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目的了解初中生学校生活满意度与抑郁、焦虑症状的关系和相互作用,为实施心理健康教育提供依据。方法采用青少年学校生活满意度问卷、儿童抑郁症状障碍自评量表、儿童焦虑性情绪障碍筛查表对浙江省绍兴市2所初中的3 197名学生进问卷调查。结果绍兴市初中生学校生活不满意、抑郁症状、焦虑症状检出率分别为24.55%、38.04%、19.74%,学校生活满意度与抑郁、焦虑症状呈负相关关系(r=-0.378、-0.182,均P<0.001);抑郁、焦虑症状评分随着学校生活满意度评分的升高而逐渐降低(均P<0.001);多因素logistic回归分析结果显示,抑郁、焦虑症状是学校生活不满意的危险因素,其OR值(95%CI)分别为2.830(2.353~3.404)、1.396(1.130~1.725)。结论绍兴市初中生抑郁、焦虑症状流行情况不容乐观,学校生活满意度与抑郁、焦虑症状的发生密切相关。
Objective To understand the relationship and mutual effect between junior high school students’ life satisfaction and depression and anxiety symptoms, and to provide the basis for the implementation of mental health education. Methods A questionnaire survey of 3 197 students from two junior middle schools in Shaoxing City, Zhejiang Province, was conducted using the questionnaire of adolescent school life satisfaction, self-rating scale of depression symptoms in children and anxiety disorder of children. Results The school life of junior high school students in Shaoxing was not satisfied. The prevalence of depression and anxiety was 24.55%, 38.04% and 19.74% respectively. There was a negative correlation between school life satisfaction and depression and anxiety (r = -0.378, -0.182 , All P <0.001). The depression and anxiety symptom scores decreased gradually with the increase of school life satisfaction scores (all P <0.001). Multivariate logistic regression analysis showed that depression and anxiety symptoms were not satisfied with school life Risk factors, the OR (95% CI) were 2.830 (2.353 ~ 3.404), 1.396 (1.130 ~ 1.725). Conclusions The prevalence of depression and anxiety symptoms among junior high school students in Shaoxing City is not optimistic. The school life satisfaction is closely related to the occurrence of depression and anxiety symptoms.