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[青少年的健康状况:与家庭形象有何关系?青少年工作组]

[Health status of adolescents: what relations with family image? Adolescents Work Group].

作者信息

Villani S, Grassi M, Marinoni A

机构信息

Dipartimento di Scienze Sanitarie Applicate e Psicocomportamentali, Università degli Studi di Pavia.

出版信息

Epidemiol Psichiatr Soc. 1997 Jan-Apr;6(1):59-68. doi: 10.1017/s1121189x00008642.

DOI:10.1017/s1121189x00008642
PMID:9172941
Abstract

INTRODUCTION

Many studies have been carried out recently to investigate the relationship between health conditions and family and self characteristics.

OBJECTIVES

To identify family characteristics (such as type of family, socio-economic status, parent immigration, affection for parents, parents' psychological and physical health) and self characteristics (age, drug use, satisfaction for several life circumstances, psychosomatic symptomatology) that are differently distributed by sex and levels of psychological and physical distress among teen-agers.

METHODS

We carried out a cross-sectional study on a sample of teen-agers attending high school in Pavia (Italy), using a self-administered questionnaire. The students were divided in four groups having different levels of psychological and physical distress, based on GHQ-30 (psychological distress indicator), on the number of hospital admissions and consultations to a physician in the last year (the last two are physical distress indicator). Data were analysed applying the multivariate analysis of Canonical Variate.

RESULTS

1346 students were sampled, but only 1189 questionnaire were analysed: 36.8% regarding males and 63.2% females. The Canonical Variate analysis indicated that psychosomatic symptomatology, satisfaction for several life circumstances and affection for parents are important for describing the four distress groups.

CONCLUSIONS

Only affection for parents has an important role on psychological and physical distress of adolescents, while family characteristics traditionally considered associated with psychological and physical distress in teen-agers (such as living with one or without parents, low socio-economic status) are not associated.

摘要

引言

最近进行了许多研究来调查健康状况与家庭及自身特征之间的关系。

目的

确定青少年中因性别以及心理和身体困扰程度不同而分布各异的家庭特征(如家庭类型、社会经济地位、父母移民情况、对父母的情感、父母的心理和身体健康状况)和自身特征(年龄、药物使用情况、对几种生活状况的满意度、心身症状)。

方法

我们使用自填式问卷对意大利帕维亚市一所高中的青少年样本进行了横断面研究。根据一般健康问卷-30(心理困扰指标)、去年的住院次数和看医生的次数(后两者为身体困扰指标),将学生分为心理和身体困扰程度不同的四组。运用典型变量多元分析对数据进行分析。

结果

共抽取了1346名学生,但仅分析了1189份问卷:男性占36.8%,女性占63.2%。典型变量分析表明,心身症状、对几种生活状况的满意度以及对父母的情感对于描述这四个困扰组很重要。

结论

只有对父母的情感对青少年的心理和身体困扰有重要影响,而传统上认为与青少年心理和身体困扰相关的家庭特征(如与父母一方生活或不与父母生活、社会经济地位低)并无关联。

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