抑郁障碍对儿童生活质量的影响研究

发布时间：2017-12-31 06:11

本文关键词：抑郁障碍对儿童生活质量的影响研究　出处：《中国儿童保健杂志》2013年12期 　论文类型：期刊论文

【摘要】：目的探索抑郁障碍对儿童生活质量的影响。方法采用先填写量表和再进行访谈的二阶段调查法。第一阶段采用分层随机整群抽样法抽取上海市浦东新区的7所小学中3~5年级的共3 685名学生作为研究对象,全部学生需填写儿童流调用抑郁评定量表(CES-DC)、儿童少年生活质量量表、一般情况调查表,完成有效问卷的学生共有3 628名。第二阶段对CES-DC量表总分≥20分(判断有抑郁症状)的学生应用学龄期儿童情感障碍和精神分裂症问卷目前版进行一对一面谈,以美国精神障碍诊断与统计第四版手册(DSM-IV)为金标准做出诊断。共有55例符合DSM-IV"抑郁障碍"诊断的儿童作为抑郁障碍组与对照组(54例正常儿童)进行儿童少年生活质量量表的比较研究。结果抑郁障碍组儿童的生活质量量表总分及师生关系、同伴关系、亲子关系、自我概念、躯体感觉、负性情绪、作业态度、生活便利性、活动机会性、运动能力、自我满意度因子分均明显低于对照组,差异具有统计学意义(P均0.01)。抑郁总分与生活质量总分呈负相关(r=-0.303,P=0.026)。逐步回归分析结果显示,影响儿童生活质量的因子按重要性依次为:抑郁总分、母亲文化程度、家庭氛围、居住条件、与父亲关系、与母亲关系、父亲文化程度、健康状况、性别。结论抑郁障碍儿童的生活质量较差,需引起多方关注。
[Abstract]:Objective to explore the effect of depression disorder on children's quality of life. Methods A two-stage survey was carried out by filling out the scale and then interviewing. In the first stage, seven small schools in Pudong New area of Shanghai were sampled by stratified random cluster sampling. Total number of Secondary 3 to Grade 5. The study included 685 students. All students should fill in CES-DCN, quality of life scale for children and adolescents, and general situation questionnaire. A total of 3 628 students completed the valid questionnaire. In the second stage, the total score of CES-DC scale was more than 20 points. One-on-one interviews were conducted in the current version of the school-age children's affective disorder and schizophrenia questionnaire. A total of 55 children who met the diagnosis of DSM-IV "depressive disorder" were used as depressive disorder group and control group (P < 0.05). Results the total score of quality of life scale and the relationship between teachers and students in depressive disorder group were compared. The scores of peer relationship, parent-child relationship, self-concept, somatic feeling, negative emotion, work attitude, convenience of life, activity opportunity, exercise ability and self-satisfaction were significantly lower than those in the control group. The difference was statistically significant (P < 0.01). There was a negative correlation between the total score of depression and the total score of quality of life. The results of stepwise regression analysis showed that there was a negative correlation between the total score of depression and the total score of quality of life. The influencing factors of children's quality of life were: total score of depression, mother's education level, family atmosphere, living condition, relationship with father, relationship with mother, father's education level and health condition. Conclusion the quality of life of children with depressive disorder is poor and should be paid more attention.
【作者单位】：上海交通大学医学院附属精神卫生中心;上海市浦东新区妇幼保健院;上海市浦东新区妇女儿童工作委员会;
【基金】：国家自然科学基金面上项目(30970901) 上海市浦东新区社发局浦东新区科技发展基金创新资金攻关项目(PKJ2008-y15)
【分类号】：B844.1
【正文快照】： 儿童抑郁障碍是以心境低落、愉快感丧失为主要特征的综合征,对儿童的学业、生活带来很多负面的影响,对儿童的成长也产生了严重的不利影响[1-3]。生活质量是个体对生活的总体满意程度及对个人健康的感受。它是身体机能,精神状态和社会能力等方面的主观评价,是个人心理状态的全

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