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Analysis of the mental health status and its influencing factors of senior three students in a middle school in the plateau area#br#
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LIU Shuangjuan1 Zetaduoji2 JIANG Yingjiu3 Pubusuolang2 Deqinglacuo2 LIAO Juan4 YAN Junjun5 YANG Deyu1 |
1.Department of Neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China;
2.the First Department of Internal Medicine, the People’s Hospital of Qamdo, Tibet Autonomous Region, Qamdo 854000, China;
3.the First Department of Surgery, People’s Hospital of Qamdo, Tibet Autonomous Region, Qamdo 854000, China;
4.Chongqing Key Laboratory of Cerebrovascular Disease Research, Chongqing 402160, China;
5.Yongchuan District Mental Health Center, Chongqing 402160, China
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Abstract Objective To analyze the mental health status and its influencing factors of senior high school students in a middle school in Chamdo in the plateau area, and to provide a theoretical basis for improving the mental health education mechanism of high school students in the plateau area. Methods From January to March 2021, cluster sampling was used to investigate the senior three students of a middle school in Qamdo City using the patient health questionnaire-9 (PHQ-9) and general anxiety disorder-7 (GAD-7) scales. Results A total of 835 questionnaires were distributed in this survey, of which 814 were valid, and the recovery rate of valid questionnaires was 97.5%. The median overall score for PHQ-9 was 3.00 (1.00, 7.00) points, while the median overall score for GAD-7 was 2.00 (0.00, 6.00) points. The detection rate of depression was 39.3% (320/814), and the detection rate of anxiety was 34.5% (281/814). There were statistically significant differences in the scores of depression and anxiety among senior three students in different ethnic groups, living conditions, history of mental illness, daily browsing time on mobile phones and computers, times of playing video games per week, and times of weekly exercise (P < 0.05). There were statistically significant differences in the depression scores of students with different history of chronic diseases (P < 0.05). The history of mental illness, living conditions, the number of times of playing video games per week, and the number of times of weekly exercise were all independent influencing factors of depression or anxiety (P < 0.05). Conclusion There are different degrees of depression or anxiety among senior high school students in a middle school in Qamdo City in the plateau area. The occurrence of depression or anxiety is related to the students’ mental illness history and living habits and other factors.
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[参考文献]
[1] 安现伟.探究高三学生心理防护措施的实施策略[C]//2020年“区域优质教育资源的整合研究”研讨会.北京,2020.
[2] 皮书说.心理健康蓝皮书:中国国民心理健康发展报告(2019~2020)[EB/OL].(2021-03-03)[2021-08-05]. https://www.pishu.cn/zxzx/xwdt/563830.shtml.
[3] 卢立红,付丽秋,吴豪华,等.特殊作业环境对消防员心理健康的影响研究[J].武警学院学报,2021,37(2):10-15.
[4] 黄华,汤竣杰,冯爽,等.特殊环境下军事心理应激及相关因素的研究现状[J].中华诊断学电子杂志,2020,8(2):82-85.
[5] Martin A,Rief W,Klaiberg A,et al. Validity of the Brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population [J]. Gen Hosp Psychiatry,2006,28(1):71-77.
[6] 高岚,杨兴洁,张索远,等.新冠肺炎流行期间医学生的抑郁焦虑症状及相关因素[J].中国心理卫生杂志,2020, 34(10):878-882.
[7] Kang L,Ma S,Chen M,et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak:A cross-sectional study [J]. Brain Behav Immun,2020,87:11-17.
[8] Kertz S,Bigda-Peyton J,Bjorgvinsson T. Validity of the Generalized Anxiety Disorder-7 scale in an acute psychiatric sample [J]. Clin Psychol Psychother,2013,20(5):456-464.
[9] 张小娟,田庆丰,胡惠华,等.郑州市省级示范中学学生抑郁症状现状及其与生活事件的关系[J].中国健康心理学杂志,2017,25(4):491-493.
[10] 刘晓宇.重点高中学生抑郁症状流行状况及其影响因素[D].合肥:安徽医科大学,2018.
[11] 李笑笑.高中生网络地域歧视、心理弹性与焦虑的关系研究[D].牡丹江:牡丹江师范学院,2019.
[12] 赵士英,赵彦超,烟婷婷.河南省南乐县高三学生考试焦虑现状及其影响因素分析[J].中国健康教育,2016, 32(12):1123-1124,1148.
[13] Eli B,Zhou Y,Liang Y,et al. Depression in Children and Adolescents on the Qinghai-Tibet Plateau:Associations with Resilience and Prosocial Behavior [J]. Int J Environ Res Public Health,2021,18(2):440.
[14] 尹可丽,李鹏,包广华,等.民族社会化经历对藏族青少年积极心理健康的影响——民族认同与自尊的中介作用[J].华南师范大学学报(社会科学版),2016,48(1):78-84.
[15] 江南,朱丹,归桑拉姆,等.西藏中学生心理教育体系的建构[J].教育与教学研究,2014,28(1):37-41.
[16] 西藏卫生健康委员会.健康中国-西藏在行动[EB/OL].(2020-11-19). http://wjw.xizang.gov.cn/xwzx/wsjkdt/202011/t20201119_182302.html.
[17] Bakula DM,Sharkey CM,Perez MN,et al. The Role of Stigma in the Relationship Between Illness Intrusiveness and Adjustment in Adolescents and Young Adults:A Path Model [J]. J Pediatr Psychol,2019,44(5):611-619.
[18] 车贝贝,高晶蓉,陈德,等.上海市中学生抑郁症状流行现状及行为因素对其影响分析[J].中国健康教育,2021, 37(1):27-32.
[19] 高青,吴明,叶茜雯,等.辽宁省中学生抑郁现况及影响因素分析[J].中国学校卫生,2020,41(9):1362-1364.
[20] 欧胜虎.达州市留守高中生心理健康状况与家庭功能的关系[J].中国学校卫生,2019,40(8):1155-1158, 1161.
[21] 杨丽君,林平,次仁曲宗,等.藏族初中生心理健康状况与应对方式的关系研究[J].中国儿童保健杂志,2014, 22(12):1299-1301.
[22] Xie L,Wei G,Xu Y,et al. Psychiatric Epidemiology and Mental Health Service in the Tibet Autonomous Region of the People’s Republic of China [J]. Shanghai Arch Psychiatry,2018,30(2):127-130.
[23] 巢乃鹏.网游对青少年亲社会行为的影响[J].学海,2015(5):24-30.
[24] Chi X,Liu X,Guo T,et al. Internet Addiction and Depression in Chinese Adolescents:A Moderated Mediation Model [J]. Front Psychiatry,2019,10:816.
[25] 逯小龙,王坤.课外体能锻炼对大学生心理资本心理健康及社会适应能力的影响[J].中国学校卫生,2019,40(3):392-395.
[26] 王嘉琦,米小燕.体育锻炼对大学生孤独感、抑郁情绪的影响研究[J].福建体育科技,2021,40(3):78-82.
[27] 王晓楠.海拔3500-4000米西藏地区高中生体质健康现状分析与体质健康标准反思[D].北京:中央民族大学,2017. |
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