Volume 44 Issue 11
Nov.  2023
Turn off MathJax
Article Contents
ANG Ziyao, CHEN Xiaoxiao, LIN Haijiang, ZHANG Wei, YANG Yuting, WANG Tingting, WANG Jingyi, FU Chaowei. Associations between educational burden and depression and anxiety symptoms among middle school students in Taizhou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1655-1659. doi: 10.16835/j.cnki.1000-9817.2023.11.014
Citation: ANG Ziyao, CHEN Xiaoxiao, LIN Haijiang, ZHANG Wei, YANG Yuting, WANG Tingting, WANG Jingyi, FU Chaowei. Associations between educational burden and depression and anxiety symptoms among middle school students in Taizhou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1655-1659. doi: 10.16835/j.cnki.1000-9817.2023.11.014

Associations between educational burden and depression and anxiety symptoms among middle school students in Taizhou City

doi: 10.16835/j.cnki.1000-9817.2023.11.014
  • Received Date: 2023-08-02
  • Rev Recd Date: 2023-08-27
  • Available Online: 2023-11-27
  • Publish Date: 2023-11-25
  •   Objective  To investigate the prevalence of depression and anxiety symptoms among middle school students in Taizhou, Zhejiang Province, and its associations with their educational burden, so as to provide a theoretical reference for making more targeted psychological interventional measures.  Methods  A cross-sectional study was conducted by multi-stage cluster sampling from September to November 2022 from 30 schools in five districts and counties of Taizhou, with a final sample of 8 128 junior and senior high school students completing the online surveys on the Questionnaire Star platform. The Educational Stress Scale for Adolescents (ESSA) was used to measure academic stress; the Child Depression Inventory (CDI) and the Generalized Anxiety Disorder Scale (GAD-7) were used to screen students' depression and anxiety, respectively. The relationships between educational burden and depression and anxiety symptoms were analyzed by Logistic regression models.  Results  The prevalence of depression and anxiety were 19.3% and 11.1%, respectively. The average score of middle school students' study pressure was (52.8±11.5). The number of extracurricular classes was < 1, the time length of extracurricular courses was < 1 hour per day, and students averagely spend 3.6 hours per day on homework assigned by school teachers. Nearly 30.0% students had ≤0.5 of discretionary time school days and 28.5% students had ≤2 on weekends. About 30.8% students though they do worse in their academic performance. According to the results of binary Logistic regression analysis, after controlling the demographic variables, the score in Study Pressure Scale, the number of extracurricular classes, the volume of homework and the time length of extracurricular courses were positively associated with depression and anxiety (OR=1.09, 1.07, 1.08, 1.05, 1.04, 1.08, 1.08, 1.08, 1.06, 1.09, 1.07, 1.47, 1.34, 2.84; 1.08, 1.06, 1.08, 1.04, 1.03, 1.05, 1.05, 1.05, 1.05, 1.07, 1.06, 1.48, 1.23, 1.75, P < 0.05). Students with overage grades had a higher risk of depression symptoms (OR=1.34, P < 0.05).  Conclusions  Academic burden has negative effects on depression and anxiety of students in Taizhou. It is advisable to alleviate academic stress, so as to improve the mental health of students.
  • loading
  • [1]
    UNICEF. Adolescent mental health[EB/OL]. (2021-05-03)[2023-07-24]. https://www.unicef.cn/media/20001/file/ADOLESCENT%20MENTAL%20HEALTH.pdf.
    D'AGOSTINO A, GRITTI E S, GAGLIARDI C. Generation COVID-19 and bodily disorders: hyperbolic narratives and a developmental psychopathology perspective[J]. Front Public Health, 2022, 10: 976584. doi: 10.3389/fpubh.2022.976584
    WEST P, SWEETING H. Fifteen, female and stressed: changing patterns of psychological distress over time[J]. J Child Psychol Psychiatry, 2003, 44(3): 399-411. doi: 10.1111/1469-7610.00130
    HOGBERG B. Educational stressors and secular trends in school stress and mental health problems in adolescents[J]. Soc Sci Med, 2021, 270: 113616. doi: 10.1016/j.socscimed.2020.113616
    LI C, ZHANG X, CHENG X. Associations among academic stress, anxiety, extracurricular participation, and aggression: an examination of the general strain theory in a sample of Chinese adolescents[J]. Curr Psychol, 2023, 42: 21351-21362. doi: 10.1007/s12144-022-03204-w
    张笛. 校外培训对初中生课业负担的影响: 以W市某初中一年级学生为例[D]. 武汉: 华中师范大学, 2020.

    ZHANG D. The impact of private supplementary on junior high school students' academic burden: take the first grade student of a junior high school in W city as an example[D]. Wuhan: Central China Normal University, 2020. (in Chinese)
    FU Y, REN W, LIANG Z. Perceived academic stress and depression symptoms among Chinese adolescents: a moderated mediation analysis of overweight status[J]. J Affect Disord, 2022, 296: 224-232. doi: 10.1016/j.jad.2021.09.060
    ZHOU T, CHENG G, WU X, et al. The associations between sleep duration, academic pressure, and depressive symptoms among Chinese adolescents: results from China family panel studies[J]. Int J Environ Res Public Health, 2021, 18(11): 6134. doi: 10.3390/ijerph18116134
    中共中央办公厅国务院办公厅印发《关于进一步减轻义务教育阶段学生作业负担和校外培训负担的意见》[EB/OL]. (2021-07-24)[2023-07-24]. http://www.moe.gov.cn/jyb_xxgk/moe_1777/moe_1778/202107/t20210724_546576.html.

    The General Office of the CPC Central Committee and The General Office of the State Council issued the Opinions on Further Reducing the Homework Burden and After-school Training Burden for Students in Compulsory Education[EB/OL]. (2021-07-24)[2023-07-24]. http://www.moe.gov.cn/jyb_xxgk/moe_1777/moe_1778/202107/t20210724_546576.html. (in Chinese)
    SUN J, DUNNE M P, HOU X Y, et al. Educational stress among Chinese adolescents: individual, family, school and peer influences[J]. Educ Rev, 2013, 65(3): 284-302. doi: 10.1080/00131911.2012.659657
    LIMA L S, RIBEIRO G S, DE AQUINO S N, et al. Prevalence of depression symptoms in patients with cleft lip and palate[J]. Braz J Otorhinolaryngol, 2015, 81(2): 177-183. doi: 10.1016/j.bjorl.2015.01.004
    王君, 张洪波, 胡海利, 等. 儿童抑郁量表信度和效度评价[J]. 现代预防医学, 2010, 37(9): 1642-1645. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201009018.htm

    WANG J, ZHANG H B, HU H L, et al. The reliability and validity of a Chinese version child depression inventory[J]. Mod Prev Med, 2010, 37(9): 1642-1645. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201009018.htm
    SUN J, LIANG K, CHI X, et al. Psychometric properties of the Generalized Anxiety Disorder Scale-7 Item (GAD-7) in a large sample of Chinese adolescents[J]. Healthcare (Basel), 2021, 9(12): 1709.
    SHOREY S, NG E D, WONG C H J. Global prevalence of depression and elevated depression symptoms among adolescents: a systematic review and Meta-analysis[J]. Br J Clin Psychol, 2022, 61(2): 287-305. doi: 10.1111/bjc.12333
    苏雯靓, 罗丽霞, 晏妮, 等. 重庆市儿童青少年广泛性焦虑障碍量表(GAD-7)调查及其影响因素研究[J]. 精神医学杂志, 2022, 35(2): 158-162. doi: 10.3969/j.issn.2095-9346.2022.02.009

    SU W J, LUO L X, YAN N, et al. Investigation and analysis of the influencing factors on anxiety symptoms in children and adolescents in Chongqing City through Generalized Anxiety Disorder (GAD-7)[J]. J Psychiatry, 2022, 35(2): 158-162. (in Chinese) doi: 10.3969/j.issn.2095-9346.2022.02.009
    张晓庆, 王克明, 韦邦贵, 等. 合肥市儿童青少年焦虑障碍调查分析[J]. 中国心理卫生杂志, 2004, 18(10): 726-728, 734. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS200410017.htm

    ZHANG X Q, WANG K M, WEI B G, et al. Prevalence of anxiety disorders in students of Hefei[J]. Chin Ment Health J, 2004, 18(10): 726-728, 734. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS200410017.htm
    刘洋, 张伟波, 葛聪聪, 等. 2015年上海市初中生焦虑抑郁情绪现状调查[J]. 中国健康教育, 2018, 34(4): 299-303. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201804004.htm

    LIU Y, ZHANG W B, GE C C, et al. A survey on anxiety and depression among junior high school students' in Shanghai, 2015[J]. Chin J Health Educ, 2018, 34(4): 299-303. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201804004.htm
    傅小兰, 张侃, 陈雪峰. 心理健康蓝皮书: 中国国民心理健康发展报告(2019-2020)[M]. 北京: 社会科学文献出版社, 2021.

    FU X L, ZHANG K, CHEN X F. Blue book of mental health: report on the development of Chinese national mental health (2019-2020)[M]. Beijing: Social Sciences Literature Publishing House, 2021. (in Chinese)
    HU S, MU Z. Some time is better spent than other time: Chinese adolescent's time use and developmental outcomes[J]. Child Indica Res, 2020, 13(5): 1739-1765. doi: 10.1007/s12187-020-09718-8
    JONES M L, RUSH B R, ELMORE R G, et al. Level of and motivation for extracurricular activity are associated with academic performance in the veterinary curriculum[J]. J Vet Med Educ, 2014, 41(3): 275-283. doi: 10.3138/jvme.1213-163R
    DEIGHTON J, HUMPHREY N, BELSKY J, et al. Longitudinal pathways between mental health difficulties and academic performance during middle childhood and early adolescence[J]. Br J Dev Psychol, 2018, 36(1): 110-126. doi: 10.1111/bjdp.12218
    姚逸斌. 初中生学业压力、学业压力易感性与焦虑、抑郁及自杀意念的关系研究[D]. 重庆: 重庆师范大学, 2016.

    YAO Y B. The relationship between juniors' academic stress, susceptibility of academic stress, and anxiety, depression suicidal ideation[D]. Chongqing: Chongqing Normal University, 2016. (in Chinese)
    徐华春, 黄希庭, 柳春香, 等. 抑郁的人格易感性: 概念、理论与发展[J]. 心理科学进展, 2009, 17(2): 370-376. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD200902020.htm

    XU H C, HUANG X T, LIU C X, et al. Personality vulnerability to depression: conceptions, theories and development[J]. Adv Psychol Sci, 2009, 17(2): 370-376. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD200902020.htm
    KHESHT-MASJEDI M F, SHOKRGOZAR S, ABDOLLAHI E, et al. The relationship between gender, age, anxiety, depression, and academic achievement among teenagers[J]. J Fam Med Prim Care, 2019, 8(3): 799-804. doi: 10.4103/jfmpc.jfmpc_103_18
  • 加载中


    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索


    Article Metrics

    Article views (195) PDF downloads(31) Cited by()
    Proportional views


    DownLoad:  Full-Size Img  PowerPoint