上海市浦东新区儿童焦虑症状现状调查及对生活质量的影响

背景国内对儿童期焦虑及其与生活质量的关系的报道较少。目的从上海市浦东新区小学选择有代表性的样本,进行儿童焦虑症状与生活质量的横断面研究。方法分层随机整群抽取上海市浦东新区的7所小学的在校3-5年级学生共3685名,采用儿童焦虑性情绪障碍筛查表(the Screen of Child Anxiety Related Emotional Disorders,SCARED)和儿童生活质量量表(the Children and Adolescents Quality of Life scale,CAQOL)进行评定。结果在完成SCARED评估的3628名学生中,864例(23.8%,95%可信区间=2...

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Published in上海精神医学 Vol. 23; no. 3; pp. 154 - 160
Main Author 顾红亮 范娟 杨慧琳 吴兰 严灵 易军 杜亚松
Format Journal Article
LanguageChinese
Published 上海市浦东新区妇幼保健院,201206%上海交通大学医学院附属精神卫生中心,200030%上海市浦东新区妇女儿童工作委员会,200135 2011
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Summary:背景国内对儿童期焦虑及其与生活质量的关系的报道较少。目的从上海市浦东新区小学选择有代表性的样本,进行儿童焦虑症状与生活质量的横断面研究。方法分层随机整群抽取上海市浦东新区的7所小学的在校3-5年级学生共3685名,采用儿童焦虑性情绪障碍筛查表(the Screen of Child Anxiety Related Emotional Disorders,SCARED)和儿童生活质量量表(the Children and Adolescents Quality of Life scale,CAQOL)进行评定。结果在完成SCARED评估的3628名学生中,864例(23.8%,95%可信区间=22.4%-25.2%)报告了具有临床显著意义的焦虑症状(SCARED总分≥23)。SCARED总分与CAQOL总分及大部分因子分分(师生关系、同伴关系、亲子关系、学习能力与态度、自我意识、生活便利性、活动机会性、运动能力和自我满意度)呈负相关;但SCARED分量表分与3个CAQOL因子分-躯体感觉、负性情绪及对家庭作业的态度呈正相关。校正了多重变量模型中的其他因素后,女生的生活质量高于男生,年长学生的生活质量高于年幼学生,父母有较高教育程度的儿童的生活质量较高,有较多广泛性焦虑或学校恐惧的儿童的生活质量较低。结论有较高比例的上海小学生报告了具有临床显著意义的焦虑症状。年龄、性别、父母受教育程度、自评的焦虑症状的严重程度与儿童自评的生活质量密切相关。
Bibliography:Background:Few studies have assessed the relationship between anxiety and quality of life among children from mainland China.Objective:Conduct a cross-sectional study about anxiety and quality of life in a representative sample of primary school students from the Pudong district of Shanghai.Method:A stratified random cluster sample of 3,685 students in grades 3 to 5 from seven primary schools in the Pudong District of Shanghai were administered the Screen of Child Anxiety Related Emotional Disorders(SCARED)and the Children and Adolescents’ Quality of Life scale(CAQOL).Result:Among the 3,628 students who completed the SCARED,864(23.8%,95%CI=22.4%-25.2%)had clinically significant anxiety symptoms(total SCARED score〉23).Scores on the SCARED were negatively correlated with the overall CAQOL score and with most of the CAQOL subscale scores(teacher-student relationship,peer relationships,parent-child relationship,academic aptitude and attitude,self-awareness,access to transportation from home,extra-curricular activ
ISSN:1002-0829
DOI:10.3969/j.issn.1002-0829.2011.03.004