摘要
目的 了解浙江省余姚市中学生抑郁症状流行情况,探索抑郁症状的影响因素,为促进中学生心理健康制定科学干预措施提供依据。方法 于2021年8—10月采用分层整群抽样法,对余姚市2所初中、2所普通高中和1所职业技术学校的学生进行问卷调查,采用流调中心用抑郁量表(CES-D)评估抑郁症状,Poisson回归分析中学生抑郁症状出现的影响因素。结果 共发放问卷1 378张,回收1 374张,回收有效率为99.71%;CES-D量表得分为(12.95±4.76)分,抑郁症状检出率为17.90%;女性检出率(21.53%)高于男性(14.37%),差异有统计学意义(P<0.05);不同学段间抑郁症状检出率差异无统计学意义(P> 0.05);Poisson回归分析结果显示,女性(OR=1.465)、居住在乡镇(OR=1.450)、住校(OR=3.498)、过去30 d内受到家长打骂(OR=1.795)、过去1年内因病休学(OR=3.031)、过去1年内受到过严重伤害(OR=3.177)、过去30 d内受到过校园欺凌(OR=2.133)和网络成瘾(OR=1.747)是出现抑郁症状的危险因素。结论 浙江省余姚市中学生抑郁症状检出率为17.90%,需要引起有关部门高度重视,积极制定科学有效的心理干预措施。
Objective To understand the prevalence of depressive symptoms in middle school students in Yuyao, of Zhejiang province, identify the influencing factors and provide evidence for the development of psychological intervention measures to promote the mental health of middle school students. Methods A questionnaire survey was conducted in the students selected through stratified cluster sampling from 2 junior high schools, 2 senior high schools and 1 vocational and technical school in Yuyao. The depression symptoms were assessed by CES-D, and the influencing factors of depression were identified by Poisson regression analysis. Results A total of 1 378 questionnaires were distributed and 1 374 were returned,with an effective response rate of 99.71%. The score of CES-D was(12.95±4.76) and the detection rate of depressive symptom was 17.90%. The positive rate in girl students(21.53%) was higher than that in boy students(14.37%), the difference was not significant(P>0.05). There were no significant differences in the detection rate of depressive symptom among different grades(P>0.05). The results of Poisson regression analysis showed that being girl student(OR=1.465), living in town(OR=1.450), living in school(OR=3.498), having been beaten and scolded by parents in the past 30 days(OR=1.795),school suspension due to illness in the past year(OR=3.031), having been seriously injured in the past year(OR=3.177),having been bullied in school in the past 30 days(OR=2.133) and Internet addiction(OR=1.747) were the risk factors for depressive symptoms. Conclusion The prevalence rate of depressive symptoms in middle school students in Yuyao was17.90%. It is necessary to pay close attention to mental health of middle school students, and to develop scientific and effective psychological intervention measures.
作者
史珊珊
周振宇
符展豪
鲍璐芳
Shi Shanshan;Zhou Zhenyu;Fu Zhanhao;Bao Lufang(Yuyao County Center for Disease Control and Prevention,Yuyao 315400,Zhejiang,China;Yangming Middle School of Yuyao,Yuyao 315400,Zhejiang,China)
出处
《疾病监测》
CAS
CSCD
北大核心
2023年第2期197-201,共5页
Disease Surveillance
关键词
中学生
抑郁症状
影响因素
干预
Middle school student
Depressive symptom
Influencing factor
Intervention
