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居家学习生活方式对小学生抑郁焦虑的影响

向真 邹丽 谢新艳 刘琦 姜琦 朱凯恒 冯雅楠 肖沛 吴小纤 宋然然

向真, 邹丽, 谢新艳, 刘琦, 姜琦, 朱凯恒, 冯雅楠, 肖沛, 吴小纤, 宋然然. 居家学习生活方式对小学生抑郁焦虑的影响[J]. 中国学校卫生, 2022, 43(5): 727-730. doi: 10.16835/j.cnki.1000-9817.2022.05.020
引用本文: 向真, 邹丽, 谢新艳, 刘琦, 姜琦, 朱凯恒, 冯雅楠, 肖沛, 吴小纤, 宋然然. 居家学习生活方式对小学生抑郁焦虑的影响[J]. 中国学校卫生, 2022, 43(5): 727-730. doi: 10.16835/j.cnki.1000-9817.2022.05.020
XIANG Zhen, ZOU Li, XIE Xinyan, LIU Qi, JIANG Qi, ZHU Kaiheng, FENG Yanan, XIAO Pei, WU Xiaoxian, SONG Ranran. Effects of learning and lifestyle behaviors during home confinement on depressive and anxiety symptoms among primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 727-730. doi: 10.16835/j.cnki.1000-9817.2022.05.020
Citation: XIANG Zhen, ZOU Li, XIE Xinyan, LIU Qi, JIANG Qi, ZHU Kaiheng, FENG Yanan, XIAO Pei, WU Xiaoxian, SONG Ranran. Effects of learning and lifestyle behaviors during home confinement on depressive and anxiety symptoms among primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 727-730. doi: 10.16835/j.cnki.1000-9817.2022.05.020

居家学习生活方式对小学生抑郁焦虑的影响

doi: 10.16835/j.cnki.1000-9817.2022.05.020
详细信息
    作者简介:

    向真(1997-),女,河南信阳人,在读硕士,主要研究方向为儿童心理发展与心理卫生

    邹丽(1985-),女,广西北海人,博士,主管医师,主要研究方向为儿童阅读障碍

    通讯作者:

    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。
  • 向真与邹丽为共同第一作者。
  • 中图分类号: G627.8 G444 B844.1

Effects of learning and lifestyle behaviors during home confinement on depressive and anxiety symptoms among primary school students

  • 摘要:   目的  了解小学生居家学习后心理健康状况的动态变化,探索居家学习生活方式对学龄期儿童心理健康状况的影响,为儿童心理健康干预提供依据。  方法  研究对象来自“同济心理健康队列”,通过方便抽样的方法抽取武汉市2所小学全体二至五年级小学生。第一阶段(T1)于2020年6月居家学习期间通过网络进行问卷调查,共回收有效问卷2 588份;第二阶段(T2)于2020年12月学校重新开放后通过向学校发送纸质问卷,成功随访2 424名小学生。将儿童2次调查的抑郁、焦虑症状结果分别结合起来对儿童的心理结局进行分类。采用无序多分类Logistic回归估计居家学习生活方式与小学生心理症状变化的关联。  结果  T1时小学生抑郁症状检出率为28.9%,焦虑症状检出率为21.0%;T2时抑郁症状检出率为35.6%,焦虑症状检出率为30.6%。小学生抑郁、焦虑症状的加重和持续与其居家学习生活方式存在一定的关联。上课集中精力(OR=0.63,95%CI=0.45~0.89)、与老师频繁互动(OR=0.74,95%CI=0.57~0.95)、居家期间参加体育锻炼(OR=0.60,95%CI=0.41~0.87)与小学生抑郁症状加重或持续呈负相关。玩电子游戏时长(OR=1.15,95%CI=1.06~1.24)、担心感染新冠病毒(OR=1.83,95%CI=1.39~2.42)与小学生焦虑呈正相关。男生(OR值分别为0.70,0.63)比女生更不容易受到抑郁、焦虑症状的困扰。  结论  小学生结束居家隔离回归学校后,抑郁、焦虑症状检出率升高,居家学习生活方式对小学生抑郁、焦虑症状存在一定的影响。应动态关注学龄期儿童的心理健康状况,及时采取合理的干预措施。
    1)  利益冲突声明  所有作者声明无利益冲突。
    2)  向真与邹丽为共同第一作者。
  • 表  1  居家学习生活方式对小学生抑郁症状变化影响的无序多分类Logistic回归分析[n=2 424,OR值(OR值95%CI)]

    Table  1.   Disordering multi-classification Logistic regression analysis of the effects of learning and life styles during home confinement on changes in depressive symptoms of school-aged children[n=2 424, OR (OR 95%CI)]

    自变量 选项 症状缓解组 症状加重组 症状持续组
    年级 0.74(0.53~1.03) 0.84(0.60~1.16) 0.70(0.48~1.02)
    0.83(0.61~1.13) 1.25(0.94~1.68) 0.97(0.69~1.36)
    0.86(0.63~1.16) 0.85(0.62~1.16) 0.89(0.63~1.25)
    性别 1.12(0.90~1.41) 0.88(0.71~1.09) 0.70(0.55~0.90)*
    上课精力集中状况 十分认真 1.12(0.85~1.48) 0.67(0.49~0.91)* 0.63(0.45~0.89)*
    与老师互动频率 频繁 0.97(0.76~1.24) 0.74(0.57~0.95)* 0.95(0.71~1.25)*
    作业完成情况 及时完成 0.93(0.71~1.22) 0.85(0.66~1.09) 0.84(0.62~1.12)
    上网课后考试成绩变化 一致或更高 0.78(0.61~1.00)* 0.75(0.60~0.95) 0.96(0.73~1.25)
    玩电子游戏时长 1.05(0.98~1.13) 1.14(1.07~1.21)* 1.12(1.04~1.20)*
    居家学习期间参加体育锻炼 5.32(2.27~12.46)* 0.60(0.41~0.87)* 1.73(0.96~3.12)
    注:* P < 0.05;自变量分别以五年级、女生、上课精力集中状况中走神或看情况、与老师互动频率为从不或偶尔、作业完成情况为其他情况、上网课后考试成绩变化为未考试或更低、居家学习期间不参加体育锻炼作为参照,因变量以无症状组为参考;玩电子游戏时长为连续型变量。
    下载: 导出CSV

    表  2  居家学习生活方式对小学生焦虑症状变化影响的无序多分类Logistic回归分析[n=2 424,OR值(OR值95%CI)]

    Table  2.   Disordering multi-classification Logistic regression analysis of the effects of learning and life styles during home confinement on changes in anxiety symptoms of school-aged children[n=2 424, OR (OR 95%CI)]

    自变量 选项 症状缓解组 症状加重组 症状持续组
    年级 0.53(0.33~0.84)* 1.81(1.27~2.58)* 0.59(0.38~0.91)*
    0.84(0.57~1.26) 2.04(1.46~2.86) 0.93(0.64~1.34)
    0.70(0.47~1.06) 1.41(0.99~2.00) 0.93(0.65~1.34)
    性别 0.82(0.60~1.11) 0.57(0.45~0.71)* 0.63(0.48~0.82)*
    上课精力集中状况 十分认真 0.70(0.46~1.07) 0.71(0.52~0.97)* 0.43(0.29~0.65)*
    与老师互动频率 频繁 0.74(0.52~1.07) 0.86(0.66~1.12) 0.88(0.65~1.21)*
    作业完成情况 及时完成 0.73(0.52~1.03) 0.84(0.65~1.10) 1.15(0.84~1.60)
    玩电子游戏时长 1.15(1.06~1.24)* 1.14(1.07~1.22)* 1.16(1.07~1.25)*
    会担心自己感染上新型冠状病毒 1.86(1.36~2.53)* 0.97(0.77~1.22) 1.83(1.39~2.42)*
    居家学习期间参加体育锻炼 0.82(0.47~1.44) 1.06(0.65~1.71) 0.67(0.41~1.10)
    注:* P < 0.05;自变量分别以五年级、女生、上课精力集中状况中走神或看情况、与老师互动频率为从不或偶尔、作业完成情况为其他情况、不担心自己感染上新型冠状病毒、居家学习期间不参加体育锻炼作为参照,因变量以无症状组为参考;玩电子游戏时长为连续型变量。
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-10-26
  • 修回日期:  2021-12-31
  • 网络出版日期:  2022-05-20
  • 刊出日期:  2022-05-25

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