青少年青春早中期心理社会应激与1年后情绪行为问题的关联

吴文懿; 刘琴; 李月月; 方波; 盛露露; 周源柯; 席璇; 张琴

doi:10.16835/j.cnki.1000-9817.2022.05.002

青少年青春早中期心理社会应激与1年后情绪行为问题的关联

doi: 10.16835/j.cnki.1000-9817.2022.05.002

重庆医科大学公共卫生与管理学院/医学与社会发展研究中心/健康领域社会风险预测治理协同创新中心，重庆 400016

基金项目:

国家自然科学基金青年科学基金项目 81502825

2018年留创计划创新类项目 x2018105

重庆市科学技术委员会基础与前沿研究计划资助项目 cstc2013jcyjA10001

详细信息

作者简介:
吴文懿(1997-)，男，四川成都人，在读硕士，主要研究方向为流行病与卫生统计学

通讯作者:
刘琴，E-mail：liuqin@cqmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G444 G478 R179
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出版历程
- 收稿日期: 2021-11-02
- 修回日期: 2021-12-03
- 网络出版日期: 2022-05-20
- 刊出日期: 2022-05-25

Associations between psychosocial stress in early and middle adolescence with emotional and behavioral problems one year later

School of Public Health and Management, Chongqing Medical University/Research Center for Medicine and Social Development/Innovation Center for Social Risk Governance in Health, Chongqing(400016), China

摘要

摘要: 目的探究青少年青春早中期心理应激对后续情绪行为问题的预测作用，为青春后期情绪行为问题的及早预防提供科学依据。方法研究对象来自重庆市中小学的911名男女童组成青春发育队列，于青春早中期测量心理应激水平，并在1年后随访情绪行为问题水平，采用多因素Logistic回归分析青春早中期心理应激对后续情绪行为问题的影响。结果所有对象青春早中期的心理应激平均得分为(27.96±24.95)分，1年后的内、外化行为问题和整体问题平均得分分别为(8.21±8.46)(6.21±5.87)和(37.90±24.68)分。女生在焦虑抑郁、退缩、身体不适、思想问题、内化问题和整体问题的得分和情绪行为检出率均高于男生(t/Z值分别为-6.38，-5.63，-6.06，-3.74，-6.80，-5.47，χ²值分别为15.88，12.01，3.92，6.64，24.67，15.88，P值均 < 0.05)。Logistic回归分析结果显示，心理应激量表得分与内、外化行为问题和整体问题检出均呈正相关(P值均 < 0.05)。结论青春早中期心理应激水平对随后1年的情绪行为问题的检出具有正向预测作用。
- 青春期 /
- 应激，心理学 /
- 情绪 /
- 回归分析 /
- 青少年
Abstract: Objective This study explored the predictive effects of psychological stress in early and middle puberty on subsequent emotional and behavioral problems. Methods A cohort of 911 boys and girls from primary and secondary schools in Chongqing was studied. Psychological stress was measured in early and middle adolescence, and the levels of emotional and behavioral problems were determined in one-year follow-up. Logistic regression analysis was used to analyze the effects of psychological stress in early and middle adolescence on subsequent emotional and behavioral problems. Results The average psychological stress score in early and middle adolescence was (27.96±24.95), and the average scores of internalized and externalized behavioral problems and overall problems one year later were (8.21±8.46)(6.21±5.87) and (37.90±24.68) respectively. When grouped by gender, these scores, as well as the detection rate of anxiety and depression, withdrawal, physical discomfort, thinking problems, internalization problems and overall problems, were higher in girls than boys(t/Z=-6.38, -5.63, -6.06, -3.74, -6.80, -5.47, χ²=15.88, 12.01, 3.92, 6.64, 24.67, 15.88, P < 0.05). Logistic regression showed that the psychological stress scale score was a risk factor for internalized and externalized behavioral problems and overall problems(P < 0.05). Conclusion Psychological stress levels in early and middle puberty have a positive predictive effect on emotional and behavioral problems in the following year.
- Puberty /
- Stress, psychological /
- Emotions /
- Regression analysis /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同性别青少年心理应激量表和YSR量表得分比较(x±s)

Table 1. Comparison of Psychological Stress Scale and YSR scale scores of male and female students(x±s)

性别	人数	心理应激	焦虑抑郁	退缩	身体不适	社会化问题	思想问题	注意力问题	过失行为	攻击性行为	内化问题	外化问题	整体问题
男	435	26.48±1.17	2.28±3.10	2.26±2.39	1.67±2.17	2.29±2.62	1.44±1.99	3.30±3.30	1.85±2.11	3.88±4.24	6.21±6.66	5.71±5.92	33.23±22.53
女	476	29.32±1.17	3.97±4.51	3.37±3.09	2.69±2.89	2.64±2.63	2.18±2.78	4.27±3.41	1.84±2.06	4.82±4.12	10.03±9.47	6.67±5.78	42.17±25.78
合计	911	27.96±24.95	3.16±3.99	2.84±2.83	2.20±2.62	2.47±2.63	1.83±2.46	3.81±3.39	1.85±2.08	4.37±4.20	8.21±8.46	6.21±5.87	37.90±24.68
Z/t值		-1.87	-6.38	-5.63	-6.06	-2.03	-3.74	-4.36	0.07	-3.41	-6.80	-2.47	-5.47
P值		0.06	< 0.01	< 0.01	< 0.01	0.04	< 0.01	< 0.01	0.94	< 0.01	< 0.01	0.01	< 0.01

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表 2 不同性别青少年YSR量表各情绪行为因子检出率比较

Table 2. Comparison of YSR detection rate of male and female students

性别	人数	焦虑抑郁	退缩	身体不适	社会化问题	思想问题	注意力问题	过失行为	攻击性行为	内化问题	外化问题	整体问题
男	435	3(0.7)	5(1.1)	9(2.1)	15(3.4)	10(2.3)	12(2.8)	19(4.4)	12(2.8)	21(4.8)	44(10.1)	27(6.2)
女	476	25(5.3)	25(5.3)	21(4.4)	22(4.6)	27(5.7)	25(5.3)	17(3.6)	15(3.2)	70(14.7)	60(12.6)	68(14.3)
合计	911	28(3.1)	30(3.3)	30(3.3)	37(4.1)	37(4.1)	37(4.1)	36(4.0)	27(3.0)	91(10.0)	104(11.4)	95(10.4)
χ²值		15.88	12.01	3.92	0.80	6.64	3.63	0.38	0.12	24.67	1.39	15.88
P值		< 0.01	< 0.01	< 0.05	0.37	0.01	0.06	0.54	0.73	< 0.01	0.24	< 0.01
注：()内数字为检出率/%。

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表 3 青少年心理应激量表得分与YSR量表各情绪行为因子检出率多因素Logistic回归分析(n=911)

Table 3. Multivariate Logistic regression analysis of psychological stress scale score and YSR scale detection rate(n=911)

自变量	选项	β值	OR值(OR值95%CI)	P值
内化问题	心理应激	-0.03	0.97(0.96~0.98)	< 0.01
	父母离世	-0.52	0.60(0.12~2.85)	0.52
	父母离异	-0.38	0.68(0.32~1.48)	0.33
	父母关系^b	-0.55	0.58(0.31~1.07)	0.08
	父母关系^c	-1.34	0.26(0.10~0.72)	0.01
	性别	1.21	3.37(1.94~5.85)	< 0.01
外化问题	心理应激	-0.03	0.97(0.96~0.98)	< 0.01
	父母离世	0.17	1.18(0.21~6.57)	0.85
	父母离异	-0.39	0.68(0.33~1.40)	0.29
	父母关系^b	-0.60	0.55(0.31~0.96)	0.04
	父母关系^c	-0.71	0.49(0.18~1.36)	0.17
	性别	0.19	1.21(0.77~1.89)	0.41
整体问题	心理应激	-0.03	0.97(0.96~0.98)	< 0.01
	父母离世	-0.46	0.63(0.13~2.99)	0.56
	父母离异	-0.26	0.78(0.36~1.68)	0.52
	父母关系^b	-0.64	0.53(0.29~0.95)	0.03
	父母关系^c	-1.12	0.33(0.12~0.90)	0.03
	性别	0.92	0.10(2.01~7.82)	< 0.01
注： b父母关系以一般为参照组，c父母关系以差为对照组。

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