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探讨青少年抑郁症状与清晨觉醒唾液皮质醇水平的关联,为青少年抑郁症状的有效防控提供参考.方法 招募安徽省马鞍山市3所小学二至五年级学生共1 552名,收集其清晨即刻唾液,采用酶联免疫测定法测定皮质醇质量体积浓度;抑郁症状使用情绪与心境问卷量表评价,同时收集体力活动、视频时间、睡眠时间、父母文化程度、青春期发育情况、家庭经济状况等信息,并测量身高和体重.采用Logistic回归模型评价唾液皮质醇水平与抑郁症状的关联.结果 青少年抑郁症状的检出率为16.4%,抑郁症状组皮质醇水平中位数(374.38 ng/mL)高于非抑郁症状组(339.42 ng/mL),差异有统计学意义(u=29.38,P<0.01).控制性别、父母文化程度、家庭经济情况等混杂因素后,相比于皮质醇水平位于P25~ P75组青少年,P75组青少年抑郁症状检出率较高(OR=1.47,95%CI=1.07~2.01).结论 青少年清晨唾液高水平皮质醇浓度与青少年抑郁症状检出率高度关联. 相似文献
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目的 探究不同食物消费频次与青少年抑郁症状的关联性,为实施针对性干预措施提供参考。方法 采用学生健康状况及影响因素调查表和流调中心用抑郁量表,评估学生不同食物消费频次和抑郁症状检出情况,分析两者间关联。结果 共调查2 128人,年龄11~23岁,抑郁症状检出率为18.52%,男生(15.05%)低于女生(22.54%),高中生(20.62%)高于初中生(17.65%)、大学生(13.39%),差异均有统计学意义(χ2值分别为19.67、7.12,P值均<0.05)。logistic回归分析结果显示,最近1周高频次的消费甜食(OR=2.65,95%CI:1.55~4.52)和未消费、低频次的消费早餐(OR=3.58,95%CI:1.81~7.11;OR=1.70,95%CI:1.32~2.18)与青少年抑郁症状呈正相关(P值均<0.05)。结论 青少年抑郁症状与饮食习惯存在关联,少吃甜食,坚持吃早餐,可能会降低抑郁症状发生风险。 相似文献
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目的 探讨青少年生活目标感与抑郁症状的关系以及年级的调节作用,为了解中国青少年生活目标感的现状提供实证依据。方法 采用方便整群抽样方法在河北、云南共选取1 627名四至九年级青少年为研究对象,采用儿童抑郁障碍自评量表、青少年目标问卷进行调查。运用分层回归进行调节效应分析,并进行简单斜率检验。结果 不同性别、母亲受教育程度、父亲受教育程度、自评家庭经济水平、学习成绩的青少年抑郁得分差异均有统计学意义(t/F值分别为-2.70,3.62,2.82,13.67,13.81,P值均<0.01),不同母亲受教育程度、父亲受教育程度、自评家庭经济水平、学习成绩的青少年生活目标感得分差异均有统计学意义(F值分别为3.24,4.27,7.50,9.39,P值均<0.01)。相关分析表明,青少年生活目标感与抑郁症状呈负相关(r=-0.38,P<0.01)。分层回归模型结果显示,青少年生活目标感负向预测抑郁症状(β=-0.19,t=-5.93,P<0.01),年级在生活目标感和抑郁症状之间起调节作用(β=-0.34,t=-7.54,P<0.01)。简单斜率结果显示,小学组(四... 相似文献
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目的探讨青少年认知灵活性、抑郁对进食态度的影响,为完善进食障碍的早期识别与干预提供参考依据。方法采用一般资料问卷、Kutcher青少年抑郁量表11项版(Kutcher Adolescent Depression Scale 11-item,KADS-11)、认知灵活性量表(Cognitive Flexibility Inventory,CFI)和进食态度问卷(Eating Attitude Test-26,EAT-26)对日照市1 231名学生进行测评,采用独立样本t检验、非参数检验、Spearman相关分析和Logistic回归分析进行分析。结果不同性别和有无抑郁青少年之间的EAT-26总分差异均有统计学意义(P值均<0.01)。有无进食障碍症状青少年之间的CFI总分、灵活控制性因子评分与KADS-11总分差异均有统计学意义(P值均<0.01)。青少年EAT-26总分与CFI总分(r=-0.19)及灵活控制性评分(r=-0.23)呈负相关,与KADS-11总分呈正相关(r=0.23)(P值均<0.01)。女生(OR=2.40,95%CI=1.87~3.23)、抑郁症... 相似文献
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从社会经济角度剖析大学生外卖食品消费的影响因素,为规范和管理当前外卖食品现状提供科学依据.方法 随机选取江西省上饶市某大学2 610名学生,对消费外卖食品频率、食品内容、包装及社会经济影响因素进行调研,采用x2检验和二元Logistic回归分析学生社会经济因素对外卖消费行为的影响.结果 大学生点外卖食品发生率为74.8%,不同学院之间差异有统计学意义(x2=224.72,P<0.01).家庭居住市区的大学生选择外卖食品报告率(81.5%)高于城镇或县城(78.7%)和农村(70.8%);独生子女(81.0%)高于非独生子女(72.5%);每月生活费高水平的(86.0%)高于中等水平(77.2%)和低水平(65.8%);家庭居住地、是否为独生子女、每月生活费间差异均有统计学意义(x2值分别为28.36,20.20,62.17,P值均<0.01).Logistic回归分析显示,农村学生(OR=1.81),非独生子女(OR=1.62),每月生活费<1 000元(OR=3.23),父亲学历初中、小学毕业、小学未毕业或没上过学(OR值分别为1.57,1.48,1.90),母亲学历小学毕业、小学未毕业或没上过学(OR值分别为1.58,1.73)的学生更倾向点外卖行为.结论 大学生点外卖行为与家庭居住地为农村、非独生子女、中等消费水平及父母初中以下学历有关,且出现多次复购行为,具有明显的群体特征. 相似文献
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目的 分析青少年体力活动与抑郁症状之间的相关性,为前瞻性预防青少年抑郁提供参考。方法 在上海、乌鲁木齐、长沙、昆明4座城市采用随机整群抽样方式抽取8 102名青少年,分别采用“中国7~18岁儿童青少年体力活动水平评价问卷”和流调中心用抑郁量表(CES-D)对青少年进行体力活动调查和抑郁症状评估,采用多因素Logistic回归分析对青少年体力活动与抑郁症状的相关性进行分析。结果 青少年中高强度体力活动(MVPA)达标比例为37.0%,抑郁症状检出率为25.6%。分学段、性别后,MVPA达标组抑郁症状检出率均低于MVPA未达标组(χ2=7.62~34.54,P值均<0.05)。抑郁症状程度严重青少年具有低强度体力活动(LPA)时间长、高强度体力活动(VPA)时间短的特点,抑郁症状程度较轻或无症状青少年MVPA时长更长。不同抑郁症状程度青少年总体LPA、VPA;男生LPA,女生LPA、VPA;初中生LPA、VPA,高中生LPA、中强度体力活动(MPA)、MVPA差异均有统计学意义(H值分别为46.48,10.31,18.06,25.02,29.54,30.25,1... 相似文献
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青少年期是一个独立性增加、经历新环境且进入社会角色出现的时期,这一时期会经历身体成分的变化、性腺发育和青春期进程,从而影响一系列行为,其中较为突出的行为改变是青少年明显呈现晚睡和晚起转变[1],昼夜节律开始出现延迟[2].青少年期亦是抑郁症状的高发时期[3],世界范围内青少年人群抑郁症状的患病率约为22%~60%[4].越来越多的研究显示,青少年昼夜节律紊乱与抑郁症状密切相关[5].笔者总结了昼夜节律紊乱的评价方法,综述昼夜节律紊乱与抑郁症状的关联及其可能机制,可为青少年昼夜节律紊乱与抑郁症状的关联研究提供参考依据. 相似文献
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目的 了解中国儿童青少年抑郁症状的流行特征和性别差异。方法 采取整群抽样,在全国9个协作地区选取9.0~18.9岁汉族城乡各年龄组儿童青少年男女生各50人,每个地区最低样本量为2000人。采用儿童抑郁量表(CDI)评定小学四年级至高中三年级青少年的抑郁症 状,评估第二性征(男女童阴毛、女童乳房和男童外生殖器)发育指标。结果 中国青少年抑郁症状总检出率为14.81%,男女生抑郁症状检出率分别为15.35%和14.43%。农村地区儿童青少年抑郁症状检出率(16.41%)高于城市(13.23%)。lO、11岁组男生抑郁症状检出率均高于同龄女生(χ2=11.625,P<0.005;χ2<0.005),17岁组女生抑郁症状检出率(21.5%)高于同龄男生(17.26%)(χ2<0.005)。仅在Tanner发育Ⅱ期,男生抑郁检出率(18.4%)高于女生 (15.8%),差异有统计学意义(χ2<0.005)。结论 在特殊年龄段和特定发育阶段,中国儿童青少年抑郁症状检出率存在性别差异,但还需要进一步纵向研究以证实。 相似文献
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《International journal of food sciences and nutrition》2013,64(4):303-308
The rate and the level of contamination by Bacillus cereus in various fast foods were investigated. The strains isolated were differentiated by DNA digestion with restriction enzymes and pulsed-field gel electrophoresis (PFGE). A total of 90 single servings of foods were purchased in 16 restaurants, cafeterias and buffets in Naples (Italy). Ten samples (11.1%) resulted in contamination by B. cereus. The contamination levels ranged from 103 to 105 cfu g-1. The most contaminated foods were the fish dishes (21.4%), with counts ranging between 104 and 105 cfu g-1. Such rate of contamination is noticeably lower than those reported in other countries. The genomic typing obtained by the PFGE of the restriction digests showed the existence of a high polymorphism also in the B. cereus strains isolated from different ready-to-eat foods purchased together in the same restaurant. 相似文献
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J M Sanzo Ollakarizketa 《Gaceta sanitaria / S.E.S.P.A.S》1990,4(17):55-59
The objective of this work is to estimate the prevalence of depressive symptoms in three groups of adolescents and young adults (aged 16-25) from the city of San Sebastian. For that purpose 188, 189 and 160 young unemployed, students and workers, respectively, were selected by the method of quota. As screening instrument, an Spanish version of the CES-D (Center for Epidemiologic Studies-Depression) scale was used. Using the standard criterion of total score of the scale equal to or higher than 16, irrespective of the length of symptoms, a prevalence of 44.68% in unemployed and of 41.79% in students, opposite to 29.37% in workers (p less than 0.01 and p less than 0.05, respectively) was obtained. Taking into account the criterion of total score equal to or higher than 16, starting from symptoms that last three days at least, the rates were 18.08% in unemployed and 14.81% in students, opposite to 9.37% in workers (p less than 0.05 and "not significant", respectively). Stratifying by sex, it was observed that the differences among groups were at the expense of the female sex. These results suggest that a situation of unemployment seems to act as a depression-inducing factor, more important among female adolescents and young than among male adolescents and young. 相似文献
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Rolf Manz Juliane Junge Simon Neumer Jürgen Margraf 《Zeitschrift fur Gesundheitswissenschaften》2001,9(3):229-241
This paper describes the design of a large scaled intervention study to prove the effectiveness of a prevention programme for anxiety and depression. In addition the development and application of a programme for the primary prevention of anxiety and depression in adolescents is presented. The treatment targets anxious and depressive symptoms, cognitive distortions and attributional styles as well as social skills in 14 to 18 year old high-school students. First results on the efficacy of the prevention treatment are reported. We found small but positive effects on cognitive and social risk factors over a 6 months period. The effects of the prevention programme depend on the fidelity of the treatment implementation. 相似文献
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Rayce Signe L. B.; Holstein Bjorn E.; Kreiner Svend 《European journal of public health》2009,19(1):79-84
Background: The purpose was to examine the association betweenaspects of alienation and symptom load among adolescents. Furthermorean integrated purpose was to construct and validate an indexof alienation. Methods: Cross-sectional data from 5205 schoolchildren aged 11–15 years from a random sample of schoolsin Denmark were used. Data stems from the Danish contributionto the cross-national study Health and Behaviour in School-agedChildren (HBSC). Alienation was measured with a new index fulfillingfour criteria: (i) theoretical foundation, (ii) inter-correlationbetween items, (iii) correlation between each of the index'sitems and the outcomes and (iv) no differential item functioning.The final index included three indicators of alienation: helplessness,feeling left out of things and lack of confidentiality withparents. Symptom load was measured by HBSC Symptom Checklistand divided into physical and psychological symptoms respectively.High symptom load was defined as experiencing at least one symptomon a daily basis. Results: The odds-ratio (OR) for high symptomload increased with the degree of alienation. For students withall three indicators of alienation, the OR for high physicalsymptom load was 2.49 (1.05–5.87). The OR for high psychologicalsymptom load for the corresponding degree of alienation was6.50 (3.11–13.56). Conclusion: The index of alienationfulfilled psychometric criteria for scalability. Furthermorethe analyses showed a graded and significant association betweenalienation and high symptom load. This suggests alienation tobe taken into account in future health interventions among adolescents.In school settings this may be done using principles of empowerment. 相似文献
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C Z Garrison C L Addy K L Jackson R E McKeown J L Waller 《American journal of epidemiology》1992,135(7):792-802
A two-stage epidemiologic study conducted between 1986 and 1988 in the southeastern United States investigated the frequency of major depressive disorder and dysthymia in 12-14 year olds. In stage one, the Center for Epidemiologic Studies Depression Scale, a life event schedule, and a family cohesion scale were administered to a community sample of 3,283 adolescents. In stage two, 488 mother-child pairs were interviewed utilizing the Schedule for Schizophrenia and Affective Disorders in School Age Children. Although mean Center for Epidemiologic Studies Depression Scale scores were significantly higher in females (25.60) than in males (19.50), prevalence estimates based on a summary of mother and child symptom reports for Diagnostic and Statistical Manual of Mental Disorders, Third Edition, major depressive disorder were similar: 9.04% in males and 8.90% in females. The prevalences of dysthymia were 7.98% in males and 5.00% in females. Previous investigations have reported lower rates and a female preponderance of major depression. Disagreement between mothers and children regarding the presence of symptoms may explain this contradiction. Significant odds ratios were found between major depression and not living with both natural parents (odds ratio (OR) = 3.89), undesirable life events (OR = 1.09), and perceived family cohesion (OR = 0.96). Not living with both natural parents (OR = 14.67) and socioeconomic status (OR = 0.44) were significant correlates of dysthymia. 相似文献
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