Analysis of subtypes and risk characteristics of depression and anxiety among primary and secondary school students

LI Minhui; YANG Yaming; XIAO Yue; YANG Xinwei; JIANG Xuanli; WANG Xiaoyu; SHENG Jiating; LIU Fangdu; SU Liyan; MA Jun; ZHANG Xujun

doi:10.16835/j.cnki.1000-9817.2023.12.008

Volume 44 Issue 12

Dec. 2023

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(12): 1793-1798

LI Minhui, YANG Yaming, XIAO Yue, YANG Xinwei, JIANG Xuanli, WANG Xiaoyu, SHENG Jiating, LIU Fangdu, SU Liyan, MA Jun, ZHANG Xujun. Analysis of subtypes and risk characteristics of depression and anxiety among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1793-1798. doi: 10.16835/j.cnki.1000-9817.2023.12.008

Citation:

LI Minhui, YANG Yaming, XIAO Yue, YANG Xinwei, JIANG Xuanli, WANG Xiaoyu, SHENG Jiating, LIU Fangdu, SU Liyan, MA Jun, ZHANG Xujun. Analysis of subtypes and risk characteristics of depression and anxiety among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1793-1798. doi: 10.16835/j.cnki.1000-9817.2023.12.008

Citation:

LI Minhui, YANG Yaming, XIAO Yue, YANG Xinwei, JIANG Xuanli, WANG Xiaoyu, SHENG Jiating, LIU Fangdu, SU Liyan, MA Jun, ZHANG Xujun. Analysis of subtypes and risk characteristics of depression and anxiety among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1793-1798. doi: 10.16835/j.cnki.1000-9817.2023.12.008

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Analysis of subtypes and risk characteristics of depression and anxiety among primary and secondary school students

doi: 10.16835/j.cnki.1000-9817.2023.12.008

1.
Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing (210009), Jiangsu Province, China

Received Date: 2023-07-13
Rev Recd Date: 2023-09-17

Available Online: 2023-12-26

Publish Date: 2023-12-25

Abstract

Abstract

Objective To understand different types of depression and anxiety among primary and secondary school students, as well as their influencing factors, so as to provide a basis for the development of future intervention programs for adolescent mental health. Methods From December 2022 to February 2023, a self-administered questionnaire survey was administered among grades 4 to 6 students and junior school, senior school students in Yixing City using Depression Anxiety and Stress Scale-21(DASS-21), Insomnia Severity Index (ISI), Family Environment Scale (FES), and modified Yale Food Addiction Scale 2.0(mYFAS 2.0), Ottawa Self-injury Inventory (OSI).A total of 4 180 students were included in the analysis.Different types of depression and anxiety in students and their influencing factors were analyzed by the Chi-square-test and multivariate Logistic regression. Results The overall prevalence of depression and anxiety among primary and secondary school students were 16.6% and 22.4%, respectively, with 14.0% of depression and anxiety comorbidities.The Logistic regression results showed that, compared to students with low-depression-low-anxiety, students of depression and anxiety who had parents in conflicts (OR=3.06), smoked (OR=3.16), exhibited moderate food addiction (OR=3.56), and had non-suicidal self-injury (NSSI)(OR=2.26) were more likely to be classified as a depression-predominant-depression-anxiety type.Students of depression and anxiety who consumed alcohol (OR=2.00), had serious food addiction (OR=5.44), moderate-to-severe insomnia (OR=3.25), and mild insomnia (OR=1.88) were more likely to be classified as anxiety-predominant-depression-anxiety type.Students of depression and anxiety with low mood (OR=10.87), mild food addiction (OR=2.00), moderate food addiction (OR=4.32), and severe food addiction (OR=7.35), mild (OR=2.96) or moderate to severe (OR=16.52) insomnia, and NSSI (OR=4.24) were more likely to be classified as the severe-depression-anxiety type (P < 0.05). Conclusions There are significant differences between different depression-anxiety types among primary and secondary school students with respect to food addiction, insomnia, NSSI, smoking, and alcohol use.Relevant departments should engage with schools and families to adopt targeted interventions for students to reduce the occurrence of mental health problems.
- Depression,
- Anxiety,
- Mental health,
- Regression analysis,
- Students

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References(40)

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