摘要
目的 调查重庆市中学生在不同时段的抑郁和焦虑状况变化,为后续青少年的心理健康研究与干预提供参考。方法 2021年采用多阶段分层随机抽样的方法抽取重庆市1 505名初高中学生,在学期初(3—4月)和学期末(6—7月)分别采用流调用抑郁量表(CSE-D)和焦虑自评量表(SAS)调查中学生抑郁与焦虑状况。结果 学期初调查结果显示,中学生抑郁症状检出434例(27.6%),焦虑症状检出601例(38.2%);学期末抑郁症状检出463例(30.8%),焦虑症状检出653例(43.4%)。学期末中学生焦虑症状检出率明显高于学期初(43.4%,38.2%,χ^(2)=8.55,P<0.05),女生在学期末焦虑症状检出率为52.8%,高于学期初的46.3%(χ^(2)=6.19,P<0.05);高中生学期末焦虑症状检出率为44.9%,高于学期初的28.6%(χ^(2)=43.33,P<0.01)。学期初男生、初中生焦虑症状检出率与学期末差异均无统计学意义(χ^(2)值分别为2.34,0.71,P值均>0.05)。结论 一学期中不同时间段中学女生焦虑症状、高中生抑郁与焦虑症状检出率具有较大的差异。调查中学生抑郁和焦虑状况时,应考虑时间段的差异性。
Objective To investigates the prevalence of depression and anxiety among middle school students at different times,and to provide a reference for mental health promotion among adolescents.Methods A total of 1 505 middle school students,selected from Chongqing in 2021 by using multi-stage stratified random sampling method,were surveyed by using the Center for Epidemiologic Studies Depression Scale(CSE-D) and Zung Self-Rating Anxiety Scale(SAS).Results At the beginning of the semester,434(27.6%) and 601 students(38.2%) reported depressive and anxiety symptoms,respectively.While at the end of the semester showed that 463 cases(30.8%) were prone to depression,and 653 cases(43.4%) reported depressive and anxiety symptoms,respectively.The detection rate of depressive symptoms at the end of the semester was significantly higher than that at the beginning of semester.(43.4%,38.2%,χ~2=8.55,P<0.05).Depressive of female students at the end of the semester(52.8%) was higher than that at the beginning of the semester(46.3%)(χ~2=6.19,P<0.05) The detection rate of anxiety symptoms in senior high school students at the end of the semester(44.9%) was significantly higher than that of at the beginning of the semester(28.6%)(χ~2=43.33,P<0.01).No significant difference in anxiety symptoms boys and junior high school students between the beginning and the end of the semester(χ~2=2.34,0.71,P>0.05).Conclusion Substantial changes are observed in anxiety symptoms among female middle school students and depressive and anxiety symptoms among high school students in different periods of a semester.When investigating depression and anxiety of middle school students,time effect should be considered.
作者
邬东原
王曼菲
张滨
赖维云
顾典
WU Dongyuan;WANG Manfei;ZHANG Bin;LAI Weiyun;GU Dian(Medical and Social Development Research Center,College of Public Health,Chongqing Medical University,Chongqing 400016,China;不详)
出处
《中国学校卫生》
CAS
北大核心
2022年第5期736-738,742,共4页
Chinese Journal of School Health
关键词
抑郁
焦虑
精神卫生
学生
Depression
Anxiety
Mental health
Students
