目的 了解青少年常见身心病理症状流行情况及其对6个月后自杀、自伤行为的影响.方法 采用整群抽样法,于2008年3月从我国东部地区的北京、绍兴、广州,中部地区的太原、哈尔滨、鄂州,西部地区的重庆、贵阳共8个市中抽取部分青少年,采用《青少年亚健康多维评定问卷》等,对青少年社会人口统计学情况、生活方式、身心病理症状、自杀及自伤行为情况进行调查.基线调查时共收回有效问卷17 622份,6个月后进行随访,收回与基线调查时编号一致的有效问卷14 407份.对身心病理症状、自杀及自伤行为等的检出情况及影响因素进行x2检验及logistic回归分析.结果 基线调查时常见躯体、心理病理症状总检出率分别为24.1％ (4255/17 622)和30.9％(5447/17 622),检出率最高的分别为多饮多食(6.4％,1130/17 622)、在家里几乎很难安心学习(11.8％,2087/17 622).男性常见心理病理症状检出率(30.7％,2637/8599)高于躯体病病理症状(24.0％,2061/8599)(P＜0.05)；女性常见心理病理症状检出率(31.1％,2810/9023)高于躯体病病理症状(24.3％,2194/9023)(P＜0.05).高中阶段常见身心病理症状检出率(46.8％,2905/6208)高于初中(37.3％,2337/6262)和大学(33.2％,1711/5152)(P值均＜0.05).西部地区常见躯体病理症状和心理病理症状检出率(30.2％,1471/4871;40.6％,1979/4871)均高于中部(22.4％,1443/6453;27.0％,1743/6453)和东部地区(21.3％,1341/6298；27.4％,1725/6298)(P值均＜0.05).多因素logistic回归分析结果显示,常见躯体病理症状数≥2个是6个月后自杀意念(RR=1.44,95％ CI:1.16～1.79)、自杀未遂(RR=1.79,95％CI:1.22～2.61)和自伤行为(RR=1.39,95％CI:1.17 ～1.66)的共同危险因素,常见心理病理症状数≥4个也是6个月后自杀意念(RR=1.74,95％CI:1.39 ～2.17)、自杀未遂(RR=2.08,95％CI:1.39～3.11)和自伤行为(RR=1.90,95％CI:1.59～2.28)的共同危险因素.结论 各类身心病理症状在青少年中普遍存在,且常见身心病理症状数较多是青少年自杀、自伤行为的危险因素.
目的 瞭解青少年常見身心病理癥狀流行情況及其對6箇月後自殺、自傷行為的影響.方法 採用整群抽樣法,于2008年3月從我國東部地區的北京、紹興、廣州,中部地區的太原、哈爾濱、鄂州,西部地區的重慶、貴暘共8箇市中抽取部分青少年,採用《青少年亞健康多維評定問捲》等,對青少年社會人口統計學情況、生活方式、身心病理癥狀、自殺及自傷行為情況進行調查.基線調查時共收迴有效問捲17 622份,6箇月後進行隨訪,收迴與基線調查時編號一緻的有效問捲14 407份.對身心病理癥狀、自殺及自傷行為等的檢齣情況及影響因素進行x2檢驗及logistic迴歸分析.結果 基線調查時常見軀體、心理病理癥狀總檢齣率分彆為24.1％ (4255/17 622)和30.9％(5447/17 622),檢齣率最高的分彆為多飲多食(6.4％,1130/17 622)、在傢裏幾乎很難安心學習(11.8％,2087/17 622).男性常見心理病理癥狀檢齣率(30.7％,2637/8599)高于軀體病病理癥狀(24.0％,2061/8599)(P＜0.05)；女性常見心理病理癥狀檢齣率(31.1％,2810/9023)高于軀體病病理癥狀(24.3％,2194/9023)(P＜0.05).高中階段常見身心病理癥狀檢齣率(46.8％,2905/6208)高于初中(37.3％,2337/6262)和大學(33.2％,1711/5152)(P值均＜0.05).西部地區常見軀體病理癥狀和心理病理癥狀檢齣率(30.2％,1471/4871;40.6％,1979/4871)均高于中部(22.4％,1443/6453;27.0％,1743/6453)和東部地區(21.3％,1341/6298；27.4％,1725/6298)(P值均＜0.05).多因素logistic迴歸分析結果顯示,常見軀體病理癥狀數≥2箇是6箇月後自殺意唸(RR=1.44,95％ CI:1.16～1.79)、自殺未遂(RR=1.79,95％CI:1.22～2.61)和自傷行為(RR=1.39,95％CI:1.17 ～1.66)的共同危險因素,常見心理病理癥狀數≥4箇也是6箇月後自殺意唸(RR=1.74,95％CI:1.39 ～2.17)、自殺未遂(RR=2.08,95％CI:1.39～3.11)和自傷行為(RR=1.90,95％CI:1.59～2.28)的共同危險因素.結論 各類身心病理癥狀在青少年中普遍存在,且常見身心病理癥狀數較多是青少年自殺、自傷行為的危險因素.
목적 료해청소년상견신심병리증상류행정황급기대6개월후자살、자상행위적영향.방법 채용정군추양법,우2008년3월종아국동부지구적북경、소흥、엄주,중부지구적태원、합이빈、악주,서부지구적중경、귀양공8개시중추취부분청소년,채용《청소년아건강다유평정문권》등,대청소년사회인구통계학정황、생활방식、신심병리증상、자살급자상행위정황진행조사.기선조사시공수회유효문권17 622빈,6개월후진행수방,수회여기선조사시편호일치적유효문권14 407빈.대신심병리증상、자살급자상행위등적검출정황급영향인소진행x2검험급logistic회귀분석.결과 기선조사시상견구체、심리병리증상총검출솔분별위24.1％ (4255/17 622)화30.9％(5447/17 622),검출솔최고적분별위다음다식(6.4％,1130/17 622)、재가리궤호흔난안심학습(11.8％,2087/17 622).남성상견심리병리증상검출솔(30.7％,2637/8599)고우구체병병리증상(24.0％,2061/8599)(P＜0.05)；녀성상견심리병리증상검출솔(31.1％,2810/9023)고우구체병병리증상(24.3％,2194/9023)(P＜0.05).고중계단상견신심병리증상검출솔(46.8％,2905/6208)고우초중(37.3％,2337/6262)화대학(33.2％,1711/5152)(P치균＜0.05).서부지구상견구체병리증상화심리병리증상검출솔(30.2％,1471/4871;40.6％,1979/4871)균고우중부(22.4％,1443/6453;27.0％,1743/6453)화동부지구(21.3％,1341/6298；27.4％,1725/6298)(P치균＜0.05).다인소logistic회귀분석결과현시,상견구체병리증상수≥2개시6개월후자살의념(RR=1.44,95％ CI:1.16～1.79)、자살미수(RR=1.79,95％CI:1.22～2.61)화자상행위(RR=1.39,95％CI:1.17 ～1.66)적공동위험인소,상견심리병리증상수≥4개야시6개월후자살의념(RR=1.74,95％CI:1.39 ～2.17)、자살미수(RR=2.08,95％CI:1.39～3.11)화자상행위(RR=1.90,95％CI:1.59～2.28)적공동위험인소.결론 각류신심병리증상재청소년중보편존재,차상견신심병리증상수교다시청소년자살、자상행위적위험인소.
Objective To investigate the prevalence of common psychosomatic symptoms among Chinese adolescents and the influence on 6 months later suicide and self-injurious behavior.Methods Based on the cluster sampling method,the participants who were recruited from 8 cities from 3 areas in China,including Eastern areas (Beijing,Shaoxing and Guangzhou),Middle areas( Ezhou,Harbin and Taiyuan ) and Western areas (Guiyang and Chongqing ),were administered by multidimensional sub-health questionnaire of adolescents ( MSQA ) in March 2008.Demographics,life style,psychosomatic symptoms,suicide and self-injurious behavior were also assessed.A total of 17 622 questionnaires were valid at baseline.Six months later,14 407 questionnaires were eligible for two waves investigation.Analysis of Pearson chi-square and logistic model regression analysis were employed to compare the incidence of psychosomatic symptoms,suicide and self-injurious behaviors among different areas and to explore the possible risk factors of those symptoms and behaviors.Results At baseline,rates of total common physiological and psychological symptoms were 24.1％ ( 4255/17 622 ) and 30.9％ ( 5447/17 622 ),respectively,with the highest being eating and drinking too much(6.4％,1130/17 622) and hardly feel ease to learn at home ( 11.8％,2087/17 622).In males,the rate of common psychological symptoms(30.7％,2637/8599) was higher than physiological symptoms ( 24.0％,2061/8599 ) ( P ＜ 0.05 ) ; in females,the rate of common psychological symptoms ( 31.1％,2810/9023 ) was higher than physiological symptoms ( 24.3 ％,2194/9023) (P ＜0.05 ).The rate of the common psychosomatic symptoms in senior high school students (46.8％,2905/6208) were significantly higher than those in middle high school students (37.3％,2337/6262) and college students ( 33.2％,1711/5152 ) ( all P values ＜ 0.05 ).Students from Western areas had the highest incidences of the common physiological and psychological symptoms (30.2％,1471/4871;40.6％,1979/4871 ),higher than students from Middle areas ( 22.4％,1443/6453 ; 27.0％,1743/6453 )and Eastern areas (21.3％,1341/6298 ; 27.4％,1725/6298 ) ( all P values ＜ 0.05 ).Results from multiple logistic regression showed that physical symptoms ≥2 at baseline were shared risk factors for suicidal ideation (RR =1.44,95 ％ CI:1.16 - 1.79),attempted suicide ( RR =1.79,95 ％ CI:1.22 -2.61 ) and self-injurious behaviors(RR =1.39,95％ CI:1.17- 1.66 ) 6 months later.Psychopathological symptoms ≥4 at baseline was the shared risk factors for suicide ideation (RR =1.74,95％ CI:1.39 -2.17),attempted suicide(RR =2.08,95％CI:1.39 - 3.11 ) and self-injurious (RR=1.90,95％CI:1.59 - 2.28 ) 6 months later.Conclusion It is common in Chinese adolescents who have multiple psychosomatic symptoms simultaneously.What's important is that those common psychosomatic symptoms are shared risk factors of later suicidal and self-iniurious behaviors.
