Lindberg Lene, Swanberg Inga
Unit of Mental Health, Stockholm Center of Public Health, Stockholm, Sweden.
Scand J Caring Sci. 2006 Sep;20(3):274-81. doi: 10.1111/j.1471-6712.2006.00405.x.
The main purpose was to examine if interpersonal relations, mental distress, somatic symptoms and health behaviours could be protective or risk factors for the subjective well-being of 12-year-old school children.
After ethical and parental permission a questionnaire was completed by 807 pupils in the sixth grade of 18 randomised schools in seven rural and urban districts in the north-west area of Stockholm. The questionnaire was a modified version of the WHO Health Behaviour in School-Ages Children Study and the Youth Self-Report Questionnaire. Well-being was measured by the question, 'How are you these days'? Measures of protective or risk factors were relations to parents, teacher/schoolwork and peers, eating and safety habits, somatic symptoms, anxious/depressed and aggressiveness.
Logistic regressions were performed with well-being as dependent variable before and after adjustment for gender, which was the only significant background factor. Finally, a multiple logistic regression analysis was conducted with gender and the six significantly related predictors as independent variables. In the multiple model, relations to teacher/school and peers, eating habits, anxious/depressed and somatic symptoms were associated with well-being and yielded significant odds ratios.
Relations to teacher/school, relations to peers and good eating habits could be protective factors for subjective well-being, while somatic and anxious/depressed symptoms may be risk factors for ill-being. This indicates an increased need for interpersonal relations and mental health-oriented, promotive interventions in schools.
主要目的是研究人际关系、心理困扰、躯体症状和健康行为是否可能成为12岁在校儿童主观幸福感的保护因素或风险因素。
在获得伦理和家长许可后,斯德哥尔摩西北部七个城乡地区18所随机抽取学校的807名六年级学生完成了一份问卷。该问卷是世界卫生组织《学龄儿童健康行为研究》和《青少年自我报告问卷》的修改版。幸福感通过“你最近怎么样?”这一问题来衡量。保护因素或风险因素的测量指标包括与父母、教师/学业和同伴的关系、饮食和安全习惯、躯体症状、焦虑/抑郁和攻击性。
以幸福感为因变量,在对性别(唯一显著的背景因素)进行调整前后进行了逻辑回归分析。最后,以性别和六个显著相关的预测因素为自变量进行了多元逻辑回归分析。在多元模型中,与教师/学校和同伴的关系、饮食习惯、焦虑/抑郁和躯体症状与幸福感相关,并产生了显著的优势比。
与教师/学校的关系、与同伴的关系和良好的饮食习惯可能是主观幸福感的保护因素,而躯体症状和焦虑/抑郁症状可能是幸福感不佳的风险因素。这表明学校对人际关系和以心理健康为导向的促进性干预措施的需求增加。