上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2015, Vol. 35 ›› Issue (10): 1539-.doi: 10.3969/j.issn.1674-8115.2015.10.022

• 论著（公共卫生） • 上一篇    下一篇

上海市非毕业班中学生抑郁障碍调查与影响因素分析

程永琛1，杜亚松1，周慧鸣1，李改智1，李彩霞1，郝丽丽1，吕桃1，茅荣杰1，江文庆1，李梦瑶1，赵志民1，张林娜1，赵力聪1，邓思宇1，刘文文1，吴增强2，马珍珍2   

  1. 1.上海交通大学 医学院附属精神卫生中心儿少精神科， 上海200030； 2.上海市教育科学研究院， 上海200032
  • 出版日期:2015-10-20 发布日期:2015-12-22
  • 通讯作者: 上海市精神卫生中心特色专科建设项目（2013-YJTSZK-04）；上海市学生心理健康教育发展中心项目（A201475001）
  • 作者简介:程永琛（1992—）， 女， 硕士生; 电子信箱: chengyongchen0409@163.com
  • 基金资助:

     上海市精神卫生中心特色专科建设项目（2013-YJTSZK-04）；上海市学生心理健康教育发展中心项目（A201475001）

Investigation of depressive disorder of non-graduating middle school students in Shanghai and analysis of influencing factors

CHENG Yong-chen1, DU Ya-song1, ZHOU Hui-ming1, LI Gai-zhi1, LI Cai-xia1, HAO Li-li1, LU Tao1, MAO Rong-jie1, JIANG Wen-qing1, LI Meng-yao1, ZHAO Zhi-min1, ZHANG Lin-na1, ZHAO Li-cong1, DENG Si-yu1, LIU Wen-wen1, WU Zeng-qiang2, MA Zhen-zhen2   

  1. 1.Department of Child & Adolescent Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai200030, China; 2.Shanghai Academy of Educational Sciences, Shanghai200032, China
  • Online:2015-10-20 Published:2015-12-22
  • Supported by:

    Construction of Characteristic Disciplines in Shanghai Mental Health Center, 2013-YJTSZK-04; Project of Shanghai Student Mental Health Education and Development Center, A201475001

PDF (PC)

1361

摘要：

目的调查中学生抑郁障碍现状，分析抑郁障碍产生的影响因素。方法采用自编人口学资料、长处与困难问卷（SDQ）和Kutcher青少年抑郁量表（KADS）作为调查问卷，选取同时满足SDQ总的困难维度和KADS总分划界分以上的学生进行简明儿童少年国际神经精神（MINI-KID）访谈。结果参与调查的学生为7 978名，男生的KADS得分高于女生（P<0.01）；KADS总分随年级的升高而增长，初一分数最低，高二分数最高（P<0.01）。Logistic回归分析发现，抑郁障碍危险因素为年龄较大、母亲生育年龄较大、自我价值感过高、情绪问题较多、注意力不集中和同伴关系较差等。结论男生抑郁症状较女生更重；随年级升高，抑郁症状也在加重；抑郁障碍影响因素为年龄、母亲生育年龄、自我价值感、情绪问题、注意力不集中和同伴关系。

关键词: 非毕业班中学生, 抑郁障碍, 影响因素

Abstract:

ObjectiveTo investigate the depressive disorder of middle school students and find out factors influencing the incidence of depressive disorder.MethodsA self-designed demographic questionnaire, Strengths and Difficulties Questionnaire (SDQ), and Kutcher adolescent depression scale (KADS) were used. Children who reached the total difficulty score of SDQ and the delimitation score of KADS were selected and the mini international neuropsychiatric interview for children and adolescents (MINI-KID) was performed.ResultsA total of 7 978 students were enrolled. KADS scores of boys were higher than those of girls (P<0.01). The total score of KADS increased with the grade. The total score of KADS of grade 2 students in senior high school was the highest and that of grade 1 students in junior high school was the lowest (P<0.01). Logistic regression analysis showed that the risk factors of depressive disorder were old age, old maternal childbearing age, high self-value, more emotional problems, scatterbrain, and poor relationship with peers.ConclusionDepressive symptoms of boys are severer than those of girls and aggravate with the grade. The influencing factors of depressive disorder are age, maternal childbearing age, self-value, emotional problems, scatterbrain, and relationship with peers.

Key words: non-graduating middle school students, depressive disorder, risk factors