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[中国乌鲁木齐市小学生社交焦虑与抑郁的现状]

[Current status of social anxiety and depression among primary school students in Urumqi, China].

作者信息

Lin Su-Lan, Wang Dan, Xian Ya-Jing, Yang Jing, Wu Ping-Ping

机构信息

Xinjiang Medical University, Urumqi 830011, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2018 Aug;20(8):670-674. doi: 10.7499/j.issn.1008-8830.2018.08.013.

Abstract

OBJECTIVE

To investigate the current status of social anxiety and depression among the fourth-, fifth-, and sixth-grade students in Urumqi, China, and to provide data support for mental health education for primary school students in the future.

METHODS

Stratified cluster random sampling was performed to select 919 fourth-, fifth-, and sixth-grade students from four primary schools for the Han and minority ethnic groups in Urumqi as research subjects. Social Anxiety Scale for Children and Children's Depression Inventory were used to evaluate the current status of social anxiety and depression.

RESULTS

Among the 919 fourth-, fifth-, and sixth-grade students, the detection rate of social anxiety was 28.5% (262 students). The fourth-grade students had significantly lower scores on each subscale of social anxiety and total score of social anxiety than the fifth- and sixth-grade students (P<0.05). Girls had significantly higher score on the subscale of fear of negative evaluation and total score of social anxiety than boys (P<0.05). The Uyghur students had significantly higher scores on each subscale of social anxiety and total score of social anxiety than the Han students and the students of other minority ethnic groups (P<0.05). Among these fourth-, fifth-, and sixth-grade students, the detection rate of depression was 11.2% (103 students). The fourth-grade students had significantly lower scores on the subscales of negative self-esteem, ineffectiveness, and interpersonal problems and total score of depression than the fifth- and sixth-grade students (P<0.05). The Uyghur students had significantly higher scores on the subscales of anhedonia and negative mood and total score of depression than the Han students and the students of other minority ethnic groups (P<0.05).

CONCLUSIONS

There are significant differences in the status of social anxiety and depression among the primary school students with different grades, sexes or ethnic groups in Urumqi. The fifth- and sixth-grade students, girls, and Uyghur students tend to have more serious psychological problems, which should be taken seriously by parents, schools, and the society.

摘要

目的

调查中国乌鲁木齐市四、五、六年级学生社交焦虑和抑郁的现状,为今后小学生心理健康教育提供数据支持。

方法

采用分层整群随机抽样法,从乌鲁木齐市四所汉族和少数民族小学选取919名四、五、六年级学生作为研究对象。采用儿童社交焦虑量表和儿童抑郁量表评估社交焦虑和抑郁现状。

结果

在919名四、五、六年级学生中,社交焦虑检出率为28.5%(262名学生)。四年级学生社交焦虑各分量表得分及社交焦虑总分显著低于五年级和六年级学生(P<0.05)。女生在害怕负面评价分量表及社交焦虑总分上显著高于男生(P<0.05)。维吾尔族学生社交焦虑各分量表得分及社交焦虑总分显著高于汉族学生和其他少数民族学生(P<0.05)。在这些四、五、六年级学生中,抑郁检出率为11.2%(103名学生)。四年级学生在自尊消极、效能低下、人际问题分量表及抑郁总分上显著低于五年级和六年级学生(P<0.05)。维吾尔族学生在快感缺失、消极情绪分量表及抑郁总分上显著高于汉族学生和其他少数民族学生(P<0.05)。

结论

乌鲁木齐市不同年级、性别或民族的小学生社交焦虑和抑郁状况存在显著差异。五、六年级学生、女生和维吾尔族学生往往存在更严重的心理问题,应引起家长、学校和社会的重视。

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本文引用的文献

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Assessing depression in youth: relation between the Children's Depression Inventory and a structured interview.
J Clin Child Adolesc Psychol. 2004 Mar;33(1):149-57. doi: 10.1207/S15374424JCCP3301_14.

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