Rabbani Ali, Mahmoudi-Gharaei Javad, Mohammadi Mohammad Reza, Motlagh Mohammad Esmaeil, Mohammad Kazem, Ardalan Gelayol, Maftoon Farzaneh, Shahryari Safiyeh, Khodaei Shahnaz, Sotoudeh Aria, Ziaaldini Hassan, Kamali Kobra, Motaghian Molouk
Growth and Development Research Center, Tehran University of Medical Sciences, Iran.
Acta Med Iran. 2012;50(3):169-76.
Mental health problems including emotional and behavioral problems during puberty may be under influence of different risk factors including cultures, living in urban or rural areas and ethnic factors which may vary between different countries. The main aim of this study is to investigate the profile of emotional and behavioral problems and the role of factors such as age, stage of puberty, ethnicity, rurality and living in urban area, as risk factors in Iranian girls. As a part of a large national study we evaluated the emotional and behavioral problems in different stages of puberty in a community sample of Iranian adolescent girls from public schools that were selected by clustered random sampling method. In all subjects, demographic characteristics, and pubertal stages were measured. Emotional and behavioral problems were evaluated using Strength and Difficulties Questionnaire (SDQ). The associations of age, pubertal development indices, socioeconomic and demographic factors with the behavioral problems were assessed. A total number of 4576 students enrolled the study and responded to the questions. The mean age of participants was 13.83 ± 2.19 years. The mean total score of difficulties in participants was 14.34 ± 5.81. According to these results 813 (17.8%) adolescents had total problem scores higher than Goodman's cutoff points and the most frequent problem domain was conduct problems (20.5%). According to the results the most related variable with the total difficulty score of SDQ were ethnicity, residency in urban areas and development of menstrual cycle respectively. The results of this study showed that the most correlated factors with mental health problems in Iranian girls during puberty are ethnicity, urbanity and development of menstrual cycle.
心理健康问题，包括青春期的情绪和行为问题，可能受到不同风险因素的影响，这些因素包括文化、城乡居住情况以及种族因素，不同国家之间可能存在差异。本研究的主要目的是调查伊朗女孩情绪和行为问题的概况，以及年龄、青春期阶段、种族、农村或城市居住情况等因素作为风险因素所起的作用。作为一项大型全国性研究的一部分，我们采用整群随机抽样方法，对来自公立学校的伊朗青春期少女社区样本在青春期不同阶段的情绪和行为问题进行了评估。在所有受试者中，测量了人口统计学特征和青春期阶段。使用优势与困难问卷（SDQ）评估情绪和行为问题。评估了年龄、青春期发育指标、社会经济和人口统计学因素与行为问题之间的关联。共有4576名学生参与了这项研究并回答了问题。参与者的平均年龄为13.83±2.19岁。参与者困难总分的平均值为14.34±5.81。根据这些结果，813名（17.8%）青少年的问题总分高于古德曼的临界值，最常见的问题领域是品行问题（20.5%）。根据结果，与SDQ总困难得分最相关的变量分别是种族、城市居住情况和月经周期的发育。这项研究的结果表明，伊朗女孩青春期心理健康问题最相关的因素是种族、城市化程度和月经周期的发育。
