重庆市青春期儿童同伴依恋与生活质量的关系  

Relationship between peer attachment and quality of life among adolescents in Chongqing

作　　者：张菁麟 蒲杨 刁华 金凤 唐银霜 赵影剑 王宏 ZHANG Jinglin;PU Yang;DIAO Hua;JIN Feng;TANG Yinshuang;ZHAO Yingjian;WANG Hong(School of Public Health and Management,Chongqing Medical University,Research Center for Medicine and Social Development,Innovation Center for Social Risk Governance in Health,Chongqing(400016),China;不详)

机构地区：[1]重庆医科大学公共卫生与管理学院/医学与社会发展研究中心/健康领域社会风险预测治理协同创新中心,重庆400016 [2]重庆市綦江区中小学生保健所

出　　处：《中国学校卫生》2021年第7期983-986,共4页Chinese Journal of School Health

基　　金：教育部人文社会科学研究规划基金项目(17YJA840015)。

摘　　要：目的测定重庆市某区青春期儿童同伴依恋与生活质量的关系,为开展青春期儿童生活质量的干预提供科学依据。方法采用分层整群抽样的方法,于2017年12月在重庆市綦江区抽取5所中学和6所小学共6073名调查对象,运用修订版青少年依恋问卷(IPPA-R)中文版同伴依恋分量表、青春期儿童生活质量量表进行调查。结果安全依恋型学生的生活质量总分为(144.97±17.39)分,高于不安全依恋型学生的(136.45±17.75)分(t=18.90,P<0.01)。安全依恋型学生生活质量中的生理、心理、社会、青春期4个维度得分[(30.40±5.11)(39.42±6.42)(53.45±7.99)(21.73±3.69)分]高于不安全依恋型的学生[(29.54±5.15)(37.87±6.66)(49.02±8.69)(20.02±3.60)分](t值分别为6.51,9.12,20.66,18.26,P值均<0.05)。多因素逐步回归分析结果显示,同伴依恋与青春期儿童生理、心理、社会、青春期4个维度及生活质量总分正相关均有统计学意义(B值分别为0.28,0.03,0.05,0.14,0.05,P值均<0.05)。结论青春期儿童同伴依恋与生活质量总分及部分维度存在正相关,提高青春期儿童同伴依恋的安全性有助于提高生活质量。Objective To determine the relationship between peer attachment and quality of life among adolescents in Chongqing, to provide scientific basis for intervention of quality of life. Methods A total of 6 073 respondents were selected from 5 middle schools and 6 primary schools in a district of Chongqing in December 2017 by stratified cluster sampling method. The revised Chinese version of Adolescent Attachment Questionnaire(IPPA-R) Peer Attachment Subscale and Adolescent Children’s Quality of Life Scale were used to conduct the survey. Results The total score of life quality of students with secure attachment type(144.97±17.39) was significantly higher than that of students with insecure attachment type(136.45±17.75)(t=18.90,P<0.01). The scores of four dimensions of life quality of students with secure attachment[(30.40±5.11)(39.42±6.42)(53.45±7.99)(21.73±3.69)] were significantly higher than those of students with insecure attachment[(29.54±5.15)(37.87±6.66)(49.02±8.69)(20.02±3.60)](P<0.05). Multivariate stepwise regression analysis showed that peer attachment was correlated with physical, psychological, social, adolescent dimensions and the total score of life quality(B=0.28,0.03,0.05,0.14,0.05,P<0.05). ConclusionAdolescent peer attachment is positively correlated with the total score and specific dimensions of life quality. Improving the safety of peer attachment is helpful to improve life quality among adolescents.

关 键 词：青春期 客体依恋 生活质量 回归分析 儿童 

分 类 号：R179[医药卫生—妇幼卫生保健] G444[医药卫生—公共卫生与预防医学]