【摘要】 目的了解独生与非独生中学生抑郁症状发生情况及影响因素,为中学生抑郁症状干预提供依据。方法采用多阶段分层随机整群抽样方法抽取云南省6个市/县/区17所学校学生共12 206人,采用自编问卷、流调中心用抑郁量表、青少年生活事件量表、社会支持评定量表及中学生应对方式量表进行调查。结果独生与非独生中学生抑郁症状检出率分别为21.5%和24.6%,差异有统计学意义(P<0.001);Logistic回归分析结果表明,独生与非独生中学生共性的影响因素有课余生活、自评性格倾向、童年生活、家族抑郁史、性别、自评教师对学生自己的关注程度、学习压力、生活事件其他因子、人际关系、指向情绪的应对方式、健康适应因子(OR>1);最近2周是否患病、班级管理方式、自评家庭收入、学生对学校满意程度、社会支持5个因素是非独生中学生独有的影响因素。结论非独生中学生心理健康状况较差,应关注非独生中学生,促进其身心健康发展。更多还原

【Abstract】 Objective To investigate the prevalence of depression among only-child and non-only child middle school students in Yunnan province and to provide evidence for depression intervention.Methods Center for Epidemiologic Studies Depression Scale(CES-D),Social Support Rating Scale(SSRS),Middle School Students Coping Style Scale,and a self-compiled questionnaire were used to survey 12 206 students selected with multi-stage stratified cluster random sampling from 17 middle schools in 6 city,county or district in Yunnan province.Results The prevalence rate of depression in the only-child students was 21.5%,which was lower than that of the non-only-child students(24.6%).Gender,free after school time,self-reported family income,study stress,and other life events were important factors affecting the prevalence of depression.Conclusion The mentl health status of non-only child middle school students in Yunnon province in not good and considerations should be paid to the students to promote their health condition.更多还原