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武汉市小学生抑郁焦虑症状随访研究

谢新艳 刘琦 朱凯恒 姜琦 冯雅楠 肖沛 吴小纤 向真 徐林 宋然然

谢新艳, 刘琦, 朱凯恒, 姜琦, 冯雅楠, 肖沛, 吴小纤, 向真, 徐林, 宋然然. 武汉市小学生抑郁焦虑症状随访研究[J]. 中国学校卫生, 2022, 43(5): 751-754. doi: 10.16835/j.cnki.1000-9817.2022.05.026
引用本文: 谢新艳, 刘琦, 朱凯恒, 姜琦, 冯雅楠, 肖沛, 吴小纤, 向真, 徐林, 宋然然. 武汉市小学生抑郁焦虑症状随访研究[J]. 中国学校卫生, 2022, 43(5): 751-754. doi: 10.16835/j.cnki.1000-9817.2022.05.026
XIE Xinyan, LIU Qi, ZHU Kaiheng, JIANG Qi, FENG Yanan, XIAO Pei, WU Xiaoqian, XIANG Zhen, XU Lin, SONG Ranran. A follow-up study depressive and anxiety symptoms of children in Wuhan City, Hubei Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 751-754. doi: 10.16835/j.cnki.1000-9817.2022.05.026
Citation: XIE Xinyan, LIU Qi, ZHU Kaiheng, JIANG Qi, FENG Yanan, XIAO Pei, WU Xiaoqian, XIANG Zhen, XU Lin, SONG Ranran. A follow-up study depressive and anxiety symptoms of children in Wuhan City, Hubei Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 751-754. doi: 10.16835/j.cnki.1000-9817.2022.05.026

武汉市小学生抑郁焦虑症状随访研究

doi: 10.16835/j.cnki.1000-9817.2022.05.026
基金项目: 

武汉市教育科学规划项目 2020ZX02

详细信息
    作者简介:

    谢新艳(1995-),女,湖北荆州人,在读博士,主要研究方向为儿童心理发展与心理卫生

    通讯作者:

    徐林,E-mail:330604641@qq.com

    宋然然,E-mail:songranran@hust.edu.cn

  • 利益冲突声明 所有作者声明无利益冲突。
  • 汤建军
  • 中图分类号: G444 G627.8 B844.1

A follow-up study depressive and anxiety symptoms of children in Wuhan City, Hubei Province

  • 摘要:   目的  了解学龄期儿童的抑郁、焦虑症状变化趋势, 为儿童心理健康建设提供科学依据。  方法  采用整群抽样, 抽取武汉市硚口区某小学二至五年级学生, 分别于2020年6和12月进行问卷调查, 包括人口学信息、学生学习情况和抑郁、焦虑症状评价。  结果  共有963名学生完成两次调查。随访时小学生的抑郁、焦虑检出率(36.3%, 34.3%)与基线调查时(30.7%, 22.8%)相比显著升高(OR抑郁=1.45, 95% CI=1.16~1.83;OR焦虑=1.79, 95% CI=1.41~2.28, P值均 < 0.01)。父母为抗击新冠疫情一线人员对儿童抑郁、焦虑症状的影响均无统计学意义(P值均>0.05)。女生、学习效率变低、课堂上与老师互动较少对儿童抑郁或焦虑症状的影响有统计学意义(P值均 < 0.05)。  结论  小学生的心理健康状况需要持续关注, 应给予及时的心理保护, 预防心理问题的发生和进一步恶化。
    1)  利益冲突声明 所有作者声明无利益冲突。
    2)  汤建军
  • 表  1  小学生基线与随访学习状况及心理状况基本特征比较

    Table  1.   The distribution of mental health and learning status of primary school students by time of survey

    组别 人数 与上学期相比,本学期的学习效率 上课时与老师的互动 抑郁症状 焦虑症状
    更高 差不多 更低 很多 偶尔或从不
    基线 963 56(5.8) 368(38.2) 539(56.0) 466(48.4) 497(51.6) 296(30.7) 667(69.3) 220(22.8) 743(77.2)
    随访 963 419(43.9) 427(44.7) 109(11.4) 409(42.7) 548(57.3) 349(36.3) 612(63.7) 327(34.3) 625(65.7)
    Z/χ2 -20.36 8.83 9.49 41.46
    P < 0.01 < 0.01 < 0.01 < 0.01
    :()内数字为构成比/%;部分资料数据有缺失。
    下载: 导出CSV

    表  2  小学生基线-随访抑郁、焦虑症状的影响因素分析(n=963)

    Table  2.   Association between demographic characteristics and depressive and anxiety symptoms of primary school students(n=963)

    自变量 选项 抑郁症状 焦虑症状
    OR值(OR值95%CI P OR值(OR值95%CI P
    时间 基线 1.00 1.00
    随访 1.45(1.16~1.83) < 0.01 1.79(1.41~2.28) < 0.01
    年龄 1.08(0.98~1.19) 0.11 1.09(0.99~1.20) 0.09
    性别 1.00 1.00
    1.25(1.00~1.57) 0.05 1.45(1.15~1.84) < 0.01
    父亲为抗击疫情一线人员 1.00 1.00
    1.01(0.79~1.29) 0.96 0.99(0.76~1.30) 0.96
    母亲为抗击疫情一线人员 1.00 1.00
    0.92(0.72~1.16) 0.48 1.14(0.89~1.45) 0.31
    父亲文化程度 大学本科及以下 1.00 1.00
    研究生及以上 1.07(0.83~1.38) 0.59 0.81(0.63~1.06) 0.13
    母亲文化程度 大学本科及以下 1.00 1.00
    研究生及以上 0.84(0.65~1.09) 0.18 1.11(0.85~1.45) 0.43
    与上学期相比,本学期的学习效率 更高 1.00 1.00
    差不多 1.03(0.79~1.34) 0.84 0.81(0.62~1.07) 0.14
    更低 1.66(1.21~2.27) < 0.01 1.26(0.91~1.73) 0.16
    上课时与老师的互动 很多,主动回答老师问题 1.00 1.00
    偶尔或从不和老师互动 2.00(1.63~2.45) < 0.01 1.95(1.56~2.43) < 0.01
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-12-28
  • 修回日期:  2022-02-20
  • 网络出版日期:  2022-05-20
  • 刊出日期:  2022-05-25

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