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背景国内对儿童期焦虑及其与生活质量的关系的报道较少。目的从上海市浦东新区小学选择有代表性的样本,进行儿童焦虑症状与生活质量的横断面研究。方法分层随机整群抽取上海市浦东新区的7所小学的在校3~5年级学生共3685名,采用儿童焦虑性情绪障碍筛查表(the Screen of Child Anxiety Related Emotional Disorders,SCARED)和儿童生活质量量表(the Children andAdolescents Quality of Life scale,CAQOL)进行评定。结果在完成SCARED评估的3628名学生中,864例(23.8%,95%可信区间=22.4%~25.2%)报告了具有临床显著意义的焦虑症状(SCARED总分≥23)。SCARED总分与CAQOL总分及大部分因子分分(师生关系、同伴关系、亲子关系、学习能力与态度、自我意识、生活便利性、活动机会性、运动能力和自我满意度)呈负相关;但SCARED分量表分与3个CAQOL因子分-躯体感觉、负性情绪及对家庭作业的态度呈正相关。校正了多重变量模型中的其他因素后,女生的生活质量高于男生,年长学生的生活质量高于年幼学生,父母有较高教育程度的儿童的生活质量较高,有较多广泛性焦虑或学校恐惧的儿童的生活质量较低。结论有较高比例的上海小学生报告了具有临床显著意义的焦虑症状。年龄、性别、父母受教育程度、自评的焦虑症状的严重程度与儿童自评的生活质量密切相关。
Background Domestic reports on the relationship between childhood anxiety and quality of life are few. Objective To select a representative sample from Pudong New District Primary School in Shanghai for cross-sectional study on children’s anxiety symptoms and quality of life. Methods A total of 3685 students aged 3 to 5 from 7 primary schools in Shanghai Pudong New Area were stratified and randomly stratified. The Screen of Child Anxiety Related Emotional Disorders (SCARED) and children The Children and Adolescents Quality of Life scale (CAQOL). Results Of the 3628 students who completed the SCARED assessment, 864 (23.8%, 95% confidence interval = 22.4% -25.2%) reported clinically significant anxiety symptoms (SCARED total score ≥23). The SCARED score was negatively correlated with the CAQOL score and most of the factor divisions (teacher-student relationship, fellowship, parent-child relationship, learning ability and attitude, self-awareness, convenience of life, chance of activity, athletic ability and self-satisfaction) ; However, the SCARED subscale was positively correlated with three CAQOL factors - somatosensory, negative emotions and attitudes toward homework. After adjusting for other factors in the multivariate model, the quality of life of girls is higher than that of boys, the quality of life of older students is higher than that of young students, and the children with higher education level of parents have higher quality of life with more extensive Children with anxiety or school fear have lower quality of life. Conclusions A high proportion of Shanghai Pupils reported clinically significant anxiety symptoms. Age, gender, parental education, self-rated severity of anxiety symptoms are closely related to children’s self-rated quality of life.