Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students

BMC Psychiatry

Research

Silan Ren¹  Zhangming Chen²  Jin-guang Li²  Xiaogang Chen²  Ying He²  Xu Shao³  Shanshan Chen³  Fanglan Wang³  Yi Liu³  Yanhui Liao³  Yudiao Liang⁴  Youguo Tan⁴  Ruini He⁴  Jinsong Tang⁵ 

[1] Department of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China;Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China;Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China;Department of Psychiatry, Zigong Mental Health Center, Zigong, Sichuan, China;Department of Psychiatry, Zigong Mental Health Center, Zigong, Sichuan, China;Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China;

关键词: Adolescents;    Mental health;    Peer bullying;    Internet gaming disorder;   

DOI  :  10.1186/s12888-023-05068-1

 received in 2023-04-20, accepted in 2023-07-31,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDepressive and anxiety symptoms affect about one-fourth of Chinese secondary school students. However, the prevalence and correlates of mental distress among secondary school students from Western China remain largely unexplored. This study aimed to examine the prevalence and associations of depressive and anxiety symptoms with demographic, family, school, life, and behavior factors in a large, representative sample of secondary school students in Zigong, a city in Western China.MethodsSecondary school students were recruited using cluster sampling. The 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder Questionnaire, Multidimensional Peer-Victimization Scale, the Pittsburgh Sleep Quality Index, and Nine-Item Internet Gaming Disorder Scale-Short Form were used. Descriptive statistic was used to describe the sociodemographic characteristics of participants. The clustering effect was adjusted by the “survey” package of R to calculate weighted prevalence. Univariate and multivariate logistic regression were used to explore associated factors of depression and anxiety, respectively.ResultsA total of 63,205 participants were involved, in which the weighted prevalence of depression in all subjects was 23.0% (95% CI: 19.6- 27.0%), and the weighted prevalence of anxiety was 13.9% (95% CI: 11.2- 17.0%). Logistic regression results showed girls, being single-child, non-nuclear family, peer bullying, sleep disturbance, and internet gaming disorder symptoms were positively associated with depressive and anxiety symptoms.ConclusionDepressive and anxiety symptoms were prevalent among secondary school students in Western China. Our results can guide policy strategies for the assessment, prevention, and intervention of psychological status among Chinese secondary school students.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023