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李学美, 黄莹. 云南省中学生抑郁症状与社会支持关系[J]. 中国公共卫生, 2015, 31(8): 1001-1004. DOI: 10.11847/zgggws2015-31-08-07
引用本文: 李学美, 黄莹. 云南省中学生抑郁症状与社会支持关系[J]. 中国公共卫生, 2015, 31(8): 1001-1004. DOI: 10.11847/zgggws2015-31-08-07
LI Xue-mei, HUANG Ying. Relationship between depression symptoms and social support among high school students in Yunnan province[J]. Chinese Journal of Public Health, 2015, 31(8): 1001-1004. DOI: 10.11847/zgggws2015-31-08-07
Citation: LI Xue-mei, HUANG Ying. Relationship between depression symptoms and social support among high school students in Yunnan province[J]. Chinese Journal of Public Health, 2015, 31(8): 1001-1004. DOI: 10.11847/zgggws2015-31-08-07

云南省中学生抑郁症状与社会支持关系

Relationship between depression symptoms and social support among high school students in Yunnan province

  • 摘要: 目的 了解云南省中学生抑郁症状的流行现状及特征, 探讨中学生抑郁症状与社会支持的关系。方法 采用多阶段分层随机整群抽样的方法抽取云南省 6 个市/县/区 17 所学校学生共12 408人, 采用自编问卷、流调中心用抑郁量表(CES-D)、社会支持评定量表(SSRS)及中学生应对方式量表进行调查。结果 共获得有效问卷12 206 份, 筛选出有抑郁症状者2 893例, 检出率为23.7%, 其中女生抑郁症状检出率为25.6%, 高于男生的21.6%(χ2=27.715,P<0.001);高中生检出率为25.3%, 高于初中生的22.1%(χ2=17.203,P<0.001);非独生子女检出率为24.6%, 高于独生子女的21.5%(χ2=13.018,P<0.001);汉族与少数民族检出率差异无统计学意义(P>0.05);不同性别中学生除主观支持得分差异无统计学意义外(P>0.005), 其他3个因子得分差异均有统计学意义(P<0.05);不同年级、家庭收入中学生社会支持各因子得分差异均有统计学意义(P<0.05);不同民族及是否为独生子女、在学校是否担任干部的中学生除客观支持得分差异无统计学意义外(P>0.05), 其他3个因子得分差异均有统计学意义(P<0.05);不同性格中学生主观支持和支持的利用度得分差异均有统计学意义(P<0.001);相关分析显示, 社会支持总分(r=-0.153, P<0.001)、客观支持得分(r=-0.055, P<0.001)、主观支持得分(r=-0.358, P<0.001)、对支持利用度得分(r=-0.305, P< 0.001)与抑郁得分均呈负相关。结论 云南省中学生抑郁症状不容忽视, 应重视中学生抑郁问题, 良好的社会支持有助于中学生的心理健康。

     

    Abstract: Objective To investigate the epidemic situation and characteristics of depressive symptoms among high school students in Yunnan province and to explore the relationship between depressive symptoms and social support in the students.Methods Using multi-stage stratified random cluster sampling method,12 408 students were selected from 17 high schools in 6 cities,counties or districts in Yunnan province and a questionnaire survey was conducted in the students with a self-designed questionnaire,Center for Epidemiologic Studies Depression Scale(CES-D), and Social Support Rating Scale(SSRS).Results The overall detection rate of depressive symptoms was 23.7%among the 12 206 students with valid respondence.The girl students had a higher depressive symptom detection rate than the boy students(25.6%vs.21.6%,P<0.001);the senior high school students had a higher detection rate than the junior high school students(25.3%vs.22.1%,P<0.001);the non-singleton students had a higher detection rate than singleton students(24.6%vs.21.5%,P<0.001);and no difference in the detection rate was observed among the students of different nationality(P>0.05).There was a significant gender difference in the score of social support utilization(Z=9.67,P<0.001).There were significant differences in all domains of social support among the students of different grade,familial income,and nationalities(P<0.05 for all) except for objective social support in the students of different nationalities(P>0.05).The scores of all social support domains were significantly different among the students of whether being a singleton and a student leader(P<0.05) except for the score of objective social support(P>0.05).There were significant differences in the scores of subjective social support and support utilization among the students with different personality(P<0.05).Correlation analyses showed that the score of depressive symptoms was reversely correlated with the scores of overall social support(r=-0.153,P<0.001),objective support(r=-0.055,P<0.001),subjective support(r=-0.358,P<0.001),and the utilization of support(r=-0.305,P<0.001)Conclusion Depressive symptoms should be concerned among high school students in Yunnan province and strong social support could promote mental health of high school students.

     

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