Wang Liqing, Li Qiao, Yang Yaying, Zhu Huiquan
School of Public Health, Hainan Medical College, Haikou 571199, China.
Wei Sheng Yan Jiu. 2018 Nov;47(6):942-946.
OBJECTIVE: To investigate the correlation between life events, coping styles and depression of adolescent in Haikou. METHODS: In the urban and rural areas of Haikou between March and May, 2015, a total of 4995 students from grade 4 to grade 9 of6 primary schools and 6 junior middle schools were selected by stratified cluster sampling. Children's Depression Inventory( CDI), Adolescent Self-Rating Life Events Check List( ASLEC) and Simplified Coping Style Questionnaire( SCSQ) were used for the study. A total of 4866 valid questionnaires were recovered. Among them, there were 2508 boys and2358 girls. The number of primary school students was 2670, and the number of juniormiddle school students was 2196. There were 3385 urban students and 1481 rural students. RESULTS: The detection rate of depressive symptoms was 32. 3%( 1573/4866). The total score of ASLEC( 71. 14 ± 22. 79 vs. 57. 87 ± 20. 73) and interpersonal relationships( 3. 21 ± 1. 08 vs. 2. 67 ± 0. 96), study pressure( 3. 00 ± 1. 00 vs. 2. 50 ±0. 91), punished( 2. 65 ± 1. 06 vs. 2. 11 ± 0. 96), loss( 2. 57 ± 1. 49 vs. 2. 16 ± 1. 36), health adaptation( 2. 27 ± 1. 10 vs. 1. 93 ± 0. 96) and other dimension( 2. 55 ± 1. 08 vs. 1. 86 ± 0. 88) were higher in students with depressive symptoms than those in normal students, and the difference was statistically significant( P < 0. 001). The positive coping scores of adolescents with depression was( 2. 48 ± 0. 52), while normal adolescents was( 2. 78 ± 0. 55, P < 0. 001). The negative coping score of adolescents with depression was( 2. 28 ± 0. 51), while normal adolescents was( 2. 14 ± 0. 48, t =-9. 49, P < 0. 001). By using Pearson's simple correlation analysis, interpersonal relationships, study pressure, punished, loss, health adaptation and other life events were positively correlated with adolescent depression, the correlation coefficients were 0. 317, 0. 306, 0. 304, 0. 172, 0. 207 and 0. 390, respectively. Pearson's simple correlation analysis of adolescent depression and response showed that the correlation coefficient between adolescent depression and positive coping was-0. 353, and the correlation coefficient of negative coping was 0. 169. CONCLUSION: The symptoms of adolescent depression in Haikou City was positively correlated with the life events of adolescents, and negatively correlated with positive coping, and positively correlated with negative coping.
目的：探讨海口市青少年生活事件、应对方式与抑郁之间的相关性。 方法：于2015年3月至5月，采用分层整群抽样法，选取海口市城乡6所小学4至9年级及6所初中的4995名学生。采用儿童抑郁量表（CDI）、青少年自评生活事件量表（ASLEC）和简易应对方式问卷（SCSQ）进行研究。共回收有效问卷4866份，其中男生2508名，女生2358名；小学生2670名，初中生2196名；城市学生3385名，农村学生1481名。 结果：抑郁症状检出率为32.3%（1573/4866）。有抑郁症状学生的ASLEC总分（71.14±22.79 vs.57.87±20.73）、人际关系（3.21±1.08 vs.2.67±0.96）、学习压力（3.00±1.00 vs.2.50±0.91）、受惩罚（2.65±1.06 vs.2.11±0.96）、丧失（2.57±1.49 vs.2.16±1.36）、健康适应（2.27±1.10 vs.1.93±0.96）及其他维度（2.55±1.08 vs.1.86±0.88）得分均高于正常学生，差异有统计学意义（P<0.001）。抑郁青少年的积极应对得分（2.48±0.52）低于正常青少年（2.78±0.55，P<0.001）；抑郁青少年的消极应对得分（2.28±0.51）高于正常青少年（2.14±0.48，t=-9.49，P<0.001）。Pearson简单相关分析显示，人际关系、学习压力、受惩罚、丧失、健康适应等生活事件与青少年抑郁呈正相关，相关系数分别为0.317、0.306、0.304、0.172、0.207、0.390。Pearson简单相关分析青少年抑郁与应对方式显示，青少年抑郁与积极应对的相关系数为-0.353，与消极应对的相关系数为0.169。 结论：海口市青少年抑郁症状与青少年生活事件呈正相关，与积极应对呈负相关，与消极应对呈正相关。
Wei Sheng Yan Jiu. 2018-11
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