面向中国实践的儿童青少年心理健康促进路径探索

李晶; 宋逸

doi:10.16835/j.cnki.1000-9817.2025283

面向中国实践的儿童青少年心理健康促进路径探索

doi: 10.16835/j.cnki.1000-9817.2025283

李晶,
宋逸^,

北京大学公共卫生学院/北京大学儿童青少年卫生研究所, 北京 100191

基金项目:

科技部重点研发计划课题项目 2024YFC2707901

详细信息

作者简介:
李晶(1989-)，女，山东潍坊人，博士，研究员，主要研究方向为环境与儿童青少年健康

通讯作者:
宋逸，E-mail: songyi@bjmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 B844 G479
计量
- 文章访问数: 11
- HTML全文浏览量: 8
- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2025-04-24
- 修回日期: 2025-07-10
- 网络出版日期: 2025-10-10
- 刊出日期: 2025-09-25

Exploring pathways for promoting mental health among children and adolescents in the context of Chinese practice

LI Jing,
SONG Yi^,

School of Public Health/Institute of Child and Adolescent Health, Peking University, Beijing 100191, China

摘要

摘要: 儿童青少年心理健康问题已成为重要公共卫生问题。为应对儿童青少年心理健康问题日益复杂的趋势及新型影响因素涌现的现实挑战, 研究构建了儿童青少年心理健康促进框架和升维、降维、破维思路, 提出“发现问题—分析问题—解决问题—评估效果—系统优化”的范式革新。通过综合考虑传统与新型影响因素，引入数字化等新兴技术，实现理论与实践的动态适配和系统优化，以推动中国特色儿童青少年心理健康服务体系高质量发展。
- 精神卫生 /
- 健康促进 /
- 儿童 /
- 青少年
Abstract: Mental health issues among children and adolescents have become an important public health problem. To address the growing complexity of mental health issues among children and adolescents as well as the emerging challenges posed by novel influencing factors the study develops a framework for promoting mental health among children and adolescents including dimensional elevation reduction and breakthrough approaches. It also proposes a paradigm innovation of "awareness-analysis-action-assessment-advance". The study comprehensively considers the traditional and new influencing factors and introduces new technologies such as digital technology so as to achieve dynamic adaptation and system optimization of theory and practice thereby advancing the high-quality development of the mental health service system with Chinese characteristics for children and adolescents.
- Mental health /
- Health promotion /
- Child /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

图 1 儿童青少年心理健康促进的“5A”框架和“三维”思路

Figure 1. "5A" framework and "three-dimensional" approach for promoting mental health among children and adolescents

下载: 全尺寸图片幻灯片

图 2 儿童青少年心理健康促进措施的系统优化

Figure 2. Systematic optimization of mental health promotion strategies for children and adolescents

下载: 全尺寸图片幻灯片

参考文献(42)

[1]	MCGRATH J J, AL-HAMZAWI A, ALONSO J, et al. Age of onset and cumulative risk of mental disorders: a cross-national analysis of population surveys from 29 countries[J]. Lancet Psychiatry, 2023, 10(9): 668-681. doi: 10.1016/S2215-0366(23)00193-1
[2]	WEAVERS B, HERON J, THAPAR A K, et al. The antecedents and outcomes of persistent and remitting adolescent depressive symptom trajectories: a longitudinal, population-based English study[J]. Lancet Psychiatry, 2021, 8(12): 1053-1061. doi: 10.1016/S2215-0366(21)00281-9
[3]	REN X Y, JIANG Q, CHEN H, et al. Mental disorder spectrum in children and adolescents from 2014-2022: a nine-year epidemiological and clinical trend[J]. Curr Med Sci, 2025, 45(1): 146-153. doi: 10.1007/s11596-025-00007-5
[4]	DONG W, LIU Y, BAI R, et al. The prevalence and associated disability burden of mental disorders in children and adolescents in China: a systematic analysis of data from the Global Burden of Disease Study[J]. Lancet Reg Health West Pac, 2025, 55: 101486.
[5]	CONTE G, IORIO G D, ESPOSITO D, et al. Scrolling through adolescence: a systematic review of the impact of TikTok on adolescent mental health[J]. Eur Child Adolesc Psychiatry, 2025, 34(5): 1511-1527. doi: 10.1007/s00787-024-02581-w
[6]	中华人民共和国教育部等十七部门关于印发《全面加强和改进新时代学生心理健康工作专项行动计划(2023—2025年)》的通知[EB/OL]. (2023-04-20)[2025-08-14]. https://www.gov.cn/zhengce/zhengceku/202305/content_6857361.htm.
[7]	LI F, CUI Y, LI Y, et al. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17 524 individuals[J]. J Child Psychol Psychiatry, 2022, 63(1): 34-46. doi: 10.1111/jcpp.13445
[8]	袁雯, 杨田, 宋逸, 等. 儿童青少年精神健康为核心的共病负担和病因机制研究进展[J]. 中国学校卫生, 2023, 44(9): 1423-1427. doi: 10.16835/j.cnki.1000-9817.2023.09.032 YUAN W, YANG T, SONG Y, et al. Research progress on burden and etiological mechanism of mental health as the core comorbidity in children and adolescents[J]. Chin J Sch Health, 2023, 44(9): 1423-1427. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.032
[9]	MORNEAU-VAILLANCOURT G, PALAIOLOGOU E, POLDERM-AN T J C, et al. Research review: a review of the past decade of family and genomic studies on adolescent mental health[J]. J Child Psychol Psychiatry, 2025, 66(6): 910-927. doi: 10.1111/jcpp.14099
[10]	ZHANG E, CHEN J, LIU Y, et al. Associations between joint lifestyle behaviors and depression among children and adolescents: a large cross-sectional study in China[J]. J Affect Disord, 2024, 352: 110-114. doi: 10.1016/j.jad.2024.02.032
[11]	PEDERSEN G A, LAM C, HOFFMANN M, et al. Psychological and contextual risk factors for first-onset depression among adolescents and young people around the globe: a systematic review and Meta-analysis[J]. Early Interv Psychiatry, 2023, 17(1): 5-20. doi: 10.1111/eip.13300
[12]	黄欣欣, 李雨婷, 陈剑华, 等. 家庭结构对青少年抑郁和焦虑症状的影响: 情感忽视的中介作用[J]. 中国当代儿科杂志, 2023, 25(1): 80-85. HUANG X X, LI Y T, CHEN J H, et al. The influence of family structure on depression and anxiety symptoms in adolescents: the mediating role of emotional neglect[J]. Chin J Contemp Pediatr, 2023, 25(1): 80-85. (in Chinese)
[13]	YAP M B, PILKINGTON P D, RYAN S M, et al. Parental factors associated with depression and anxiety in young people: a systematic review and Meta-analysis[J]. J Affect Disord, 2014, 156: 8-23. doi: 10.1016/j.jad.2013.11.007
[14]	BADINI I, AHMADZADEH Y, WECHSLER D L, et al. Socioeconomic status and risk for child psychopathology: exploring gene-environment interaction in the presence of gene-environment correlation using extended families in the Norwegian Mother, Father and Child Birth Cohort Study[J]. J Child Psychol Psychiatry, 2024, 65(2): 176-187. doi: 10.1111/jcpp.13872
[15]	HOLFELD B, BAITZ R. The mediating and moderating effects of social support and school climate on the association between cyber victimization and internalizing symptoms[J]. J Youth Adolesc, 2020, 49(11): 2214-2228. doi: 10.1007/s10964-020-01292-0
[16]	CHOI J K, TESHOME T, SMITH J. Neighborhood disadvantage, childhood adversity, bullying victimization, and adolescent depression: a multiple mediational analysis[J]. J Affect Disord, 2021, 279: 554-562. doi: 10.1016/j.jad.2020.10.041
[17]	GAO L, LIU J, YANG J, et al. Longitudinal relationships among cybervictimization, peer pressure, and adolescents' depressive symptoms[J]. J Affect Disord, 2021, 286: 1-9. doi: 10.1016/j.jad.2021.02.049
[18]	ROBERTS S, ARSENEAULT L, BARRATT B, et al. Exploration of NO₂ and PM_2.5 air pollution and mental health problems using high-resolution data in London-based children from a UK longitudinal cohort study[J]. Psychiatry Res, 2019, 272: 8-17. doi: 10.1016/j.psychres.2018.12.050
[19]	郑冬华, 吴慧攀, 陈琪, 等. 中国青少年肌肉力量指数与心理亚健康的相关性[J]. 中国学校卫生, 2020, 41(12): 1831-1834, 1839. ZHENG D H, WU H P, CHEN Q, et al. Correlation between Chinese adolescent mental sub-health and muscle strength index[J]. Chin J Sch Health, 2020, 41(12): 1831-1834, 1839. (in Chinese)
[20]	范十一, 车冰清. 体重污名对肥胖大学生心理健康的影响及对策研究[J]. 吉林体育学院学报, 2023, 39(3): 103-108. FAN S Y, CHE B Q. A study on the influence and countermeasures of weight stignce on the psychological health of obese college studerts[J]. J Jilin Sport Univ, 2023, 39(3): 103-108. (in Chinese)
[21]	刘小文, 刘秀芳. 当代青年"数字压力"的表现样态及其化解进路[J]. 广西青年发展研究, 2024, 34(5): 39-44. LIU X W, LIU X F. Manifestations and coping strategies of 'digital stress' among contemporary youth[J]. J Guangxi Youth Lead Coll, 2024, 34(5): 39-44. (in Chinese)
[22]	QU D, ZHANG X, WANG J, et al. New form of addiction: an emerging hazardous addiction problem of milk tea among youths[J]. J Affect Disord, 2023, 341: 26-34. doi: 10.1016/j.jad.2023.08.102
[23]	YU H J, LI F, HU Y F, et al. Improving the metabolic and mental health of children with obesity: a school-based nutrition education and physical activity intervention in Wuhan, China[J]. Nutrients, 2020, 12(1): 194. doi: 10.3390/nu12010194
[24]	WEARE K, NIND M. Mental health promotion and problem prevention in schools: what does the evidence say?[J]. Health Promot Int, 2011, 26(Suppl 1): i29-i69. doi: 10.1093/heapro/dar075
[25]	WERLEN L, GJUKAJ D, MOHLER-KUO M, et al. Interventions to improve children's access to mental health care: a systematic review and Meta-analysis[J]. Epidemiol Psychiatr Sci, 2019, 29: e58.
[26]	AGUIRRE VELASCO A, CRUZ I S S, BILLINGS J, et al. What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review[J]. BMC Psychiatry, 2020, 20(1): 293. doi: 10.1186/s12888-020-02659-0
[27]	DUNNING D L, GRIFFITHS K, KUYKEN W, et al. Research review: the effects of mindfulness-based interventions on cognition and mental health in children and adolescents: a Meta-analysis of randomized controlled trials[J]. J Child Psychol Psychiatry, 2019, 60(3): 244-258. doi: 10.1111/jcpp.12980
[28]	AALBERS S, FUSAR-POLI L, FREEMAN R E, et al. Music therapy for depression[J]. Cochrane Database Syst Rev, 2017, 11(11): CD004517.
[29]	HUDSON J L, MINIHAN S, CHEN W, et al. Interventions for young children's mental health: a review of reviews[J]. Clin Child Fam Psychol Rev, 2023, 26(3): 593-641. doi: 10.1007/s10567-023-00443-6
[30]	鲁雷, 季浏. 团体辅导提升留守儿童心理健康水平的研究[J]. 长春师范学院学报, 2013, 32(2): 168-170. LU L, JI L. Research on group counseling to improve the mental health level of left-behind children[J]. J Changchun Norm Univ, 2013, 32(2): 168-170. (in Chinese)
[31]	俞国良, 张哲. 数字技术赋能学校心理健康服务[J]. 清华大学教育研究, 2023, 44(1): 19-29. YU G L, ZHANG Z. Digital technology empowers school mental health services[J]. Tsinghua J Educ, 2023, 44(1): 19-29. (in Chinese)
[32]	孙莹, 陶芳标. 数字化技术赋能学校普遍性心理卫生服务新机遇[J]. 中国学校卫生, 2023, 44(7): 961-963, 968. SUN Y, TAO F B. Promoting digital technology to enable new opportunities for universal mental health services in schools[J]. Chin J Sch Health, 2023, 44(7): 961-963, 968. (in Chinese)
[33]	HEINZ M V, MACKIN D M, TRUDEAU B M, et al. Randomized trial of a generative AI chatbot for mental health treatment[J]. NEJM AI, 2025, 2(4): AIoa2400802.
[34]	CHEN Y B, LIN H Y, WANG L J, et al. A network Meta-analysis of non-invasive brain stimulation interventions for autism spectrum disorder: evidence from randomized controlled trials[J]. Neurosci Biobehav Rev, 2024, 164: 105807. doi: 10.1016/j.neubiorev.2024.105807
[35]	董妍, 俞国良. 党的十八大以来青少年心理健康教育政策的演进[J]. 人民论坛·学术前沿, 2024(19): 91-100. DONG Y, YU G L. The evolution of adolescent mental health education policies since the 18th National Congress of the Communist Party of China[J]. Frontiers, 2024(19): 91-100. (in Chinese)
[36]	马晓燕, 陈婷, 李申. 儿童青少年心理健康管理问题研究进展[J]. 黑龙江科学, 2025, 16(5): 148-151. MA X Y, CHEN T, LI S. Research progress on psychological health management issues of children and adolescents[J]. Heilongjiang Sci, 2025, 16(5): 148-151. (in Chinese)
[37]	TELLES N N, CRUZ N D S, CARDOSO M M A, et al. Perceptions about children and adolescents' mental health crisis intervention: a qualitative systematic review[J]. Cad Saude Public, 2024, 40(11): e00016324. doi: 10.1590/0102-311xen016324
[38]	董子奇, 宋欣俐, 袁雯, 等. 青少年体质量指数和体重污名化与抑郁症状纵向交叉滞后分析[J]. 中国学校卫生, 2025, 46(9): 1242-1245, 1251. doi: 10.16835/j.cnki.1000-9817.2025286 DONG Z Q, SONG X L, YUAN W, et al. Longitudinal cross-lagged analysis of body mass index and weight stigma with depressive symptom in adolescents[J]. Chin J Sch Health, 2025, 46(9): 1242-1245, 1251. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2025286
[39]	郭晓婷, 杨娟, 党佳佳, 等. 中国儿童青少年心理健康政策变迁与发展[J]. 中国学校卫生, 2025, 46(9): 1246-1251. doi: 10.16835/j.cnki.1000-9817.2025227 GUO X T, YANG J, DANG J J, et al. Evolution and development of mental health policies for children and adolescents in China[J]. Chin J Sch Health, 2025, 46(9): 1246-1251. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2025227
[40]	杨若澜, 蔡珊, 马宁, 等. 中国13~18岁青少年心理健康及其与肌肉力量的关联[J]. 中国学校卫生, 2025, 46(9): 1232-1236, 1241. doi: 10.16835/j.cnki.1000-9817.2025285 YANG R L, CAI S, MA N, et al. Association between mental health and muscle strength among Chinese adolescents aged 13-18[J]. Chin J Sch Health, 2025, 46(9): 1232-1236, 1241. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2025285
[41]	温楠楠, 钟霞, 李晶, 等. 学龄期儿童青少年抑郁症状与中医体质的关联[J]. 中国学校卫生, 2025, 46(9): 1226-1231. doi: 10.16835/j.cnki.1000-9817.2025284 WEN N N, ZHONG X, LI J, et al. Correlation between depressive symptom and traditional Chinese medicine constitution among school-aged children and adolescents[J]. Chin J Sch Health, 2025, 46(9): 1226-1231. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2025284
[42]	王翱航, 陈沛如, 张强. 大学生对高校心理健康工作满意度和心理资本与心理健康状况的关系[J]. 中国学校卫生, 2025, 46(9): 1237-1241. doi: 10.16835/j.cnki.1000-9817.2025278 WANG A H, CHEN P R, ZHANG Q. Relationship of college students' satisfaction with psychological health work in colleges and psylchological capital with psychological health status[J]. Chin J Sch Health, 2025, 46(9): 1237-1241. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2025278