姚瑶, 曹伟艺. 上海市奉贤区南桥镇初中生焦虑和抑郁现状及相关因素分析[J]. 上海预防医学, 2021, 33(10): 967-973. DOI: 10.19428/j.cnki.sjpm.2021.20569
引用本文: 姚瑶, 曹伟艺. 上海市奉贤区南桥镇初中生焦虑和抑郁现状及相关因素分析[J]. 上海预防医学, 2021, 33(10): 967-973. DOI: 10.19428/j.cnki.sjpm.2021.20569
YAO Yao, CAO Wei-yi. Anxiety and depression status and influencing factors among junior high school students in Nanqiao Fengxian District Shanghai[J]. Shanghai Journal of Preventive Medicine, 2021, 33(10): 967-973. DOI: 10.19428/j.cnki.sjpm.2021.20569
Citation: YAO Yao, CAO Wei-yi. Anxiety and depression status and influencing factors among junior high school students in Nanqiao Fengxian District Shanghai[J]. Shanghai Journal of Preventive Medicine, 2021, 33(10): 967-973. DOI: 10.19428/j.cnki.sjpm.2021.20569

上海市奉贤区南桥镇初中生焦虑和抑郁现状及相关因素分析

Anxiety and depression status and influencing factors among junior high school students in Nanqiao Fengxian District Shanghai

  • 摘要:
    目的分析上海市奉贤区南桥镇初中生焦虑和抑郁现状及相关因素,为相关部门促进初中生心理健康提供客观依据。
    方法采用多阶段抽样方法,在南桥镇7所学校中,选取4所学校共计1 154名初中生参加本次调查,采用自行设计的问卷收集学生的基本信息,应用中国中学生焦虑量表和中国中学生抑郁量表评估焦虑抑郁状况。
    结果共回收有效问卷1 092份,有效回收率94.6%(1 092/1 154)。奉贤区南桥镇初中生焦虑和抑郁症状的患病率分别为27.3%(298/1 092)和12.6%(138/1 092),男生焦虑、抑郁患病率分别为25.9%(147/568)和12.2%(69/568),女生焦虑、抑郁患病率28.8%(151/524)和13.2%(69/524),不同性别的初中生焦虑、抑郁症状患病率差异无统计学意义(χ2=1.184、0.257,均P>0.05);随着年级的逐渐上升,学生抑郁症状患病率也逐渐升高(χ2=12.393,P<0.05)。外来户籍(OR=2.224)、学习兴趣小(OR=3.788),自我感觉学习压力大(OR=14.533)或学习压力中等(OR=3.791)、性格一般(OR=1.514)、父母间感情较差(OR=2.171)、与家人关系一般(OR=1.967)是焦虑的独立相关因素;学习兴趣中等(OR=2.789)或学习兴趣小(OR=11.056)、自我感觉学习压力大(OR=4.070)、性格一般(OR=1.907)、与家人关系一般(OR=1.957)或与家人关系较差(OR=6.474)、与同学朋友关系较差(OR=10.424)是抑郁的独立相关因素。
    结论奉贤区南桥镇初中生心理健康有待进一步改善。应重点关注外来学生、自我感觉学习兴趣小、学习压力大或中等、性格不太开朗、人际关系紧张等可能发生焦虑抑郁情绪的学生,并开展相关心理健康活动和健康干预措施,提高学生心理调适能力,促进身心健康。

     

    Abstract:
    ObjectiveTo analyze the current status of anxiety/depression and the influencing factors in junior high school students in Nanqiao Town, and to provide the objective evidence for relevant departments to promote the mental health of junior high school students.
    MethodsThe stratified cluster sampling was used in this study. A total of 1 154 junior high school students from 4 out of 7 schools in Nanqiao Town were selected to participate in the survey. A self-designed questionnaire was used to collect basic information. The Chinese Middle School Students Anxiety Scale and the Chinese Middle School Students Depression Scale were used to assess anxiety and depression.
    ResultsThe detection rates of anxiety and depression in junior high school students in Nanqiao Town were 27.3%(298/1 092) and 12.6%(138/1 092), respectively. The detection rates of anxiety and depression in boys were 25.9%(147/568) and 12.2%(69/568), respectively, while the rates in girls were 28.8%(151/524) and 13.2%(69/524). There was no statistical difference between genders (χ2= 1.184,0.257, All P<0.05). With gradual increase in grade, the detection rate of depressive symptoms also gradually increased (χ2=12.393,P<0.05). Multivariate logistic regression analysis showed that the independent factors of anxiety were: foreign household registration (OR=2.2), low learning interest (OR=3.8), self-perceived learning pressure (OR=14.5) or moderate learning pressure (OR=3.8), average personality (OR=1.5), poor relationship with parents (OR=2.2), and normal relationship with family (OR=2.0). The independent influencing factors of depression included: moderate learning interest (OR=2.8) or low (OR=11.1), self-consciousness high learning pressure (OR=4.1), average personality (OR=1.9), average relationship with family members (OR=2.0) or poor relationship with family members (OR=6.5), and poor relationship with classmates and friends (OR=10.4).
    ConclusionsThe mental health of junior high school students in Nanqiao Town needs further improvement. We should focus on students who are foreign students and/or experience high learning pressure, introverted personality, and tension in interpersonal relationships, anxiety and depression.We should also carry out related health activities and intervention measures to improve students' psychological adjustment ability and promote their physical and mental health.

     

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