上海市浦东新区儿童焦虑症状现状调查及对生活质量的影响

背景国内对儿童期焦虑及其与生活质量的关系的报道较少。目的从上海市浦东新区小学选择有代表性的样本,进行儿童焦虑症状与生活质量的横断面研究。方法分层随机整群抽取上海市浦东新区的7所小学的在校3-5年级学生共3685名,采用儿童焦虑性情绪障碍筛查表（the Screen of Child Anxiety Related Emotional Disorders,SCARED）和儿童生活质量量表（the Children and Adolescents Quality of Life scale,CAQOL）进行评定。结果在完成SCARED评估的3628名学生中,864例（23.8%,95%可信区间=22.4%-25.2%）报告了具有临床显著意义的焦虑症状（SCARED总分≥23）。SCARED总分与CAQOL总分及大部分因子分分（师生关系、同伴关系、亲子关系、学习能力与态度、自我意识、生活便利性、活动机会性、运动能力和自我满意度）呈负相关;但SCARED分量表分与3个CAQOL因子分-躯体感觉、负性情绪及对家庭作业的态度呈正相关。校正了多重变量模型中的其他因素后,女生的生活质量高于男生,年长学生的生活质量高于年幼学生,父母有较高教育程度的儿童的生活质量较高,有较多广泛性焦虑或学校恐惧的儿童的生活质量较低。结论有较高比例的上海小学生报告了具有临床显著意义的焦虑症状。年龄、性别、父母受教育程度、自评的焦虑症状的严重程度与儿童自评的生活质量密切相关。

Anxiety symptoms and quality of life among children living in the Pudong district of Shanghai:a cross-sectional study

Background:Few studies have assessed the relationship between anxiety and quality of life among children from mainland China.Objective:Conduct a cross-sectional study about anxiety and quality of life in a representative sample of primary school students from the Pudong district of Shanghai.Method:A stratified random cluster sample of 3,685 students in grades 3 to 5 from seven primary schools in the Pudong District of Shanghai were administered the Screen of Child Anxiety Related Emotional Disorders(SCARED)...