高中生心理健康状况分析

目的 研究高中生的心理健康状况;为有针对性地开展心理健康教育提供依据.方法 采用症状自评量表(SCL-90)和青少年调查问卷对哈尔滨市3所不同类型高中的高一至高三869例学生进行调查.结果 全体受试高中生的心理问题总检出率为48.33％,其中强迫占首位.男女生的心理问题表现各有侧重;三个年级间中度以上心理问题检出率的差异具有统计学意义(P=0.022);高中生的自感压力(r=-0.261,P=0.000)、师生关系(r=-0.137,P=0.000)、同学关系(r=0.121,P=0.000)、素子关系(r=0.198,P=0.000)这四个变量与其心理健康水平存在统计学联系.结论 高中生的心理健康水平不客乐观并受诸多社会心理因素影响;应有针对性地加强高中生心理健康干预.     

复读高中生心理健康状况调查

目的　探讨高三复读生的心理健康状况。方法　采用精神卫生自评量表 (SCL 90 )分别对本市某所中学的 115名高三复读生和 12 1名应届高中毕业生进行了调查。结果　高三复读生的强迫、人际关系、抑郁、焦虑、偏执、恐怖因子分高于应届毕业生 ,差异显著 (P <0 .0 5 )。结论　复读高中生的心理健康状况低于应届高中毕业生。     

重庆市独生子女心理健康调查

目的：了解重庆市城乡９￣１６岁独生子妇心理卫生情况。方法：采用Ａｃｈｅｎｂａｃｈ儿童行为量表（ＣＢＣＬ）,艾森克个性问卷（ＥＰＱ）幼年版进行调查。结果：城市儿童心理卫生问题的发生率为１１．９％,农村为１４．５％;城市儿童孤独、胆小、兴奋、焦虑、社交不良、品行不良、强迫行为、偏食等心理卫生问题明显高于农村儿童;农村儿童的注意障碍、神经质等多于城市儿童。结论：在干预独生子女心理卫生问题的同时,要注意城市与农村儿童的区别,以及性格特征的差异。     

心理健康状况异常的高中生家庭环境调查

目的 探讨心理健康状况异常的高中生家庭环境特征,为高中生心理健康管理提供参考。方法 纳入佛山市第二中学1 917名高中学生,采用中国中学生心理健康量表（MSSMHS-60）以及自行设计的家庭环境情况调查表对其心理健康状况及家庭环境进行评定,分析心理健康状况异常的高中生家庭环境特征。结果 1 917例高中生MSSMHS-60总评分为（1.83±0.49）分,其中602例（31.40%）心理健康状况异常者MSSMHS-60总评分为（2.40±0.36）分。不同陪伴情况、经济情况、家庭教养方式、父母关系的高中生心理健康状况异常检出率差异均有统计学意义（χ²=16.951、38.142、90.545、59.448,P<0.05或0.01）。Logistic回归分析显示,父母经常争吵是高中生心理健康的危险因素（OR=3.120,P<0.01）。结论 佛山市高中生心理健康状况异常检出率可能较高,父母关系紧张可能是高中生心理健康状况异常的危险因素。     

高考前独生子女与非独生子女个性与心理健康状况调查

心理健康在学生成长中是非常重要的，它不仅对学生的身体健康有重要的制约作用，而且对学生的个性和智力发展都有重要作用。同时，心理健康水平也是制约学习成绩的一个重要因素。为了解高考生的心理健康状况，有效的开展心理咨询和心理卫生保健，我们对河北省某县重点中学高三年级的学生进行了心理卫生状况调查。     

独生与非独生子女高考前心理卫生状况调查

目的 了解独生与非独生子女高考生高考前的心理卫生状况。方法 采用ＳＣＬ－９０、ＳＡＳ、ＳＤＳ对112名独生子女高考生和234名非独生子女高考生高考前的心理卫生状况进行测查。结果 独生子女与非独生子女高考生SCL－90各因子分均高于全国青年常模。独生子女组除躯体化、人际关系两个因子外,其它因子与常模存在有显著或极显著差异（P＜0．05,P＜0．01）。非独生子女组各因子与常模存在显著性差异（P＜0．01）,独生子女与非独生子女组相比无显著。结论 独生与非独生子女高考前存在有不同程度的心理问题。     

珠江三角洲某校高中生心理健康状况调查与管理

目的 调查珠江三角洲（简称“珠三角”）某高级中学学生的心理健康状况,分析比较不同性别、年级、文理分科及成绩排名的学生心理健康状况,推进学生心理健康个体化管理。方法 于2019年11月7日-18日采用中国中学生心理健康量表（MSSMHS）对珠三角某中学全校1 917名高中学生的心理健康状况进行测评,比较该校高中生心理健康状况与常模的差异,分析性别、年级、学习成绩等因素与心理健康的相关性。结果 高中生心理异常检出率为31.4%,各因子异常检出率前三者依次为学习压力感（55.3%）、情绪波动性（52.6%）、焦虑（51.6%）,而心理不平衡的异常检出率最低（21.7%）。其中,女生心理异常检出率高于男生（29.2% vs. 33.5%）,文科生心理异常检出率高于理科学生（31.1% vs. 27.5%）,学习成绩排名一般的学生心理异常检出率最高（43.3%）,高一年级学生心理异常检出率最高（36.4%）。结论 珠三角某中学高中生心理健康状况不容乐观,需重点关注高一年级学生、女生以及成绩一般的学生。     

独生子女与非独生子女间个性差异的研究

目的:了解独生子女成为普遍的政党人群后,其个性与非独生子女之间是否存在差异,方法:对197例(男117对,女80对)于推行独生子女政策以后出生的16-18岁城市高中独生子女与非独生子女用MMPI集中测试.结果:女性组;独生女与独生女之间MMPI的14个量表获分无差异,男性组,非独生子F,D,Pt以及Sc等4个量表的获分高于独生子.结论:独生子与非独生子之间的个性有一定的差异,独生子的个性优于独生女,独生女与非独生女子之间的个性无明显差异.     

新冠肺炎疫情复学后高中生心理健康状况调查

目的 了解新冠肺炎疫情复学后高中生的心理健康状况,为其心理干预提供参考。方法 采用分层抽样,以山东省某中学的149名高中生为研究对象,通过症状自评量表（SCL-90）对其进行心理健康状况评估。结果 SCL-90评定结果显示,总评分异常（总评分≥160分）者共57人（38.26%）,阳性项目数异常（阳性项目数≥43项）者共45人（30.20%）。不同性别的高中生SCL-90恐怖因子评分差异有统计学意义（t=-2.139,P=0.034）。不同年级的高中生SCL-90总评分（F=3.262,P=0.041）、焦虑因子（F=4.045,P=0.020）、敌对因子（F=3.598,P=0.030）、精神病性症状因子（F=3.573,P=0.031）评分差异均有统计学意义。两两比较显示,高三年级组与高一年级组SCL-90总评分（t=2.618,P=0.01）、强迫症状因子（t=2.067,P=0.041）、抑郁因子（t=2.513,P=0.013）、焦虑因子（t=2.960,P<0.01）、敌对因子（t=2.910,P<0.01）、精神病性因子（t=2.608,P=0.01）、其他因子（t=2.131,P=0.035）评分差异均有统计学意义。结论 新冠肺炎疫情对高中生的心理健康状况有影响,需要关注女生的恐惧情绪,高年级学生更容易受影响,主要与疫情对学习的影响有关。     

The Juvenile Wellness and Health Survey (JWHS-76): A School Based Screening Instrument for General and Mental Health in High School Students

Existing screening instruments address adolescent health from a pediatric / public health perspective. We developed a school based screening instrument (the JWHS-76) for high schools measuring multiple health related domains from a child psychiatric viewpoint. We studied 1769 students in two suburban high schools (48% girls, mean age 16, predominantly white). Factor analyses revealed five coherent factors: general risk taking, mental health problems, sex related risks, eating and dietary problems, and general health problems. Analyses by gender, age and coping style revealed significant and consistent associations. The JWHS-76 is supported by preliminary evidence as a valid screening instrument in high school.     

Need for Child Mental Health Consultation and Paediatricians' Perception of these Services: A Survey in the West Midlands

Background:  High rates of psychopathology have been noted in children presenting to GP surgeries and paediatricians. However, paediatricians do not always recognise this and when they do the Child and Adolescent Mental Health Service (CAMHS) is often unable to meet their consultation needs.
Method:  This postal survey looked at paediatricians' perception of the need for child psychiatry consultation in the West Midlands.
Results:  The survey confirmed that paediatricians see a significant proportion of children with mental health problems and the findings showed that their need for child psychiatry consultation was not being adequately met. Lack of access to CAMHS was a significant issue.
Conclusions:  This has implications not only for further development of consultation services within CAMHS but also for improving training in child psychiatry for paediatricians in a more formalised way.     

寄宿制重点高中男女生心理卫生状况的比较研究

了解寄宿制高中男女生的心理卫生状况。方法 采用流调用抑郁量表（CES－D）、Piers-Harris儿童自我意识量表（PHSS）、家庭环境量表（FES－CV）、Achenbach‘s青少年自评量表（YSR）、Eysenck个性问卷（EPQ）、中小学生团体智力测验对539名寄宿制高中学生进行了评定。结果 高中女生在情感表达、知识性和道德观分量表评分高于男生;男生在焦虑分量表的得分高于女生;男女生的行为问题有极显著差异;高中男女生个性有极显著差异。结论 寄宿制重点高中男女生有其各自独特的心理卫生状况。     

Difference of the 28-Item General Health Questionnaire Scores between Japanese High School and University Students

Abstract: The General Health Questionnaire (GHQ) with 28 items was tested in Nagasaki city on 138 senior students in a prefectural high school and 685 freshmen in a national university to evaluate the degree of students' mental stress due to the highly competitive entrance examination for university. The average GHQ score tested on high school students was 5.33 for males and 7.07 for females, and 3.99 for males and 4.42 for females on university students. It showed that high school students were under greater pressure than university students and female students were in a higher tension compared with male students. The factor analysis showed that the primary and secondary factor of high school students were "severe depression" and "anxiety and insomnia," while "somatic symptoms" were the primary factor causing stress in university students.     

Impact of Maternal Mental Health Status on Child Mental Health Treatment Outcome

This study examined the effect of maternal depression and anxiety on child treatment outcome. Psychiatric assessments were conducted on 180 mother–child pairs when the child entered treatment in a community mental health center and six months later. Children whose mothers were depressed or anxious were significantly more impaired than children of mentally healthy mothers at both time points. Both groups of children improved at approximately the same rate. The findings suggest that early mental health screening of children and their mothers may be important preventive practices. Addressing the mental health needs of mothers and children simultaneously may be an effective method of reducing their mental health problems.Carrie W. Rishel is affiliated with the Division of Social Work, West Virginia University.Catherine G. Greeno is affiliated with the School of Social Work/Department of Psychiatry, University of Pittsburgh.Steven C. Marcus is affiliated with the School of Social Policy and Practice, University of Pennsylvania.Esther Sales is affiliated with the School of Social Work, University of Pittsburgh.M. Katherine Shear is affiliated with the Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical center.Holly A. Swartz is affiliated with the Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical center.Carol Anderson is affiliated with the School of Social Work/Department of Psychiatry, University of Pittsburgh.     

Routine Outcome Measurement: A Survey of UK Child and Adolescent Mental Health Services

Background:  Research suggests that the routine measurement of treatment outcomes is a neglected area of clinical practice within mental health care settings. Still it is not clear to what extent such findings apply to child and adolescent mental health services (CAMHS). A cross-sectional survey of UK CAMHS revealed that although quantitative clinical measures are commonly used within these services, there is little uniformity in the instruments utilised, and they rarely inform a system of routine outcome measurement. However, in general, respondents did not have a philosophical or scientific objection to the practice of routinely measuring outcomes, but rather felt that they lacked the necessary resources to facilitate such initiatives.     

私立与公立学校初中生心理健康状况对照研究

目的：探讨私立与公立学校初中生的心理健康状况。方法：用SCL－90量表和自编的定式问卷对230例私方和264例公立初中生进行了调查。结果：私立学校学生SCL－90总分及各因了分均高于公立学校学生，以各因子分≥2界定为存在某种心理异常。私立学校学生异常率为33．04％，高于公立学校学生的12．98％，前者的行为问题高于后者，如同学关系差（32．17％，15．15％），无矿旷课（10％，2．65％），逃学（5．2％，0．04％），违纪（26．96％，5．04％），结论：私立学校学生心理健康状况差，且范围广，值得重视。