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中小学教师抑郁症状和负性生活事件与心理弹性的关系

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目的 探讨中小学教师抑郁症状、负性生活事件与心理弹性之间的关系,为提升教师群体的心理健康水平提供参考。方法 于2022年11-12月,采用方便整群抽样法抽取北京、广东、安徽、湖北、四川、新疆、辽宁、黑龙江等8省(市)38所学校的11 332名中小学在职教师进行问卷调查。使用9项患者健康问卷、自编21条目负性生活事件调查问卷、10条目简明心理弹性量表分别评估中小学教师的抑郁症状、经历负性生活事件情况与心理弹性水平。采用Mann-Whitney U和Kruskal-Wallis H秩和检验比较抑郁症状得分的组间差异,使用多重线性回归、分层回归探讨教师抑郁症状与负性生活事件、心理弹性间的关系。结果 中小学教师抑郁症状的检出率为14。0%;中小学教师负性生活事件与抑郁症状呈正相关(r=0。35),心理弹性与抑郁症状呈负相关(r=-0。45)(P值均<0。05)。在调整性别、婚姻状况等变量后,负性生活事件得分与抑郁症状得分呈正相关(β=0。22,P<0。01);心理弹性在负性生活事件对中小学教师抑郁症状的影响中起调节作用(B=-0。15,P<0。01)。结论 中小学教师经历负性生活事件越多,产生抑郁症状的风险越大。心理弹性可以削弱负性生活事件对抑郁症状的负面影响,起到保护教师心理健康的作用。
Relationship between depressive symptoms,negative life events,and resilience in primary and secondary school teachers
Objective To explore the relationship between depressive symptoms,negative life events and resilience among pri-mary and secondary school teachers,so as to provide a reference for mental health promotion in school teachers.Methods During November to December 2022,a questionnaire survey was conducted using convenient cluster sampling method to select 11 332 in-service teachers from 38 schools in 8 provinces(cities)including Beijing,Guangdong,Anhui,Hubei,Sichuan,Xinjiang,Liaon-ing,and Heilongjiang.The Patient Health Questionnaire-9 items,a self-developed 21-item Adverse Life Events questionnaire,and a 10-item Conner-Davidson Resilience Scale were used to assess depressive symptoms,experiences of negative life events,and resilience levels of the teachers,respectively.The relationship between depressive symptoms,negative life events and psycho-logical resilience were analyzed by multiple linear regression and stratified regression.Results The detection rate of depressive symptoms among primary and secondary school teachers was 14.0%.Negative life events of primary and secondary school teachers were positively correlated with depressive symptoms(r=0.35),while psychological resilience was negatively correlated with depres-sive symptoms(r=-0.45)(P<0.05).After adjusting for possible covariates including gender and marital status,negative life e-vents were positively correlated with depressive symptoms(β=0.22,P<0.01).Resilience played a moderating role in the associa-tion of negative life events with depressive symptoms among primary and secondary school teachers(B=-0.15,P<0.01).Conclu-sions Negative life events experiences are associated with higher level of depressive symptoms among school teachers.However,resilience might mitigate the negative effects of negative life events on depressive symptoms,playing a protective role in teachers'mental health.

DepressionLife change eventsMental healthRegression analysis

汪培、朱璠、贾碧波、朱桂因、赵田杰、祁甜甜、胡翼飞、马迎华

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北京大学公共卫生学院/儿童青少年卫生研究所,北京 100191

首都医科大学公共卫生学院儿少卫生与妇幼保健学系

抑郁 生活变动事件 精神卫生 回归分析

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(3)
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