大庆市初高中青少年阈下抑郁情况及影响因素

Prevalence rate and influencing factors of sub threshold depression among Daqing youngsters

目的:了解大庆市青少年阈下抑郁时点发生率及其影响因素,为制定有效的防御策略提供参考。方法:按初、高中生构成比分层整群随机抽取大庆市1578名青少年进行问卷调查,采用一般流调中心应用量表CES-D和贝克抑郁量表BDⅠ-Ⅱ进行初步筛查后,由心理学专家结合DSM-Ⅳ临床结构式访谈和儿童情感障碍和精神分裂症访谈手册K-SADS再次进行筛查青少年阈下抑郁人群;采用五因素正念度量表(Five Facet Mindfulness Questionnaire,FFMQ)及反刍思维量表(RRS)对青少年阈下抑郁人群进行问卷调查后进行描述性分析,并对各影响因素进行单因素分析和Logistic回归分析。结果:收回有效问卷1578份,确诊为阈下抑郁者233名,时点发生率为14.77%。单因素分析显示,影响阈下抑郁的因素包括家庭结构、家庭居住地、正念水平和反刍思维;多因素分析显示,不判断、强迫思考、是否为独生子女进入回归方程,回归系数分别是-0.102,0.263,0.285。结论:大庆市青少年阈下抑郁时点发生率14.77%,其影响因素包括是否为独生子女、正念水平和反刍思维水平。

Objective:To know the point prevalence rate of sub threshold depression(SD)in Daqing youngsters and explore the factors of sub threshold depression.Methods:Data came from a large representative sample of 1578 junior and senior high school students,who were selected by stratified random cluster sampling according to the constituent ratio of students.We used CES-D and BDⅠ-Ⅱquestionnaires,combining with DSM-Ⅳand K-SADS instruments to select the sub threshold depression people.Besides we used the questionnaires to investigate the influencing factors of sub threshold depression.Results:Among 1578 Daqing university students,233 of them were diagnosed as SD with a point prevalence rate of 14.77.ANOVA showed family structure,family address,mindfulness and ruminant influenced subthreshold depression;Multivariate analysis showed that whether or not the only child,no judgment and forced thinking entered the regression equation,the regression coefficients were-0.102,0.263 and 0.285,respectively.Conclusion:The point prevalence rate of SD in Daqing youngsters was 14.77%.Its influencing factors include whether or not the only child,mindfulness and ruminant thinking level.