郑州市中学生心理亚健康状况及儿童期虐待经历对其的影响

Psychological Sub-health Status and the Effect of the Childhood Abuse on It among Middle School Students in Zhengzhou

目的:了解郑州市中学生心理亚健康状况,进一步探讨儿童期虐待和其他因素对中学生心理健康的影响,为青少年心理健康早期预防和后期发展提供帮助。方法:采用分层整群随机抽样方法,选取郑州市城乡8所中学4891名学生,运用青少年亚健康多维评定问卷(MSQA)、儿童期虐待问卷(CTQ-SF)进行问卷调查。结果:郑州市中学生心理亚健康状态总报告率为21.9%。表现为城市(24.2%)高于乡村(19.4%),女生(22.8%)高于男生(20.9%),高中(23.8%)高于初中(20.2%),独生子女(24.3%)高于非独生子女(21.1%),毕业班(23.9%)高于非毕业班(21.1%),且差异除了性别外均具有统计学意义(P<0.05)。处于心理亚健康状态的中学生儿童期虐待5个分量表及量表总分均高于心理正常中学生,且差异均具有统计学意义(P<0.01)。心理亚健康状态二分类Logistic回归分析显示:城市、高中、毕业班、儿童期高情感虐待为中学生心理亚健康状态的危险因素。结论:郑州市中学生心理亚健康状态报告率较高,城市、高中、毕业班、儿童期高情感虐待为中学生心理亚健康状态的危险因素。有关部门应有针对性地做好预防措施,减少中学生心理亚健康的发生。

Objective：To understand the psychological sub-health status of middle school students in Zhengzhou City,and further explore the influence factors on the mental health of middle school students,in order to provide help for the prevention and the development of mental health adolescent in middle school students.Methods：A total of 4891 adolescents in Zhengzhou were enrolled with method of stratified cluster random sampling.All the participants were investigated with Multidimensional Sub-health Questionnaire of Adolescents（MSQA）and Child Trauma Questionnaire-Short Form（CTQ-SF）.Results：Totally 21.9% of the adolescents reported in status of psychological sub-health.The performance were as following：The city（24.2%）was higher than in rural areas（19.4%）,girls（22.8%）higher than boys（20.9%）,high school（23.8%）higher than the junior middle school（20.2%）,the only child（24.3%）higher than the non only child（21.1%）,the graduating class（23.9%）higher than the non graduating class（21.1%）,and the difference had statistical significance（P〈0.05）except that between different gender.The students with psychological sub-health had higher scores of the 5subscales and the total scores in childhood abuse than that of in the students with no psychological sub-health（P〈0.01）.Logistic regression analysis showed that the city,high school,graduating class,higher childhood emotional abuse were risk factors to psychological subhealth（P〈0.01）.Conclusion：The report rate of psychological sub-health status is higher among middle school students in Zhengzhou,and the risk factors of psychological sub-health are the city,high school,graduating class,and higher childhood emotional abuse in middle school students.The relevant departments should do preventive measures,and to reduce the occurrence of students＇ psychological sub-health.