安徽省中学生校园欺凌与焦虑抑郁症状共患的关联性

陈国平; 王志强; 孙莹; 张昱堃; 吴静; 仰阳; 王宇婷; 姚远; 宋维维; 李卫东

doi:10.16835/j.cnki.1000-9817.2024250

安徽省中学生校园欺凌与焦虑抑郁症状共患的关联性

doi: 10.16835/j.cnki.1000-9817.2024250

1.
安徽省疾病预防控制中心食品营养与学校卫生科, 合肥 230601
2.
安徽医科大学公共卫生学院
3.
蚌埠医科大学公共卫生学院

基金项目:

安徽省教育科学研究重点项目 JKZ22001

详细信息

作者简介:
陈国平(1982-)，男，安徽安庆人，博士，副主任医师，主要从事学校卫生方面工作

通讯作者:
李卫东，E-mail：lwd@ahcdc.com.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 C913.5 G444
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- 文章访问数: 346
- HTML全文浏览量: 151
- PDF下载量: 58
- 被引次数: 0
出版历程
- 收稿日期: 2024-04-09
- 修回日期: 2024-05-15
- 网络出版日期: 2024-08-31
- 刊出日期: 2024-08-25

Association of school bullying with the comorbidity of anxiety and depressive symptoms among middle school students in Anhui Province

1.
Department of Food Nutrition and School Hygiene, Anhui Provincial Center for Disease Control and Prevention, Hefei (230601), Anhui Province, China

摘要

摘要: 目的了解中学生校园欺凌及焦虑抑郁症状共患的现况，分析校园受欺凌与焦虑抑郁症状的关联，为相关干预策略的制定提供依据。方法于2023年9—12月采取多阶段随机整群抽样方法，在安徽省104个县(市、区)选取107 851名中学生，采用流调中心抑郁量表(CES-D)、广泛性焦虑量表(GAD-7)调查学生抑郁、焦虑症状情况，运用Logistic回归分析校园欺凌及焦虑抑郁共患症状的关联。结果 2.80%的中学生过去30 d内遭受过校园欺凌，27.03%有抑郁症状，8.94%有焦虑症状，焦虑抑郁症状共患报告率为8.04%。Logistic回归分析结果显示，校园受欺凌与抑郁症状(OR=6.42，95%CI=5.93~6.94)、焦虑症状(OR=5.94，95%CI=5.47~6.44)、焦虑抑郁症状共患(OR=6.38，95%CI=5.88~6.93)关联均有统计学意义(P值均 < 0.01)；与未遭受校园欺凌相比，遭受校园欺凌的初中生、普通高中生、职业高中生、男生、女生焦虑抑郁症状共患风险均增加(OR值分别为7.25，5.55，4.80，6.42，6.27，P值均 < 0.01)。结论中学生遭受校园欺凌会增加焦虑抑郁症状共患风险，要关注受欺凌学生的心理健康，及时采取心理干预措施。
- 暴力 /
- 焦虑 /
- 抑郁 /
- 共病现象 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To understand the prevalence of school bullying and the comorbidity of anxiety and depressive symptoms among middle school students and their association, so as to provide a basis for developing related intervention strategies. Methods From September to December 2023, a multi-stage random cluster sampling was employed to select 107 851 middle school students across 104 counties in Anhui Province. The Center for Epidemiological Studies Depression Scale (CES-D) and the Generalized Anxiety Disorder-7 (GAD-7) Scale were used to assess depressive and anxiety symptoms. Logistic regression analysis was utilized to examine the correlations between experiences of school bullying and the comorbidity of anxiety and depressive symptoms. Results The findings revealed that 2.80% of middle school students had experienced school bullying in the past 30 days. Additionally, 27.03% exhibited potential symptoms of depression, 8.94% showed signs of anxiety symptom, and the comorbidity rate of anxiety and depressive symptoms was 8.04%. Logistic regression analysis showed that statistically significant correlations were identified between experiences of school bullying and increased risks of depressive symptoms (OR=6.42, 95%CI=5.93-6.94, P < 0.01), anxiety symptoms (OR=5.94, 95%CI=5.47-6.44, P < 0.01), and their comorbidity (OR=6.38, 95%CI=5.88-6.93, P < 0.01). Compared with those who did not suffer from school bullying, junior high school students, ordinary senior high school students, vocational senior high school students, boys and girls who suffered from school bullying all had increased risks of comorbidity of anxiety and depressive symptoms (OR=7.25, 5.55, 4.80, 6.42, 6.27, P < 0.01). Conclusions The study underscores the significant impact of school bullying on increasing the risk of comorbidity of anxiety and depressive symptoms among middle school students. It is important to pay attention to the psychological health of bullied students and implement timely psychological intervention measures.
- Violence /
- Anxiety /
- Depression /
- Comorbidity /
- Mental health /
- Regression analysis /
- Students
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 中学生焦虑抑郁症状及共患情况单因素分析

Table 1. Univariate analysis of anxiety and depressive symptoms comorbidity among middle school students

影响因素	人数	抑郁症状			焦虑症状			共患
影响因素	人数	报告人数	χ²值	P值	报告人数	χ²值	P值	报告人数	χ²值	P值
学段
初中	57 991	12 969(22.36)	1 446.76	＜0.01	4 442(7.66)	409.98	＜0.01	3 960(6.83)	388.46	＜0.01
普通高中	40 000	13 293(33.23)			4 491(11.23)			4 066(10.17)
职业高中	9 860	2 892(29.33)			711(7.21)			647(6.56)
性别
男	57 106	13 343(23.37)	827.16	＜0.01	3 872(6.78)	696.48	＜0.01	3 439(6.02)	699.38	＜0.01
女	50 745	15 811(31.16)			5 772(11.37)			5 234(10.31)
住校
是	31 758	9 706(30.56)	284.47	＜0.01	3 038(9.57)	21.53	＜0.01	2 744(8.64)	21.82	＜0.01
否	76 093	19 448(25.56)			6 606(8.68)			5 929(7.79)
留守儿童
是	34 808	10 705(30.75)	361.10	＜0.01	3 493(10.04)	75.42	＜0.01	3 207(9.21)	95.42	＜0.01
否	73 043	18 449(25.26)			6 151(8.42)			5 466(7.48)
监测点类型
城区	58 245	166 44(28.58)	153.07	＜0.01	5 418(9.30)	20.17	＜0.01	4 920(8.45)	28.15	＜0.01
郊县	49 606	12 510(25.22)			4 226(8.52)			3 753(7.57)
遭受校园欺凌
是	3 022	2 017(66.74)	2 485.86	＜0.01	971(32.13)	2 053.30	＜0.01	935(30.94)	2 204.45	＜0.01
否	104 829	27 137(25.89)			8 673(8.27)			7 738(7.38)
注：()内数字为报告率/%。

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表 2 中学生校园欺凌与焦虑抑郁症状关联性分析[OR值(95%CI)，n=107 851)

Table 2. Correlation between school bullying and anxiety and depressive symptoms among middle school students [OR(95%CI), n=107 851)

组别	抑郁症状	焦虑症状	共患
学段
初中	6.97(6.31~7.71)	6.71(6.02~7.48)	7.25(6.49~8.10)
普通高中	6.05(5.24~6.98)	5.12(4.48~5.86)	5.55(4.84~6.36)
职业高中	4.58(3.53~5.96)	4.72(3.49~6.39)	4.80(3.53~6.53)
性别
男	5.75(5.23~6.32)	6.01(5.40~6.68)	6.42(5.76~7.15)
女	8.34(7.20~9.67)	5.78(5.09~6.57)	6.27(5.52~7.13)
注：P值均＜0.01。

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