MOE Key Laboratory of Population Health across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, and Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei, Anhui 230032, PR China; School of Public Health, Medical College of Soochow University, Suzhou industrial park, 199th Renai Road, Suzhou, Jiangsu 215123, PR China.
MOE Key Laboratory of Population Health across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, and Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei, Anhui 230032, PR China; Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, 44th Wenhuaxi Road, Jinan, Shandong 250000, PR China.
J Affect Disord. 2022 Jan 15;297:593-601. doi: 10.1016/j.jad.2021.10.118. Epub 2021 Oct 27.
Psychosomatic symptoms are often related with behaviors. However, the association between different behaviors and their latent patterns and psychosomatic health status is unclear. Current study aimed to identify the patterns of six behaviors and explore the association between different patterns and psychosomatic symptoms in a school-based sample of Chinese adolescents.
From November 2015 to January 2016, the study enrolled 22,628 students from six cities in China (15.36 ± 1.79 years). Six behaviors [unintentional injury (UI), non-suicidal self-injury (NSSI), suicidal behaviors (SB), drinking, smoking, screen time (ST)] and psychosomatic symptoms (psychological and physical symptoms) were measured by self-report validated questionnaires.
Six behaviors were all related to psychosomatic symptoms, among which SB was the strongest. Four patterns of behaviors were be identified as follows: low-risk pattern (64.0%), substance use pattern (4.5%), injury pattern (28.8%) and high-risk pattern (2.7%). Logistic regression analysis of psychological symptoms indicated that compared with low-risk pattern, high-risk pattern had the highest risk, followed by injury pattern, substance use pattern showed the lowest risk. Compared with low-risk pattern, the results of physical symptoms suggested the degree of risk was high-risk pattern, injury pattern and substance use pattern, respectively.
Cross-sectional data were used in the study that could not evaluate causal relationships between six behaviors and psychosomatic symptoms.
Six behaviors and their latent patterns are related to psychosomatic symptoms among Chinese adolescents differently, so different intervention and prevention protocol need to be taken for different patterns of adolescents.
心身症状通常与行为有关。然而，不同行为及其潜在模式与心身健康状况之间的关联尚不清楚。本研究旨在识别六种行为模式，并探讨中国青少年样本中不同模式与心身症状之间的关系。
2015 年 11 月至 2016 年 1 月，研究纳入了来自中国六个城市的 22628 名学生（15.36±1.79 岁）。通过自我报告的有效问卷测量了六种行为（意外伤害、非自杀性自伤、自杀行为、饮酒、吸烟、屏幕时间）和心身症状（心理和生理症状）。
六种行为均与心身症状相关，其中自杀行为最强。确定了四种行为模式：低危模式（64.0%）、物质使用模式（4.5%）、伤害模式（28.8%）和高危模式（2.7%）。心理症状的逻辑回归分析表明，与低危模式相比，高危模式风险最高，其次是伤害模式，物质使用模式风险最低。与低危模式相比，生理症状表明高风险模式、伤害模式和物质使用模式的风险程度依次升高。
本研究采用横断面数据，不能评估六种行为与心身症状之间的因果关系。
六种行为及其潜在模式与中国青少年的心身症状存在不同的关系，因此需要针对不同模式的青少年采取不同的干预和预防措施。
