【Objective】 To explore the prevalence of adversity and its relationship with psychosocial problems and strengths among rural adolescents. 【Methods】 954 rural adolescents were selected from 6 cities of Shandong province and asked to complete the Strength and Difficulties Questionnaire (SDQ), self-administered Adolescent Adversity Questionnaire and self-ministered questionnaire for genenral information. 【Results】 The prevalence of adversity among rural adolescents was 93.50%. Three kinds of adversity, exam anxiety, parents substance abusing and witness of traffic accidents, were highly reported. The prevalence of adversity among boys was higher than that of girls (P＜0.01), and adolescents aged 16～18 years old were more possiple to suffer commulative adversity (P＜0.01). The SDQ scores of emotional symptoms, conduct problems, hyperactivity-inattention and total difficulties in commulative adverstiy group were higher than the scores in groups with none and single adversity (P＜0.01), which were significantly correlated with the number of adversities, which was significantly negative correlated with prosocial behavior(r=0.13~0.23,P<0.01) 【Conclusions】 The prevalence of adversity of rural adolescents is high. Statistic associations are found between the number of adversity and adolesents' psychosocial problems, which means the more advesity sufferred, the more serious difficulties the adolescents may have.
Key words
adolescents /
adversity /
psychosocial problems
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Chartier M J, Walker J R, Naimark B. Separate and cumulative effects of adverse childhood experiences in predicting adult health and health care utilization[J]. Child Abuse & Neglect, 2010, 34:454-464.
[2] 孙礼, 张昭, 周艳娟,等. 学校应激事件对哈尔滨市中学生健康状况影响[J].中国学校卫生, 2010, 31(8): 935-937.
[3] 曹枫林, 苏林雁. 受虐儿童情绪及行为问题的初步探讨[J]. 儿童心理卫生, 2007, 21(12) :818-819.
[4] Kotch JB, Lewis T, Hussey JM, et al. Importance of early neglect for childhood aggression[J]. Pediatrics, 2008, 121:725-731.
[5] 阎燕燕, 孟宪璋. 童年创伤和虐待与成年精神障碍[J]. 中国临床心理学杂志, 2005, 13(2): 208-209.
[6] Rutter M. Protective Factors in Children's Responses to Stress and Disadvantage[M]∥Kent MW, Rolf JE, Primary Prevention of Psychopathology,1979:49-74.
[7] Sameroff AJ. Developmental systems and psychopathology[J]. Development and Psychopathology, 2000, 12(3):297-312.
[8] 寇建华, 杜亚松, 夏黎明. 儿童长处和困难问卷(父母版)上海常模的信度和效度[J]. 上海精神医学, 2005, 17(1):25-28.
[9] Coddington RD. The significance of life events as etiologic factors in the diseases of children II. A study of a normal population[J]. Psychosom Res,1972,16:205-213.
[10] Donald A, Lloyd R, Turner J. Cumulative lifetime adversities and alcohol dependence in adolescence and young adulthood[J]. Drug and Alcohol Dependence, 2008, 93:217-226.
[11] Whitesell NR, Beals J, Mitchell CM, et al. The relationship of cumulative and proximal adversity to onset of substance dependence symptoms in two American Indian communities[J]. Drug and Alcohol Dependence, 2007, 91: 279-288.
[12] 孔箴,曹枫林,董方虹,等.儿童多重侵害发生现状及相关因素分析[J]. 中国临床心理学杂志, 2010, 18(4): 477-479.
[13] 刘佳佳, 曹枫林, 陈倩倩,等.青少年行为问题与多重侵害的相关性研究[J]. 中国儿童保健杂志, 2010, 18(6): 487-489.
[14] Lee H. Using cumulative risk models to link social disadvantage to obesity risk in the transition to young adulthood[R]. New york: Population Association of America,2007 Annual Meeting Program,2007.
[15] Schilling EA, Aseltine RH, Gore S. The impact of cumulative childhood adversity on young adult mentalh ealth:Measures,models,and interpretations[J]. Social Science & Medicine, 2008, 66: 1140-1151.
PDF(418 KB)
