Abstract：Objective To investigate the mental health status of the pupils from Grade Four and Five in Jiading District of Shanghai, and to provide evidence for mental health intervention. Methods All the students from Grade Four and Five in Jiading District, Shanghai were selected as survey objects. The MHT was used to evaluate their mental health status, and the influencing factors of mental health problems were analyzed by multivariate logistic regression model. Results A total of 3 788 questionnaires were issued, of which 3 100 ones were valid and the effective rate was 81.84%. The detection rate of mental health problems was 17.06%. The detection rates of impulse tendency, terror tendency, physical symptoms, sensitivity tendency, self-blame tendency, loneliness tendency, anxiety towards people and learning anxiety were 11.77%, 15.55%, 12.97%, 16.19%, 10.10%, 4.81%, 13.16% and 14.00%, respectively. The results of multivariate logistic regression analysis showed that female students ( OR=1.617,95%CI: 1.325-1.974 ) , poor self-rated appearance ( OR=3.683, 95%CI: 2.428-5.586 ) ,only one or two friends ( OR=1.806, 95%CI: 1.342-2.428 ) , poor academic performance ( OR=1.626, 95%CI: 1.167-2.267 ) , primary school education or below of mother ( OR=1.539, 95%CI: 1.107-2.139 ) general or poor relationship with mother ( OR=1.785, 95%CI: 1.303-2.444 ) or father ( OR=1.745, 95%CI: 1.336-2.280 ) were risk factors for mental health problems. Conclusion The fourth-to fifth-grade primary school students in Jiading District of Shanghai have high detection rate of psychological problems. Gender, the number of friends, academic performance, education level of mother and the relation with parents are associated.
HINTZPETER B,KLASEN F,SCHÖN G,et al.Mental health care use among children and adolescents in Germany: results of the longitudinal BELLA study[J]. Eur Child Adolesc Psychiatry,2015,24(6):705-713. HINTZPETER B,KLASEN F,SCHÖN G,et al.Mental health care use among children and adolescents in Germany: results of the longitudinal BELLA study[J]. Eur Child Adolesc Psychiatry,2015,24(6):705-713.
[2]
KIELING C,BAKER-HENNINGHAM H,BELFER M,et al.Child and adolescent mental health worldwide: evidence for action[J].Lancet,2011,378(9801):1515-1525. KIELING C,BAKER-HENNINGHAM H,BELFER M,et al.Child and adolescent mental health worldwide: evidence for action[J].Lancet,2011,378(9801):1515-1525.
[3]
WADDELL C,MCEWAN K,SHEPHERD C A.A public health strategy to improve the mental health of Canadian children[J]. Can J Psychiatry, 2005,50(4):226-233. WADDELL C,MCEWAN K,SHEPHERD C A.A public health strategy to improve the mental health of Canadian children[J]. Can J Psychiatry, 2005,50(4):226-233.
[4]
ISAACS D.Major depression and antidepressants[J].J Paediatr Child Health,2017,53(4):426.
TREMBLAY M S,COLLEY R C,SAUNDERS T J,et al.Physiological and health implications of a sedentary lifestyle[J]. Appl Physiol Nutr Metab, 2010,35(6):725-740. TREMBLAY M S,COLLEY R C,SAUNDERS T J,et al.Physiological and health implications of a sedentary lifestyle[J]. Appl Physiol Nutr Metab, 2010,35(6):725-740.
