小学生焦虑抑郁障碍共病调查

Investigation on comorbidity of anxiety and depression disorder in primary school pupils

目的:探讨小学生焦虑抑郁障碍共病情况。方法:用儿童焦虑障碍筛查量表(SCRED)对县城2900名及农村1800名8～14岁小学生进行筛查,对筛查出的焦虑障碍儿童进行抑郁障碍诊断,对焦虑与抑郁障碍共病儿童实施相关量表及问卷测量。结果:儿童焦虑抑郁障碍共病率为12.7%,其中县城12.9%,农村12.3%,两地差异无统计学意义(χ2=0.011,P=0.915)。焦虑抑郁障碍共病儿童与仅有焦虑障碍儿童在焦虑量表及家庭功能评定量表上得分差异均无显著性(P均>0.05),抑郁量表分与焦虑量表的躯体焦虑、广泛焦虑及焦虑总分呈显著相关(P<0.001)。结论:小学生焦虑与抑郁障碍共病率较高。

Objective： To explore the comorbidity of anxiety and depression in primary school students. Method： 2 900 from a town and 1 800 from a countryside,aged 8～14 primary school students were enrolled. Their anxiety states were assessed using the screen for child related emotional disorder （SCRED） . Then children with anxiety and depression were evaluated with depression self-rating scale for children（DSRSC） and family assessment device （FAD） . Results： The comorbidity prevalence rate of anxiety and depression was 12. 7% ,and there was no difference between town （12. 9% ） and countryside （12. 3% ） （χ2 = 0. 011,P = 0. 915） . The children with anxiety and depression did not show differences on FAD from the children with only anxiety （all P 0. 05） . DSRSC score was significantly correlated with somatic,general and total anxiety score of SCRED. Conclusion： There is high comorbidity rate of anxiety and depression in primary school students.