Depression among middle school students in Jiading District
WANG Haiqi1, ZHANG Hanxiao2, YANG Fengyun1, GUO Xianli1, FAN Shengrong1, ZHANG Lifeng3, JIANG Hong2
1. Jiading District Maternal and Child Health Hospital, Shanghai 201821, China; 2. School of Public Health, Fudan University, Shanghai 200032, China; 3. Jiading District Jiangqiao Community Health Service Center, Shanghai 201803, China
Abstract：Objective To investigate the prevalence and influencing factors of depression among middle school students in Jiading District, Shanghai Municipality, so as to provide the evidence for developing mental health intervention strategies among middle school students. Methods Students from 3 junior high schools and 3 senior high schools in Jiading District were selected from June 2022 to June 2023 using a stratified random cluster sampling method. Basic information including gender and educational stage was collected through questionnaire surveys. Depression, mental health literacy, cognitive emotion regulation, family cohesion, school climate, stress, and life satisfaction were assessed using the Children's Depression Inventory, the Mental Health Literacy Assessment Scale, the Chinese version of the Cognitive Emotion Regulation Questionnaire, the Family Adaptability and Cohesion Scale, the Perceived School Climate Scale, Depression-Anxiety-Stress Scale, and the Life Satisfaction Scale, respectively. Factors affecting depression among middle school students were analyzed using a multivariable logistic regression model. Results There were 1 117 boys (53.94%) and 954 girls (46.06%), with a mean age of (15.20±1.77) years. There were 1 193 (57.61%) junior high school students and 878 (42.39%) senior high school students. Depression was detected in 577 students, with a prevalence of 27.86%. Multivariable logistic regression analysis identified gender (boy, OR=0.652, 95%CI: 0.512-0.832), educational stage (senior high school, OR=2.519, 95%CI: 1.584-4.008), mental health literacy (OR=0.958, 95%CI: 0.951-0.966), cognitive emotion regulation (adaptive cognitive emotion regulation strategies, OR=0.970, 95%CI: 0.958-0.982; maladaptive cognitive emotion regulation strategies, OR=1.103, 95%CI: 1.084-1.123), family cohesion (OR=0.910, 95%CI: 0.899-0.921), school climate (OR=0.720, 95%CI: 0.694-0.747), stress (OR=1.127, 95%CI: 1.104-1.150), life satisfaction (OR=0.817, 95%CI: 0.799-0.836) as factors affecting depression among middle school students. Conclusions Depression among middle school students in Jiading District is associated with gender, educational stage, mental health literacy, cognitive emotion regulation, family cohesion, school climate, stress, and life satisfaction. It is recommended that targeted measures be taken from the perspectives of individuals, families, schools, and society to promote the mental health of middle school students.
[1] 王智雄,刘靖,李雪,等.青少年抑郁症患者的健康相关危险行为[J].中国心理卫生杂志,2021,35(4):300-305. WANG Z X,LIU J,LI X,et al.Health-related risk behaviors in adolescents with depression[J].Chin Ment Health J,2021,35(4):300-305.(in Chinese) [2] 宋玲玲,吴静,苏普玉.青少年抑郁的环境可控性因素[J].中国学校卫生,2022,43(2):312-315. SONG L L,WU J,SU P Y.Environmental controllable factors of adolescents' depression[J].Chin J Sch Health,2022,43(2):312-315.(in Chinese) [3] 董桂霞,林晓明,高飞,等.烟台市中学生抑郁情绪流行现状及影响因素分析[J].临床心身疾病杂志,2023,29(5):114-117,157. DONG G X,LIN X M,GAO F,et al.Epidemiological situation and influencing factors of depressive emotions among middle school students in Yantai[J].J Clin Psychosom Dis,2023,29(5):114-117,157.(in Chinese) [4] 李奕曈,梁亚男,曹静,等.儿童期虐待经历和中学生睡眠质量对抑郁情绪的影响[J].中国学校卫生,2025,46(1):73-77. LI Y T,LIANG Y N,CAO J,et al.Impact of childhood maltreatment and sleep quality on depressive symptoms among middle school students[J].Chin J Sch Health,2025,46(1):73-77.(in Chinese) [5] 吴慧攀,干敏雷,尹小俭,等.青少年抑郁症状影响因素研究进展[J].中国学校卫生,2023,44(5):786-790. WU H P,GAN M L,YIN X J,et al.Research progress on influencing factors of depressive symptoms in adolescents[J].Chin J Sch Health,2023,44(5):786-790.(in Chinese) [6] BIRLESON P.The validity of depressive disorder in childhood and the development of a self-rating scale:a research report[J].J Child Psychol Psychiatry,1981,22(1):73-88. [7] 李丹琳. 《青少年心理健康素养评定量表》的编制及其在医学生中的应用研究[D].合肥:安徽医科大学,2021. LI D L.Development of Adolescent Mental Health Literacy Assessment Scale and its application in medical students[D].Hefei:Anhui Medical University,2021.(in Chinese) [8] 朱熊兆,罗伏生,姚树桥,等.认知情绪调节问卷中文版(CERQ-C)的信效度研究[J].中国临床心理学杂志,2007,15(2):121-124,131. ZHU X Z,LUO F S,YAO S Q,et al.Reliability and validity of the Cognitive Emotion Regulation Questionnaire:Chinese version[J].Chin J Clin Psychol,2007,15(2):121-124,131.(in Chinese) [9] OLSON D,MCCUBBIN H,BARNES H,et al.Family Inventories:inventories used in a national survey of families across the family life cycle[M].St.Paul:Family Social Science,University of Minnesota,1982. [10] JIA Y M,WAY N,LING G M,et al.The influence of student perceptions of school climate on socioemotional and academic adjustment:a comparison of Chinese and American adolescents[J].Child Dev,2009,80(5):1514-1530. [11] LOVIBOND P F,LOVIBOND S H.The structure of negative emotional states:comparison of the Depression Anxiety Stress Scales(DASS)with the Beck Depression and Anxiety Inventories[J].Behav Res Ther,1995,33(3):335-343. [12] DIENER E,EMMONS R A,LARSEN R J,et al.The Satisfaction With life Scale[J].J Pers Assess,1985,49(1):71-75. [13] 沈连相,毛文娟,汪永光,等.父母敌意归因偏差在父母与儿童抑郁、焦虑情绪间的中介效应分析[J].预防医学,2024,36(6):479-482. SHEN L X,MAO W J,WANG Y G,et al.Mediating effect of parental hostile attribution bias on depression and anxiety between parents and children[J].China Prev Med J,2024,36(6):479-482.(in Chinese) [14] 徐涛,周县委,张天成,等.中国中学生抑郁症状危险因素的Meta分析[J].现代预防医学,2022,49(5):814-818,844. XU T,ZHOU X W,ZHANG T C,et al.Risk factors of depression symptom among Chinese middle school students:a meta-analysis[J].Mod Prev Med,2022,49(5):814-818,844.(in Chinese) [15] 刘福荣,宋晓琴,尚小平,等.中学生抑郁症状检出率的meta分析[J].中国心理卫生杂志,2020,34(2):123-128. LIU F R,SONG X Q,SHANG X P,et al.A meta-analysis of detection rate of depression symptoms among middle school students[J].Chin Ment Health J,2020,34(2):123-128.(in Chinese) [16] 王凝雨,张忠敏,陈婷.青少年抑郁症状的影响因素研究[J].预防医学,2024,36(7):562-566,570. WANG N Y,ZHANG Z M,CHEN T.Influencing factors for depressive symptoms in adolescents[J].China Prev Med J,2024,36(7):562-566,570.(in Chinese) [17] 赵科,尹绍清,刘虹.受欺负、欺负容忍及认知情绪调节策略对儿童青少年焦虑抑郁的影响[J].中国儿童保健杂志,2024,32,(3):268-272,279. ZHAO K,YIN S Q,LIU H.Effects of victimization,bullying tolerance on anxiety/depression in adolescentsand moderating role of cognitive emotion regulation strategies[J].Chin J Child Health Care,2024,32,(3):268-272,279.(in Chinese) [18] 李红娟,李洁,徐海婷,等.青少年的抑郁情绪和认知情绪调节策略方式[J].中国心理卫生杂志,2019,33(1):47-51. LI H J,LI J,XU H T,et al.Relationship of depressed mood and cognitive emotion regulation strategies in adolescents[J].Chin Ment Health J,2019,33(1):47-51.(in Chinese) [19] 李德敏,许军,张远妮,等.父母教养方式与青少年心理亚健康的关系:挫商的中介效应[J].中国健康心理学杂志,2024,32(1):74-79. LI D M,XU J,ZHANG Y N,et al.Relationship between parental disciplinary style and mental sub-health in adolescents:the mediating effect of adversity quotient[J].China J Health Psychol,2024,32(1):74-79.(in Chinese)
