上海中心城区初中生早期不同创伤类型与抑郁、焦虑情绪的关系  

The relationship between different types of early trauma experience and anxiety depression symptoms in junior high school students

作　　者：张芳[1,2] 刘文敬 程文红[1,2] 肖泽萍[1] 

机构地区：[1]上海交通大学医学院附属精神卫生中心,200030 [2]上海交通医学院附属第一人民医院医学心理科

出　　处：《临床精神医学杂志》2017年第2期85-88,共4页Journal of Clinical Psychiatry

基　　金：上海市学生健康促进工程重大委托项目(HJTY2012-A06);2014-2015年度上海儿童发展研究课题(2014SHET04);上海卫生系统先进适宜技术推广项目(2013SY042)

摘　　要：目的:探讨早期不同创伤类型与焦虑、抑郁的关系。方法:采用早年创伤问卷简表中文版(ETI-SF)、儿童焦虑性情绪障碍筛查表(SCARED)、儿童抑郁障碍自评量表(DSRSC)对2 402名上海市中心区3所学校中预初至初二的学生施测。结果:有创伤经历者有更高的焦虑和抑郁检出率(χ~2=90.48,χ2=45.51;均P=0.00),在普通创伤得分上焦虑抑郁共存组与单纯抑郁组无差异,在其他各创伤因子上焦虑抑郁共存组得分均高于单纯焦虑组与单纯抑郁组(P=0.00~0.03)。多重线性回归分析显示,除性创伤外,情感虐待、躯体虐待和普通创伤均与焦虑/抑郁关联,标准化回归数(β)分别为0.341/0.443,0.14/0.119,0.07/0.078(P均<0.01)。结论:情感和躯体上的虐待,以及丧失等普通创伤均与初中生的情绪障碍存在较大相关性,其中情感上的虐待和忽视与焦虑抑郁的相关性更大。Objective：To explore the relationship between different types of early trauma experience and anxiety depression symptoms. Method：The sample included 2402 students in grade 6 to grade 8 from three schools in shanghai inner city. They were assessed by early trauma inventory-short form （ETI-SF）, the screen for child anxiety related emotional disorders （SCARED） and depression self-rating scale for children （ DSR- SC ）. Results： Students who reported early traumatic experience demonstrated a higher rate of anxiety and de- pression symptoms （X2 = 90.48, P = 0.00） ; co-morbid anxiety and depression group showed higher score on all types of trauma scores except commun trauma score than anxiety or depression symptom group （ P = 0.00 - 0.03 ）. Multiple linear regression analysis indicated emotional abuse, physical abuse and common trauma were associated with anxiety/depression, and the standardized partial regression coefficient （fl） were 0. 341/0. 443, 0.14/0.119 and 0.07/0. 078 （ all P 〈 0.01 ）. Conclusion： Emotional, physical abuse and common trauma are correlated with emotional disorder in junior school students ;the emotional abuse and neglect have the highest re- lation with anxiety and depression.

关 键 词：创伤 虐待 焦虑 抑郁 

分 类 号：R749[医药卫生—神经病学与精神病学]