Prevalence of depression and anxiety symptoms and its relationship with bullying and violent behaviors among middle school students in Beijing

ZHAO Hai; WANG Lu; SUN Bingjie; GUO Xin

doi:10.16835/j.cnki.1000-9817.2024222

Volume 45 Issue 7

Jul. 2024

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2024 > 45(7): 1017-1020

ZHAO Hai, WANG Lu, SUN Bingjie, GUO Xin. Prevalence of depression and anxiety symptoms and its relationship with bullying and violent behaviors among middle school students in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1017-1020. doi: 10.16835/j.cnki.1000-9817.2024222

Citation:

ZHAO Hai, WANG Lu, SUN Bingjie, GUO Xin. Prevalence of depression and anxiety symptoms and its relationship with bullying and violent behaviors among middle school students in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1017-1020. doi: 10.16835/j.cnki.1000-9817.2024222

Citation:

ZHAO Hai, WANG Lu, SUN Bingjie, GUO Xin. Prevalence of depression and anxiety symptoms and its relationship with bullying and violent behaviors among middle school students in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1017-1020. doi: 10.16835/j.cnki.1000-9817.2024222

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Prevalence of depression and anxiety symptoms and its relationship with bullying and violent behaviors among middle school students in Beijing

doi: 10.16835/j.cnki.1000-9817.2024222

School Health Department, Beijing Center for Disease Prevention and Control, Beijing (100103), China

Received Date: 2024-04-29
Rev Recd Date: 2024-06-28

Available Online: 2024-07-27

Publish Date: 2024-07-25

Abstract

Abstract

Objective To investigate the prevalence of depression and anxiety and its relationship with bullying and violent behaviors among middle school students in Beijing, so as to provide a scientific basis for promoting the mental health of middle school students. Methods A total of 18 379 junior high school, general high school, and vocational high school students from 16 districts of Beijing were selected by stratified cluster random sampling from September to November, 2023. The χ² test was used to analyze the depression or anxiety symptom and injury-related behaviors such as bullying among middle school students. Logistics regression was used to analyze the correlation between depression or anxiety symptom and injury correlation behaviors among middle school students. Results The detection rates of depression symptoms and anxiety symptoms were 18.2% and 8.6% among middle school students in Beijing, and the comorbidity was 7.6%. The reporting rate of school bullying was 3.3%. The results of Logistic regression showed that girls (OR=1.23), high school students (OR=1.85) and vocational high school students (OR=1.91), school bullying (OR=3.83), being scolded and beaten by parents (OR=3.32) and being exposed to cyber violence (OR=4.43) were positive factors related to depression symptoms; and non-residential students (OR=0.87) was a negative factor related to depression symptoms (P < 0.05).Girls (OR=1.32), high school students (OR=1.77) and vocational high school students (OR=1.50), school bullying(OR=3.63), being scolded and beaten by parents (OR=3.41) and being exposed to cyber violence (OR=3.33) were positive factore related to anxiety symptoms (P < 0.05). Conclusions The depression and anxiety symptoms among middle school students in Beijing are closely related to the behaviors of school bullying and experiencing violence from parents or the Internet. Various measures should be taken to reduce the situation of school bullying, being scolded and beaten by parents and cyber violence among middle school students to promote their mental health.
- Depression,
- Anxiety,
- Violence,
- Mental health,
- Regression analysis,
- Students

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References(25)

References

[1]	Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the global burden of disease study2019[J]. Lancet, 2020, 396(10258): 1204-1222.
[2]	POLANCZYK G V, SALUM G A, SUGAYA L S, et al. Annual research review: a Meta-analysis of the worldwide prevalence of mental disorders in children and adolescents[J]. J Child Psychol Psychiatry, 2015, 56(3): 345-365. doi: 10.1111/jcpp.12381
[3]	中华人民共和国教育部等十一部门联合印发的《加强中小学生欺凌综合治理方案》[J]. 中国应急管理, 2017(12): 15-17. Ministry of Education of the PRC and other ten Departments Jointly issued Strengthening the Comprehensive Management Scheme of Bullying among Primary and Secondary School Students[J]. Emerg Manage China, 2017(12): 15-17. (in Chinese)
[4]	周月芳, 曲爽笑, 罗春燕, 等. 上海市中小学生受校园欺侮现状及影响因素分析[J]. 上海预防医学, 2019, 31(5): 353-357. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201905006.htm ZHOU Y F, QU S X, LUO C Y, et al. Status quo and influencing factors of school bullying with primary and secondary school students in Shanghai[J]. Shanghai J Prev Med, 2019, 31(5): 353-357. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201905006.htm
[5]	马彩霞, 杨田, 张秀红, 等. 中学生遭受校园欺凌相关因素分析[J]. 中国学校卫生, 2024, 45(4): 503-508. doi: 10.16835/j.cnki.1000-9817.2024103 MA C X, YANG T, ZHANG X H, et al. Analysis of related factors associated with campus bullying among middle and high school students[J]. Chin J Sch Health, 2024, 45(4): 503-508. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2024103
[6]	杨文漪, 王艳, 张锡彦, 等. 江苏省中学生遭受校园欺凌的影响因素分析及列线图预测模型构建[J]. 中国学校卫生, 2023, 44(12): 1788-1792. doi: 10.16835/j.cnki.1000-9817.2023.12.007 YANG W Y, WANG Y, ZHANG X Y, et al. Analysis of factors influencing campus bullying among junior and senior school students and construction of a nomogram model from Jiangsu Province[J]. Chin J Sch Health, 2023, 44(12): 1788-1792. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.12.007
[7]	陈婷, 范奕, 张子华, 等. 江西省中学生校园受欺凌行为与抑郁的相关性[J]. 中国学校卫生, 2020, 41(4): 600-603. doi: 10.16835/j.cnki.1000-9817.2020.04.032 CHEN T, FAN Y, ZHANG Z H, et al. Correlation between bullying behavior and depression of middle school students in Jiangxi Province[J]. Chin J Sch Health, 2020, 41(4): 600-603. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.04.032
[8]	MOORE S E, NORMAN R E, SUETANI S, et al. Consequences of bullying victimization in childhood and adolescence: a systematic review and Meta-analysis[J]. World J Psychiatry, 2017, 7(1): 60-76. doi: 10.5498/wjp.v7.i1.60
[9]	KLOMEK A B, SOURANDER A, ELONHEIMO H. Bullying by peer in childhood and effects on psychopathology, suicidality, and criminality in adulthood[J]. Lancet Psychiatry, 2015, 2(10): 930-941. doi: 10.1016/S2215-0366(15)00223-0
[10]	国家疾病预防控制局综合司关于印发2023年全国学生常见病和健康影响因素监测与干预工作方案的通知(国疾控综卫免函〔2023〕65号)[A]. 2023-03-24. General Office of the National Disease Control and Prevention Administration on the issuance of the 2023 national work programme for monitoring and intervention of common diseases and health influencing factors among students(General Office of the National Disease Control and Prevention Administration 〔2023〕No. 65)[A]. 2023-03-24. (in Chinese)
[11]	刘小群, 涂颖, 杨正敏. 湖南省双亲留守儿童遭受校园欺凌现状及其影响因素分析[J]. 中国公共卫生, 2023, 39(8): 1001-1006. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202308009.htm LIU X Q, TU Y, YANG Z M. Prevalence and influencing factors of school bullying victimization among high school children left-behind by migrated parents: a cross-sectional survey in Hunan Province[J]. Chin J Public Health, 2023, 39(8): 1001-1006. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202308009.htm
[12]	刘平. 流调中心用抑郁量表[J]. 中国心理卫生杂志, 1999(增刊): 200-202. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201905026.htm LIU P. Center for Epidemiological Studies Depression Scale(CES-D)[J]. Chin Ment Health J, 1999(Supple): 200-202. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201905026.htm
[13]	吴静, 陈国平, 王志强, 等. 安徽省中学生遭受校园欺凌和睡眠时间与抑郁症状的关联[J]. 中国学校卫生, 2022, 43(10): 1547-1550. doi: 10.16835/j.cnki.1000-9817.2022.10.025 WU J, CHEN G P, WANG Z Q, et al. Relationship between school bullying, sleep duration and depressive symptoms among middle school students in Anhui Province[J]. Chin J Sch Health, 2022, 43(10): 1547-1550. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.10.025
[14]	陈祉妍, 杨小冬, 李新影. 流调中心抑郁量表在我国青少年中的试用[J]. 中国临床心理学杂志, 2009, 17(4): 443-445, 448. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY200904019.htm CHEN Z Y, YANG X D, LI X Y. Psychometric features of CES-D in Chinese adolescents[J]. Chin J Clin Psychol, 2009, 17(4): 443-445, 448. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY200904019.htm
[15]	何筱衍, 李春波, 钱洁, 等. 广泛性焦虑量表在综合性医院的信度和效度研究[J]. 上海精神医学, 2010, 22(4): 200-203. https://www.cnki.com.cn/Article/CJFDTOTAL-JSYI201004003.htm HE X Y, LI C B, QIAN J, et al. Reliability and validity of a Generalized Anxiety Disorder Scale in general hospital outpatients[J]. Shanghai Arch Psychiatry, 2010, 22(4): 200-203. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JSYI201004003.htm
[16]	王历, 陆凯, 王长鹰, 等. GAD-2和GAD-7在心血管门诊焦虑筛查中的信度与效度分析[J]. 四川精神卫生, 2014, 27(3): 198-201. https://www.cnki.com.cn/Article/CJFDTOTAL-WANT201403003.htm WANG L, LU K, WANG C Y, et al. Reliability and validity of GAD-2 and GAD-7 for anxiety screening in cardiovascular disease clinic[J]. Sichuan Ment Health, 2014, 27(3): 198-201. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WANT201403003.htm
[17]	孙力菁, 罗春燕, 周月芳, 等. 上海市中学生抑郁症状和网络成瘾行为的相关性[J]. 中国学校卫生, 2019, 40(3): 445-447. doi: 10.16835/j.cnki.1000-9817.2019.03.035 SUN L J, LUO C Y, ZHOU Y F, et al. Correlation between depressive symptoms and internet addiction behavior of middle school students in Shanghai[J]. Chin J Sch Health, 2019, 40(3): 445-447. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.03.035
[18]	高青, 吴明, 叶茜雯, 等. 辽宁省中学生抑郁现况及影响因素分析[J]. 中国学校卫生, 2020, 41(9): 1362-1364. doi: 10.16835/j.cnki.1000-9817.2020.09.022 GAO Q, WU M, YE Q W, et al. Prevalence of depression and its influencing factors among middle school students in Liaoning Province[J]. Chin J Sch Health, 2020, 41(9): 1362-1364. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.09.022
[19]	何作力, 张红亚, 李瑞, 等. 2019年大连市中学生抑郁症状现况及影响因素[J]. 预防医学论坛, 2021, 27(2): 88-91. https://www.cnki.com.cn/Article/CJFDTOTAL-YXWX202102005.htm HE Z L, ZHANG H Y, LI R, et al. status and influential factors of depressive symptoms among middle school students, Dalian City, 2019[J]. Prev Med Trib, 2021, 27(2): 88-91. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXWX202102005.htm
[20]	刘小群, 杨孟思, 彭畅, 等. 校园欺凌中不同角色中学生的焦虑抑郁情绪[J]. 中国心理卫生杂志, 2021, 35(6): 475-481. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202106010.htm LIU X Q, YANG M S, PENG C, et al. Anxiety emotion and depressive mood of middle school students with different roles in school bullying[J]. Chin Ment Health J, 2021, 35(6): 475-481. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202106010.htm
[21]	刘瑞杰, 彭玮婧, 郑美欣, 等. 湖南省中学生抑郁、焦虑现状及流行病学特征[J]. 中国临床心理学杂志, 2023, 31(4): 816-820. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202304010.htm LIU R J, PENG W J, ZHENG M X, et al. The current situation and epidemiological characteristics of depression and anxiety of middle school students in Hunan Province[J]. Chin J Clin Psychol, 2023, 31(4): 816-820. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202304010.htm
[22]	顾文馨, 谭银亮, 陆唯怡, 等. 上海市青少年饮食行为现状以及抑郁焦虑情绪的影响[J]. 中国学校卫生, 2022, 43(6): 864-868. doi: 10.16835/j.cnki.1000-9817.2022.06.016 GU W X, TAN Y L, LU W Y, et al. Prevalence and influence of depression and anxiety on dietary behaviors among adolescents in Shanghai[J]. Chin J Sch Health, 2022, 43(6): 864-868. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.06.016
[23]	李幼东, 王建强, 彭雨涵, 等. "双减"背景下河北省中小学生焦虑抑郁症状现状[J]. 中国健康心理学杂志, 2024, 32(5): 660-666. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202405005.htm LI Y D, WANG J Q, PENG Y H, et al. Study of anxiety and depression symptoms in primary and secondary school students from Hebei Province in the context of the Double Reduction policy[J]. Chin J Health Psychol, 2024, 32(5): 660-666. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202405005.htm
[24]	刘福荣, 宋晓琴, 尚小平, 等. 中学生抑郁症状检出率的Meta分析[J]. 中国心理卫生杂志, 2020, 34(2): 123-128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002009.htm LIU F R, SONG X Q, SHANG X P, et al. A Meta-analysis of detection rate of depression symptoms among middle school students[J]. Chin Ment Health J, 2020, 34(2): 123-128. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002009.htm
[25]	曾直, 罗小玲, 杨永华, 等. 不同欺凌类型与高职院校学生抑郁、焦虑的关联及其性别差异分析[J]. 心理月刊, 2023, 18(2): 44-47. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202302007.htm ZENG Z, LUO X L, YANG Y H, et al. Analysis on the relationship between different types of bullying and depression and anxiety of vocational college students and their gender differences[J]. Psychol Magaz, 2023, 18(2): 44-47. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202302007.htm