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中国四年级学生抑郁状况及其影响因素

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目的 利用中国教育追踪调查(China education panel survey,CEPS)小学队列的基线调查数据,以流行病学调查中心抑郁量表为测量工具,考察中国四年级学生的抑郁状况及其影响因素.方法 应用Stata 18.0软件,采用x2检验,比较不同特征的四年级学生抑郁的差异.采用logistic回归分析模型分析各因素对学生抑郁的影响.结果 四年级学生抑郁检出率为15.23%.学生个人的认知能力测试水平(中:低,0R=0.71,95%CI:0.61~0.83,P<0.001;高:低,OR=0.65,95%CI:0.52~0.81,P<0.001)、学业成绩(中:低,OR=0.77,95%CI:0.66~0.88,P<0.001;高:低,OR=0.61,95%CI:0.51~0.74,P<0.001)、学业压力(中:低,OR=1.33,95%CI:1.15~1.53,P<0.001;高:低,OR=1.78,95%CI:1.47~2.14,P<0.001)都会影响学生患抑郁症的风险.而在学校和家庭层面,良好的父母关系(坏:好,OR=1.53,95%CI:1.32~1.78,P<0.001)、师生关系(好:不好,OR=0.81,95%CI:0.71~0.93,P=0.002)及同伴关系(好:不好,OR=0.78,95%CI:0.68~0.89,P<0.001)均能独立降低其抑郁风险.结论 个人因素、家庭因素、学校乃至同伴因素均对学生抑郁情况产生不同程度的影响.鉴于此,应从个人、家庭和学校三方面协同发力,以期缓解学生抑郁程度,促进青少年心理健康.
Depression of Chinese fourth graders and its influencing factors
Objective Utilizing baseline survey data from the primary school cohort of the China education panel survey(CEPS),this study aims to examine the prevalence of depression among fourth-grade students in China and its influencing factors,using the epidemiological center depression scale as a measurement tool.Methods The study uses Stata 18.0 software and employs the chi-square test to compare the differences in depression in fourth-grade students with different characteristics.Logistic regression models are used to analyze the impact of various factors on students'risk of depression.Results The depression detection rate among fourth-grade students was 15.23%.Specifically,student's cognitive individual ability level(Middle:Low,OR=0.71,95%CI:0.61-0.83,P<0.001;High∶Low,OR=0.65,95%CI:0.52-0.81,P<0.001),academic performance(Middle:Low,OR=0.77,95%CI:0.66-0.88,P<0.001;High:Low,OR=0.61,95%CI:0.51-0.74,P<0.001),and academic pressure(Middle:Low,OR=1.33,95%CI:1.15-1.53,P<0.001;High:Low,OR=1.78,95%CI:1.47-2.14,P<0.001)significantly affect the risk of developing depression.At the school and family levels,positive parental relationships(Bad:Good,OR=1.53,95%CI:1.32-1.78,P<0.001),teacher-student relationships(Good:Bad,OR=0.81,95%CI:0.71-0.93,P=0.002),and peer relationships(Good∶Bad,OR=0.78,95%CI:0.68-0.89,P<0.001)can reduce the depression risk independently.Conclusions Factors including personal attributes,family environment,school,and peers all have varying degrees of influence on their depressive states.In light of these findings,concerted efforts should be made from the individual,family,and school perspectives in order to alleviate the level of depression in primary school students and promote their mental health.

Depression riskAdolescent mental healthFourth-grade students

王卫东、马睿泽、唐丽娜、毛延新、胡以松

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中国人民大学社会心理学研究所,北京 100872

中国人民大学社会学院,北京 100872

中国人民大学中国调查与数据中心,北京 100872

抑郁风险 青少年心理健康 四年级学生

中国人民大学科学研究基金(中央高校基本科研业务费专项资金资助)项目成果

10XNN002

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(8)
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