目的 研究上海市在校中学生的心理健康状况以及家庭相关影响因素,为心理健康干预措施提供指导。方法 于2011年12月采取分层整群随机抽样方法,抽取上海市7个区34个中学125个班级4 536名在校中学生进行调查。使用学生版长处与困难问卷(SDQ)以及自编儿童青少年家庭环境问卷采集信息,分析心理健康状况,采用二元Logistic回归分析探索家庭因素与心理健康状况的关系。结果 共收回问卷4 536份,其中有效问卷3 615份,有效率为79.7%。中学生总体心理问题异常检出率为9.1%,临界为11.0%。经常存在母子冲突和父子冲突的学生总体心理困难得分显著高于亲子关系和谐和一般的学生(P<0.05)。家庭因素中经常不和的父母关系(OR=1.351,95%CI:1.015~1.799,P=0.039)、母子冲突(OR=1.584,95%CI:1.133~2.216,P=0.007)和父子冲突(OR=1.461,95%CI:1.030~2.073,P=0.034)是影响中学生心理健康最重要的因素。结论 上海市在校中学生心理健康问题发生率与国际水平基本一致,父子冲突和母子冲突均是影响心理健康的重要因素,提示改善亲子冲突对维系中学生的心理健康水平很重要
Abstract
Objective To explore the mental health of middle school students in Shanghai and family-related factors,so as to provide guidance for mental health interventions. Methods A stratified cluster random sampling method was used to survey 4 536 students from 125 classes in 34 middle schools from 7 districts in Shanghai in December 2011. Strength and Difficulty Questionnaire(SDQ)-student edition and self-designed children and adolescents family environment questionnaire were adopted to collect data on mental health of middle school students. Logistic regression analysis was used to explore the relationship between family factors and mental health status. Results A total of 4 536 questionnaires were issued,of which 3 615 were valid questionnaires,with an effective rate of 79.7%. The overall rate of abnormal psychological problems of middle school students was 9.1%,and the bordline rate was 11.0%. The total SDQ scores of students who often had mother-child conflicts and father-child conflicts were significantly higher than those of children with harmonious and general parent-child relationship(P<0.05). Logistic analysis showed that father-mother relationship(OR=1.351,95%CI:1.015-1.799,P=0.039),frequent mother-child conflict(OR=1.584,95%CI:1.133—2.216,P=0.007)and father-child conflict(OR=1.461, 95%CI:1.030—2.073,P=0.034) in family factors were important factors affecting the mental health of middle school students. Conclusions The prevalence of mental health problems among middle school students in Shanghai is consistent with the international level. Frequent parent-child conflict and mother-child conflict are the important factors affecting middle school students′ mental health,suggesting that improving parent-child conflict is crucial for maintaining students′ mental health.
关键词
长处与困难问卷 /
中学生 /
心理问题 /
亲子关系
Key words
Strengths and Difficulties Questionnaire /
middle school students /
mental health /
parent-child relationship
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参考文献
[1] Kieling C,Baker-Henningham H,Belfer M,et al. Child and adolescent mental health worldwide evidence for action[J]. Lancet,2011,378:1515-1525.
[2] Bor W,Dean AJ,Najman J,et al. Are child and adolescent mental health problems increasing in the 21st century ? A systematic review[J]. Aust N Z J Psychiatry,2014,48(7):606-616.
[3] Francis SL,Hakon H,Jay NG,et al. Adolescent mental health-opportunity and obligation:emerging neuroscience offers hope for treatments[J].Science,2014,346(6209):547-549.
[4] Vigo L,Ilzarbe D,Baeza I,et al. Shared psychotic disorder in children and young people a systematic review[J]. Eur Child Adolesc Psychiatry,2018. doi:10.1007/s00787-018-1236-7
[5] 全国22个城市协作调查组.儿童行为问题影响因素分析:22城市协作调查24013名儿童少年报告[J]. 中国心理卫生杂志,1993,7(1):13-15.
[6] 吴曼,刘争光,梁丽婵. 亲子关系对儿童青少年心理发展的影响[J]. 北京师范大学学报:社会科学版,2016,61(5):55-63.
[7] 陈成滨,陈杰. 中文版长处和困难问卷心理测量学特性研究综述[J]. 中国公共卫生,2017,33(4):685-688.
[8] Ravens-Sieberer U,Otto C,Kriston L,et al. The longitudinal BELLA study:design,methods and first results on the course of mental health problems[J]. Eur Child Adolesc Psychiatry,2015,24(6):651-663.
[9] Wang JN,Liu L,Wang L. Prevalence and associated factors of emotional and behavioural problems in Chinese school adolescents:a cross-sectional survey[J]. Child Care Health Dev,2014,40(3):319-326.
[10] 林惜君,刘可,何穗智,等. 广东省贫困地区部分留守儿童心理健康状况的调查研究[J]. 中国儿童保健杂志,2015,23(3):295-297.
[11] 胡新民,栾晓英,肉孜宛古丽,等. 石河子市中学生心理状况调查[J]. 临床心身疾病杂志,2015,21(5):101-104.
[12] 王晓玲,李平非,彭元,等. 长沙市4～18岁儿童少年的情绪与行为问题调查[J]. 中国心理卫生杂志,2012,26(10):775-779.
[13] 陆爱军,王永强,王永飞,等. 上海市松江区7~16岁中小学生情绪和行为问题调查[J]. 精神医学杂志,2015,28(2):99-101.
[14] 黄时华,蔡枫霞,刘佩玲,等. 初中生亲子关系和学校适应:情绪调节自我效能感的中介作用[J]. 中国临床心理学杂志,2015, 23(1):171-177.
[15] Timmons AC,Margolin G. Family conflict,mood,and adolescents′ daily school problems:moderating roles of internalizing and externalizing symptoms[J]. Child Dev,2015,86(1):241-258.
[16] Samek DR,Wilson S,McGue M,et al. Genetic and environmental influences on parent-child conflict and child depression through late adolescence[J]. J Clin Child Adolesc Psychol,2016,4:1-16.
[17] 杨菲,吴鑫德. 父母教养方式、亲子冲突与初中女生抑郁焦虑的关系[J]. 中国健康心理学杂志,2014,22(9):1418-1420.
[18] Jensen MR,Wong JJ,Gonzales NA,et al. Long-term effec ts of a universal family intervention:mediation through parent-adolescent conflict[J]. J Clin Child Adolesc Psychol,2014,43(3):415-427.
[19] Kuhn C,Aebi M,Jakobsen H,et al. Effective mental health screening in adolescents should we collect data from youth parents or both[J]. Child Psychiatry Hum Dev,2017,48(3):385-392.
基金
上海市高端儿科海外研修团队建设专项规划(GDEK201702);上海市教委项目(HJTY2012-A06)
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