摘要
目的:了解苏州市青少年抑郁现状并分析其影响因素,为预防青少年抑郁的发生提供科学依据和理论指导。方法:采用整群分层随机抽样的方法,纳入研究2019年6月至12月苏州市某城区的18所中学学生,采用一般情况调查表、患者健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)调查其抑郁情绪及其相关影响因素。结果:本次调查的11458名青少年抑郁情绪平均得分5.34分,具有抑郁情绪者2078名,抑郁情绪检出率18.1%。多因素Logistic回归分析显示,父母关系差(OR=2.551,P<0.001)、学校欺凌(OR=1.792,P<0.001)、焦虑情绪(OR=1.500,P<0.001)、高中年级(OR=1.174,P=0.036)、女性(OR=1.310,P<0.001)、是青少年抑郁情绪的危险因素。结论:青少年抑郁情绪较为普遍,父母关系差、学校欺凌、焦虑情绪、高中年级、女性是青少年抑郁情绪的危险因素,应定期对这一人群进行心理状况筛查,提供干预策略,预防青少年抑郁。
Objective:To evaluate the prevalence of depressive symptoms and its influencing factors among adolescent in Suzhou City,to provide scientific basis and theoretical guidance for preventing the occurrence of adolescent depression.Method:An epidemiological questionnaire survey was conducted with a straified cluster random sample of 18 middle school in Suzhou city from June to December in 2019,the general information questionnaire,Patient Health Questionnaire-9(PHQ-9)and Generalized Anxiety Scale(GAD-7)were used to investigate their depressive symptoms and related influencing factors.Results:The average PHQ-9 score of the 11458 adolescent in this survey was 5.34,2,078 people with depression symptoms,and the prevalence of depression symptoms among adolescent was 18.1%;Logistic multivariate regression analysis showed that the risk factors for depression symptoms in adolescents in Suzhou City included poor parental relationship(OR=2.551,P<0.001),School bullying(OR=1.792,P<0.001),anxiety(OR=1.500,P<0.001),high grade(OR=1.174,P=0.036),female(OR=1.310,P<0.001).Conclusion:The Depression symptoms in adolescent is more common.Poor parental relationship,school bullying,anxiety,high grade and female are risk factors for depression symptoms in adolescents.Psychological status screening should be conducted regularly for this population and intervention strategies should be provided to prevent depression in adolescents.
作者
孔令华
陈洪宝
李顺
张兰兰
王国盛
张沛云
贾秋放
张晓斌
杨勇
KONG Ling-hua;CHEN Hong-bao;LI Shun;ZHANG Lan-lan WANG Guo-sheng;ZHANG Pei-yun;JIA Qiu-fang;ZHANG Xiao-bin;YANG Yong(Suzhou Guangji Hospital,Suzhou 215137,China)
出处
《临床精神医学杂志》
CAS
2023年第4期284-287,共4页
Journal of Clinical Psychiatry
基金
苏州市姑苏卫生人才计划(GSWS2020096)
苏州市心境障碍临床医学中心(Szlcyxzx202109)。
关键词
青少年
抑郁情绪
影响因素
预防
adolescent
depression smptoms
influencing factors
prevention
