长沙市示范性中学学生人群抑郁障碍的发生及影响因素评价

【目的】了解长沙市6所示范性中学学生人群抑郁障碍的现患率及其主要影响因素。【方法】整群随机分层抽取这6所中学学生初一年级至高三年级3522人，采用儿童抑郁障碍量表（CDI）测评。【结果】3522人中抑郁障碍现患率为15．1％，其中女生现患率为15．6％，显著高于男生（12．8％），初中生与高中生之间则没有差异。经多因素logistic回归分析，负性自主思维、健康状况、学习兴趣与成绩、与同学之间的关系、日均睡眠时间等6大因素是增加学生患抑郁障碍的风险因素。【结论】本市中学生人群抑制障碍现患率较高，加强中学生心理健康教育，改善负性思维与睡眠显得十分急切与需要。

Evaluation of the Prevalence of Depressive Disorder and Its Major Influential Factors Among Middle School Students in Changsha

[Objective]To study the prevalence of depressive disorder and its major influential factors among the middle school students in Changsha. [Methods]All 3522 students of six middle schools in Changsha selected by randomized stratified clustering were tested by CDI. [Results] The overall prevalence of depressive disorder was 15.1% in these subjects which was higher in girls(15.6%) than in boys(12.8%), and there was no significant difference between junior and senior high school students. Through multiple factor logistic regression analysis, the major influential factors included negative independence thought, health status, interest of learning & result, relation with classmates and the average sleep time every day. [Conclusion] The incidence of depressive disorder among meddle school students in Changsha is higher. To strengthen mental health education and improve negative thought and sleep is very urgent and necessary.