尼泊尔博卡拉市青少年的情绪和行为问题

Emotional and Behavioral Problems among Adolescents in Pokhara City in Nepal.

作者信息

Sharma Bharati, Rai Mana Kumari, Sharma Anju, Karki Sabita

机构信息

NAMS, Bir Hospital Nursing Campus, Kathmandu, Nepal.

Maharajgung Nursing campus, TU, IOM, Kathmandu, Nepal.

出版信息

J Nepal Health Res Counc. 2019 Jan 28;16(41):419-424.

PMID:30739933

Abstract

BACKGROUND

Adolescents are highly vulnerable to psychiatric disorders, which often have serious negative consequences for their academic achievement and potential social life. The aim of the study is to estimate the prevalence of emotional and behavioral problems among adolescents.

METHODS

A descriptive cross-sectional study design was adopted to identify the emotional and behavioral problems among adolescents using cluster sampling technique. Assessment was done on students of grade 7-11 from two schools in city in Nepal using self-administered questionnaire, Youth Self-Report (YSR-11/18) 2001, developed by Achenbach System of Empirical Based Assessment and self developed socio-demographic questionnaires. Data was coded and analyzed using SPSS (20). Descriptive statistic and inferential statistic (Chi square, Fisher Exact and Odds ratio-OR) were used to analyze data.

RESULTS

Altogether 330 adolescents were enrolled in study with mean age 14.3 yrs (range 11-18, male-152, female-178). Prevalence of EBPs was 30.0% (Male-38.8% female-22.5%). Internalizing problems (35.8%) were more common than externalizing (18.5%). Occurrence of EBPs was significantly associated with Sex (OR= 2.2 p=0.001), type of family (OR=1.8 p=0.035) and types of school (private: public OR=2.1 p=0.004). Among narrow band scales most common problems were social (17.6%), thought (15.5%), somatic (13%), anxious depression (12.1%) and aggression(10.3%). There was significant association between sex with EBPs on narrow band scales, male adolescents were more likely to have thought-problem (OR=3.7 p=<0.001, rule-breaking problem (OR=8.5, p=0.02), aggressive behavior (OR=3.7 p=0.001) while female were more likely to have social problems (OR=2.6 p=0.002).

CONCLUSIONS

Emotional and behavioural are a serious mental health concern among adolescents. An intervention strategy (School-based mental health service) maybe required to understand their problems and provide appropriate counseling.

摘要

背景

青少年极易患精神疾病，这往往会对他们的学业成绩和潜在社交生活产生严重负面影响。本研究的目的是估计青少年情绪和行为问题的患病率。

方法

采用描述性横断面研究设计，运用整群抽样技术确定青少年中的情绪和行为问题。使用由基于实证评估的阿肯巴克系统开发的自填式问卷《青少年自评量表（YSR - 11/18）2001》以及自行编制的社会人口学问卷，对尼泊尔某城市两所学校7至11年级的学生进行评估。数据使用SPSS（20）进行编码和分析。采用描述性统计和推断性统计（卡方检验、费舍尔精确检验和比值比 - OR）分析数据。

结果

共有330名青少年参与研究，平均年龄14.3岁（范围11 - 18岁，男性152名，女性178名）。情绪和行为问题的患病率为30.0%（男性38.8%，女性22.5%）。内化问题（35.8%）比外化问题（18.5%）更常见。情绪和行为问题的发生与性别（OR = 2.2，p = 0.001）、家庭类型（OR = 1.8，p = 0.035）和学校类型（私立：公立OR = 2.1，p = 0.004）显著相关。在窄带量表中，最常见的问题是社交（17.6%）、思维（15.5%）、躯体（13%）、焦虑抑郁（12.1%）和攻击（10.3%）。在窄带量表上，性别与情绪和行为问题之间存在显著关联，男性青少年更易出现思维问题（OR = 3.7，p < 0.001）、违规问题（OR = 8.5，p = 0.02）、攻击行为（OR = 3.7，p = 0.001），而女性更易出现社交问题（OR = 2.6，p = 0.002）。