大庆市中职院校学生社交焦虑患病情况及影响因素的调查研究

Investigation on the prevalence and influencing factors of social anxiety among secondary vocational school students in Daqing

目的探究大庆地区中职院校学生社交焦虑障碍(SAD)患病率及与父母教养方式、惧怕否定评价和自我接纳的关系。方法抽取大庆地区五所中职院校学生1800人进行问卷调查,包括父母教养方式(EMBU)量表、自我接纳问卷(SAQ)、惧怕否定评价(FNE)量表、交往焦虑量表(IAS),并根据IAS得分、简明社交恐怖(BSPS)量表得分两重标准,筛选社交焦虑高、中、低分组进行DSM-IV诊断访谈,并将SAD组与非SAD组量表得分进行比较以探究SAD患病相关因素。结果回收有效问卷1617份,有效率89.8%。大庆地区中职生SAD的时点患病率为19.89%(95%C/:0.191~0.207);不同性别与是否独生子女的SAD患病率差异均无统计学意义(x^2=0,P=0.983;x^2=1.062,P=0.303);以是否被SCID诊断为SAD作为因变量,对所有自变量进行二元Logistic回归分析,最终自我接纳、自我评价、惧怕否定评价、母亲偏爱被试者4个因子依次进人回归方程。结论大庆市中职生SAD时点患病率为19.85%,自我接纳、自我评价、惧怕否定评价、母亲偏爱被试者因子对SAD患病率有影响。

Objective To explore the prevalence rate of social anxiety disorder(SAD)among secondary vocational students in Daqing and to discuss the relationship among parenting style,fear of negative evaluation,self acceptance and social anxiety disorder.Methods A total of 1 800 students from 5 secondary vocational schools in Daqing were investigated by questionnaires including Egma Minnen av Bardndosnauppforstran(EMBU),Fear of Negativity Evaluation Scale(FNE),the Self Acc eptance Questionnaire(SAQ)and the Interaction Anxiety Scale(IAS).According to the two screening criteria of IAS and BSPS,the students were divided into high,mid and low SAD groups for DSM-IV diagnostic interview.The scores of SAD and non-SAD groups were compared to explore the related factors of SAD.Results Total of 1 617 valid questionnaires were recovered,and the valid rate was 89.8%.The point prevalence of SAD among secondary vocational school students in Daqing was 19.89%(95%C/:0.191-0.207).There was no significant difference between the gender and only-child in the prevalence rate of SAD(x^2=0,P=0.983;x^2=1.062,P=0.303).A binary Logistic regression was employed for all of the independent variables with the dependent variable was whether to be diagnosed as SAD by SCID.Finally,four factors,self-acceptance,self-evaluation,fear of negative evaluation and mother's preference entered the regression equation stepwise.Conclusions The point prevalence rate of SAD was 19.85%in Daqing secondary vocational school students.The factors of self-acceptance,selfevaluation,fear of negative evaluation and mother s preference could influence the onset of SAD.