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(英文)

Anxiety symptoms and quality of life among children living in the Pudong district of Shanghai:a cross-sectional study

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。

Background：Few studies have assessed the relationship between anxiety and quality of life among children from China's Mainland.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 activities,athletic ability,and self-esteem）;but SCARED subscale scores were positively correlated with three CAQOL subscale scores—physical discomfort,negative emotions,and attitudes about homework.After adjusting for other factors in a multivariate model,girls reported a higher quality of life than boys,older children reported a higher quality of life than younger children,children whose parents had higher levels of education reported a higher quality of life,and children who reported more symptoms of generalized anxiety or school phobia reported a lower quality of life.Conclusion：A relatively high proportion of primary school students in Shanghai report clinically significant symptoms of anxiety.Along with age,gender and level of parental education,the severity of self-reported anxiety symptoms is closely associated with children’s self-reported quality of life.