摘要
目的探讨青春期女性焦虑、抑郁现状及其影响因子,为促进青春期女性身心健康提供依据。方法采用一般资料问卷、月经情况问卷、广泛性焦虑量表(generalized anxiety disorder-7,GAD-7)、病人健康问卷抑郁量表(patient health questionnaire-9,PHQ-9),对多阶段分层随机抽取的湖南省10~19岁青春期女性进行调查。结果共调查2575名青春期女性。研究对象焦虑症状检出率为9.6%,抑郁症状检出率为16.4%。多因素Logistic回归分析结果显示对于整体青春期女性,未在校读书、未遭受过身体/精神暴力、较长的睡眠时间、月经未来潮是焦虑症状出现的保护因素,较高的文化程度是焦虑症状出现的危险因素;未在校读书、未遭受过身体/精神暴力、月经未来潮是抑郁症状出现的保护因素,较高的文化程度是抑郁症状出现的危险因素(均有P<0.05)。对于月经已来潮的青春期女性,未在校读书、未遭受过身体/精神暴力、较长的睡眠时间、近6个月未出现痛经是焦虑/抑郁症状出现的保护因素,较高的文化程度、近6个月月经不规律是焦虑/抑郁症状出现的危险因素(均有P<0.05)。结论湖南省青春期女性存在一定程度的焦虑、抑郁情绪问题,建议有针对性地加强高危人群的健康干预。
Objective To explore the prevalence and influencing factors of anxiety and depression among adolescent females.Methods Adolescent females aged 10-19 years in Hunan Province were investigated by general information questionnaire,menstrual status questionnaire,generalized anxiety scale ( GAD-7) and patient health questionnaire depression scale ( PHQ-9).Results A total of 2 575 adolescent females were included.The prevalence of anxiety was 9.6%,while the prevalence of depression was 16.4%.Multivariate Logistic analysis showed that among the overall adolescent females,not studying at school,no physical /mental violence,longer average sleep time,no menarche were protective factors for anxiety while higher education level was risk factor;not studying at school,no physical /mental violence,no menarche were protective factors for depression while higher education level was risk factor ( all P < 0.05).Among the adolescent females with menarche,not studying at school,no physical /mental violence,longer average sleep time,no dysmenorrhea in the past six months were protective factors for anxiety /depression while higher education level and irregular menstrual cycle in the past six months were risk factors ( all P < 0.05).Conclusions There is a certain degree of anxiety and depression among adolescent females in Hunan Province.It is suggested that more interventions should be strengthened for high-risk groups.
作者
王婷
周艳辉
罗阳
WANG Ting;ZHOU Yan-hui;LUO Yang(Department of Midwifery,Xiangya Nursing School of Central South University,Changsha 410013,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2019年第8期971-976,共6页
Chinese Journal of Disease Control & Prevention
基金
湖南省社会科学基金(18YBA441)~~
关键词
青春期女性
焦虑
抑郁
Adolescent
females
Anxiety
Depression
