响因素  

Aggressive behavior and related influential factors of adolescents in urban areas of Nanjing

作　　者：封敏[1] 储康康[1] 徐斌 张久平[1] 王晨阳[1] 方慧[1] 邹冰[1] 焦公凯[1] 刘青香[1] 张敏[1] 谷力 柯晓燕[1] Feng Min Chu Kangkang Xu Bin Zhang Jiuping Wang Chenyang Fang Hui Zou Bing Jiao Gongkai Liu Qingx- iang Zhang Min Gu Li Ke Xiaoyan(Child Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing 210029, China Nanjing Teacher Training, Nanfing 210002, China)

机构地区：[1]南京医科大学附属脑科医院儿童心理卫生中心儿童精神科,南京210029 [2]南京教师培训中心,南京210002

出　　处：《中华行为医学与脑科学杂志》2016年第11期1018-1022,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家科技支撑计划重大精神疾病防治关键技术研究（2012BAI01B02）

摘　　要：目的对南京城区青少年攻击性行为进行调查，并分析其影响因素。方法采用自编一般情况调查表及Aehenbach儿童行为量表（家长用表，CBCL）对南京市6个区12～16岁2339名青少年进行调查。结果（1）攻击性行为的检出率为3．21％，女生和男生、独生子女和非独生子女攻击性行为检出率差异无统计学意义（x2=0．00，P〉0．05；x2=2．83，P〉0．05）。（2）攻击性行为因子均分为（4．55±5．01）分，男女生攻击性行为因子均分分别为（4．75±5．13）分、（4．35±4．90）分。（3）攻击性男生的攻击性行为因子与体诉、分裂样、交往不良、强迫、敌意、违纪、多动之间均存在显著正相关（r=0．74，0．66，0．60，0．55，0．58，0．69，0．59，均P〈0．01）；攻击性女生的攻击性行为因子与焦虑强迫、体诉、抑郁退缩、分裂样、不成熟、违纪、残忍之间存在显著正相关（r=O．40，0．41，0．41，0．55，0．56，0．76，0．73，均P〈0．05）。（4）学习成绩差（OR=1．75．95％C1：1．26—2．42）、与家人关系不和（OR=1．96，95％C1：1．23～3．12）、与周围人关系不和（OR=2．66，95％CI：1．67～4．24）是青少年攻击性行为的主要危险因素（均P〈0．05）。结论青少年攻击性行为存在与内外化问题行为共发的风险；学业表现及人际关系差可预测青少年攻击性行为的发生。Objective To investigate the aggressive behavior of adolescents in urban areas of Nan- jing,and analyze the influence factor of aggressive behavior. Methods Self-designed General Condition Questionnaire and Achenbach Child Behavior Scale （ CBCL for parents ） were applied to 2 339 students aged 12-16 years old in six districts of Nanjing. Results （ 1 ） The detection rate of aggressive behavior was 3.21%. And it had no stastical difference in gender（ x2 = 0.00,P〉0.05） and in children with or without sib- lings （ x2 = 2.83, P〉0.05）. （2） The score of aggressive factor was （ 4.55 ± 5.01 ）. The scores of boys＇ and girls＇ aggressive factor were （ 4.75 ± 5.13 ） and （ 4.35 ± 4.90）, respectively. （ 3 ） In the aggressive group of boys ,significant positive correlations were found between aggressive behavior and other problematic behaviors,in- cluding somatic complaints, schizoid, bad communication, compulsion, hostility, discipline and hyperactivity （ r = 0.74,0.66,0.60,0.55,0.58,0.69,0.59,all P〈0.01）. In the aggressive group of girls,significant positive correla- tions were found between aggressive behavior and other problematic behaviors, including anxiety, somatic complaints, depression withdrawal, schizoid, immature, discipline and cruel （ r= 0.40,0.41,0.41,0.55,0.56, 0.76,0.73, all P〈0.05）. （4） Multivariate logistic regression analysis indicated that poor academic perform-anee （ OR= 1.75,95% CI ： 1.26-2.42） ,bad relationship with families（ OR= 1.96,95% CI ：1.23-3.12） and poor relationship with surrounding people （ OR= 2.66,95% CI ：1.67-4.24） were the main risk factors con- tributed to aggressive behavior of adolescents （ all P〈0.05 ）. Conclusion Aggressive behavior of adolescents may co-occur with internalizing and externalizing behaviors ; besides, poor academic performance and interper- sonal relationship may predict the occurrence of aggressive behavior of adolescents.

关 键 词：青少年 攻击性行为 流行病学 危险因素 

分 类 号：B848.4[哲学宗教—心理学]