Yanjie Yu MD, PhD, Jiaxiu Liu MD, Norbert Skokauskas MD, PhD, Feng Liu PhD, Li Zhang MD, Teng Teng MD, PhD, Yaru Zou MD, Qian Lyu MD, Rong Liu MD, Xinyue Liu MD, Huaqing Meng MD, Xinyu Zhou MD, PhD
{"title":"中国中小学生抑郁、焦虑患病率及其相关因素:一项横断面流行病学研究","authors":"Yanjie Yu MD, PhD, Jiaxiu Liu MD, Norbert Skokauskas MD, PhD, Feng Liu PhD, Li Zhang MD, Teng Teng MD, PhD, Yaru Zou MD, Qian Lyu MD, Rong Liu MD, Xinyue Liu MD, Huaqing Meng MD, Xinyu Zhou MD, PhD","doi":"10.1111/appy.12523","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>This study aimed to investigate the prevalence of depression and anxiety, and associated factors, among Chinese children and adolescents aged 8–18 years who attend primary or high school.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A total of 23 005 primary and high school students were recruited from February to December, 2019 for this cross-sectional study. The questionnaire included demographic information, questions assessing suicidality, resilience, depression (Center for Epidemiological Studies Depression Scale for Children), and anxiety (Screen for Child Anxiety Related Disorders). Binary logistic regression was used to analyze the independent correlates of depression and anxiety.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Overall, 13.06% of participants experienced depressive symptoms, 22.34% experienced anxiety symptoms, 26.34% experienced transient suicidal ideation, 2.23% had serious suicidal ideation, and 1.46% had a history of suicide attempts. Anxiety (odds ratio [OR], 4.935; 95% confidence interval [CI][4.442–5.485]), suicidality (OR, 2.671; 95% CI[2.203–3.237]), skipping breakfast (OR, 1.920; 95% CI[1.348–2.736]), sleep duration (OR, 0.470; 95% CI[0.398–0.556]) and self-expectations (OR, 1.924; 95% CI[1.550–2.389]) were associated with depression (all <i>p</i> < .05). Depression (OR, 4.424; 95% CI[3.983–4.914]), female sex (OR, 1.903; 95% CI[1.759–2.060]), school-based traumatic experience(s) (OR, 1.905; 95% CI[1.747–2.077]), relationships with teachers (OR, 1.575; 95% CI[1.103–2.249]), and suicidality (OR, 1.467; 95% CI[1.218–1.766]) were associated with anxiety symptoms (all <i>p</i> < .05).</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>Depression and anxiety are common among school-age children and adolescents in China. Childhood school- and family-based traumatic experience(s), female sex, and lifestyle factors (eating breakfast, sleep duration, exercising, and Internet use) are significantly associated with mental health among children and adolescents. Developing interventions targeting these factors to protect students from depression and anxiety are needed.</p>\n </section>\n </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"15 1","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":"{\"title\":\"Prevalence of depression and anxiety, and associated factors, among Chinese primary and high school students: A cross-sectional, epidemiological study\",\"authors\":\"Yanjie Yu MD, PhD, Jiaxiu Liu MD, Norbert Skokauskas MD, PhD, Feng Liu PhD, Li Zhang MD, Teng Teng MD, PhD, Yaru Zou MD, Qian Lyu MD, Rong Liu MD, Xinyue Liu MD, Huaqing Meng MD, Xinyu Zhou MD, PhD\",\"doi\":\"10.1111/appy.12523\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>This study aimed to investigate the prevalence of depression and anxiety, and associated factors, among Chinese children and adolescents aged 8–18 years who attend primary or high school.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A total of 23 005 primary and high school students were recruited from February to December, 2019 for this cross-sectional study. The questionnaire included demographic information, questions assessing suicidality, resilience, depression (Center for Epidemiological Studies Depression Scale for Children), and anxiety (Screen for Child Anxiety Related Disorders). Binary logistic regression was used to analyze the independent correlates of depression and anxiety.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Overall, 13.06% of participants experienced depressive symptoms, 22.34% experienced anxiety symptoms, 26.34% experienced transient suicidal ideation, 2.23% had serious suicidal ideation, and 1.46% had a history of suicide attempts. Anxiety (odds ratio [OR], 4.935; 95% confidence interval [CI][4.442–5.485]), suicidality (OR, 2.671; 95% CI[2.203–3.237]), skipping breakfast (OR, 1.920; 95% CI[1.348–2.736]), sleep duration (OR, 0.470; 95% CI[0.398–0.556]) and self-expectations (OR, 1.924; 95% CI[1.550–2.389]) were associated with depression (all <i>p</i> < .05). Depression (OR, 4.424; 95% CI[3.983–4.914]), female sex (OR, 1.903; 95% CI[1.759–2.060]), school-based traumatic experience(s) (OR, 1.905; 95% CI[1.747–2.077]), relationships with teachers (OR, 1.575; 95% CI[1.103–2.249]), and suicidality (OR, 1.467; 95% CI[1.218–1.766]) were associated with anxiety symptoms (all <i>p</i> < .05).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Discussion</h3>\\n \\n <p>Depression and anxiety are common among school-age children and adolescents in China. Childhood school- and family-based traumatic experience(s), female sex, and lifestyle factors (eating breakfast, sleep duration, exercising, and Internet use) are significantly associated with mental health among children and adolescents. Developing interventions targeting these factors to protect students from depression and anxiety are needed.</p>\\n </section>\\n </div>\",\"PeriodicalId\":8618,\"journal\":{\"name\":\"Asia‐Pacific Psychiatry\",\"volume\":\"15 1\",\"pages\":\"\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2023-01-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asia‐Pacific Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/appy.12523\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asia‐Pacific Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/appy.12523","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Prevalence of depression and anxiety, and associated factors, among Chinese primary and high school students: A cross-sectional, epidemiological study
Introduction
This study aimed to investigate the prevalence of depression and anxiety, and associated factors, among Chinese children and adolescents aged 8–18 years who attend primary or high school.
Methods
A total of 23 005 primary and high school students were recruited from February to December, 2019 for this cross-sectional study. The questionnaire included demographic information, questions assessing suicidality, resilience, depression (Center for Epidemiological Studies Depression Scale for Children), and anxiety (Screen for Child Anxiety Related Disorders). Binary logistic regression was used to analyze the independent correlates of depression and anxiety.
Results
Overall, 13.06% of participants experienced depressive symptoms, 22.34% experienced anxiety symptoms, 26.34% experienced transient suicidal ideation, 2.23% had serious suicidal ideation, and 1.46% had a history of suicide attempts. Anxiety (odds ratio [OR], 4.935; 95% confidence interval [CI][4.442–5.485]), suicidality (OR, 2.671; 95% CI[2.203–3.237]), skipping breakfast (OR, 1.920; 95% CI[1.348–2.736]), sleep duration (OR, 0.470; 95% CI[0.398–0.556]) and self-expectations (OR, 1.924; 95% CI[1.550–2.389]) were associated with depression (all p < .05). Depression (OR, 4.424; 95% CI[3.983–4.914]), female sex (OR, 1.903; 95% CI[1.759–2.060]), school-based traumatic experience(s) (OR, 1.905; 95% CI[1.747–2.077]), relationships with teachers (OR, 1.575; 95% CI[1.103–2.249]), and suicidality (OR, 1.467; 95% CI[1.218–1.766]) were associated with anxiety symptoms (all p < .05).
Discussion
Depression and anxiety are common among school-age children and adolescents in China. Childhood school- and family-based traumatic experience(s), female sex, and lifestyle factors (eating breakfast, sleep duration, exercising, and Internet use) are significantly associated with mental health among children and adolescents. Developing interventions targeting these factors to protect students from depression and anxiety are needed.
期刊介绍:
Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.